2014
DOI: 10.1136/archdischild-2013-305214
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Surgery for children with Crohn's disease: indications, complications and outcome

Abstract: Surgery was associated with a 22% early complication rate and a 15% risk of relapse. 21% of patients required a second unplanned intra-abdominal procedure. Surgical intervention was associated with an increase in BMI SDS, but not in height SDS.

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Cited by 48 publications
(42 citation statements)
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“…12 This number was comparable with other studies reporting around 1/3 patients undergoing a surgical procedure during childhood. 17,18 In contrast to the increasing incidence of disease, the rates of paediatric surgery have not been reported to change over time. 19,20 The impact of increasing use of anti-TNF therapy on surgical procedure rates during childhood is important to guide use of these medications and understand prognoses for patients and families.…”
Section: Introductionmentioning
confidence: 99%
“…12 This number was comparable with other studies reporting around 1/3 patients undergoing a surgical procedure during childhood. 17,18 In contrast to the increasing incidence of disease, the rates of paediatric surgery have not been reported to change over time. 19,20 The impact of increasing use of anti-TNF therapy on surgical procedure rates during childhood is important to guide use of these medications and understand prognoses for patients and families.…”
Section: Introductionmentioning
confidence: 99%
“…110 Despite this, surgical treatment carried a 22% complication rate and a 15% recurrence rate, and 21% of patients had an unplanned return to the operating room in a recent study. 111 While medical therapy may one day render surgical therapy unnecessary, at present, the surgeon remains an integral part of the treatment team for patients with any IBD, and Crohn's disease in particular.…”
Section: Resultsmentioning
confidence: 99%
“…Despite almost inevitable recurrence, the period of remission induced by surgery, which is affected by the anatomic distribution of inflammation [131,132] allows significant catch-up growth when it is performed prior to or at early puberty [12,132,133] and if no residual disease remains [40]. Recently, Blackburn et al [134] failed to demonstrate an increase in linear growth in children who underwent surgical procedures, mainly for stricturing disease, however, these results might be confounded by relatively advanced age at surgery and lack of data regarding pubertal stage. Mechanistically, resection of the inflamed segment reduces the inflammatory burden of the disease thus enables reinstitution of growth.…”
Section: Surgerymentioning
confidence: 99%