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BAPS UK inflammatory bowel disease surgical practice survey
Nicole P Smith1, Muhammad E Ba'ath, Daniel Perry
1Department of Paediatric Surgery, Royal Liverpool Children's Hospital NHS Trust, Liverpool LI2 2AP, UK.
Journal of Pediatric Surgery
|February 3, 2007
Summary
Paediatric surgical provision for pediatric inflammatory bowel disease (IBD) varies regionally in the UK. Many surgeons have limited experience with J-pouch ileoanal anastomosis (IPAA), necessitating careful consideration for elective procedures.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Inflammatory Bowel Disease (IBD) Management
Background:
- Regional variations in pediatric inflammatory bowel disease (IBD) care identified in the UK.
- Need to analyze current pediatric surgical provision for ulcerative colitis and Crohn's disease.
Purpose of the Study:
- To assess the current state of pediatric surgical services for IBD in the UK.
- To understand the experience and practices of pediatric surgeons managing IBD.
Main Methods:
- Survey of all UK pediatric surgical centers.
- Questionnaire assessing team working, caseloads, and transitional care.
- Data collection on colonoscopy, J-pouch ileoanal anastomosis (IPAA), and strictureplasty caseloads.
Main Results:
- 86% response rate from UK centers.
- 77% of centers offer transitional care clinics.
- Median IPAA experience: 0.9 cases/year; 40% report strictureplasty experience.
Conclusions:
- Paediatric surgeons utilize diverse surgical approaches for IBD.
- Limited surgeon experience with IPAA is a concern.
- Debate needed on elective pediatric IPAA versus adult surgeon transition of care.
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