A comparison of outcomes for adults and children undergoing resection for inflammatory bowel disease: is there a

Christine M Mcmullin1, Jonathan Morton1, Saranya Vickramarajah1

  • 1Cambridge Colorectal Unit, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge Biomedical Campus, Hills Road, Cambridge CB2 0QQ, UK.

ISRN Gastroenterology
|July 10, 2014
PubMed

Insights

Pediatric inflammatory bowel disease (IBD) surgery outcomes are favorable compared to adults. A single surgeon performed laparoscopic resections, showing comparable complication rates in children and adults with IBD.

Area of Science:

  • Gastroenterology
  • Pediatric Surgery
  • Surgical Outcomes

Background:

  • Inflammatory bowel disease (IBD) incidence is rising in children.
  • A single surgeon has managed IBD surgeries for both adults and children since 2007.
  • Multidisciplinary teams are involved in IBD treatment.

Purpose of the Study:

  • To compare surgical outcomes for pediatric and adult inflammatory bowel disease (IBD) patients.
  • To evaluate the effectiveness of resectional surgery for IBD in different age groups.

Main Methods:

  • Analysis of a prospectively collected database of IBD resectional surgeries (2007-2012).
  • Inclusion of 48 adults and 30 children in the study.
  • Comparison of demographic data, surgical approaches (laparoscopic vs. open), and postoperative complication rates.

Main Results:

  • Laparoscopic resection was more common in children (90%) than adults (75%).
  • Postoperative complication rates were similar: 23% in adults and 20% in children (P = 1.00).
  • Significant difference in median BMI between adults and children (P < 0.001).

Conclusions:

  • Resectional surgery for pediatric IBD yields outcomes comparable to adults.
  • Laparoscopic approaches are frequently utilized in pediatric IBD surgery.
  • Favorable surgical outcomes support continued surgical management for pediatric IBD.

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