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Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
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.
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.
Abstract:
Background. The incidence of inflammatory bowel disease (IBD) is increasing in the paediatric population. Since 2007, a single surgeon whose main practice is in the treatment of adults has performed surgery for IBD in adults and children within two dedicated multidisciplinary teams. Our aim was to assess and compare outcomes for adults and children following surgery for IBD. Methods. Analysis of a prospectively collected database was carried out to include all patients who had undergone resectional surgery for IBD between 2007 and 2012. Results. 48 adults and 30 children were included in the study. Median age for children was 14 years (range 8-16) and for adults was 33.5 years (range 17-64). Median BMI was 23 (range 18-38) and 19 (range 13-29.5) in adults and children, respectively (P < 0.001). Laparoscopic resection was performed in 27 (90%) children and 36 (75%) adults. Postoperative complication rates were comparable, 11 (23%) in adults versus 6 (20%) in children (P = 1.00). Conclusion. Resectional surgery for IBD in children has outcomes that compare favourably with the adult population, with the majority of cases being performed by a laparoscopic approach.
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