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Pediatric Crohn's Disease.

Daniel von Allmen1

  • 1Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio.

Clinics in Colon and Rectal Surgery
|March 1, 2018
PubMed
Summary

Pediatric Crohn's disease (a chronic inflammatory bowel disease) is rising, with unique presentations and treatment needs in children. Special attention to growth and development is crucial for managing this condition in young patients.

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Area of Science:

  • Pediatric Gastroenterology
  • Inflammatory Bowel Disease Research
  • Clinical Pediatrics

Background:

  • The incidence of Crohn's disease is increasing in the pediatric population.
  • Pediatric Crohn's disease shares characteristics with adult disease but has distinct clinical presentations and disease courses.
  • Early-onset and infantile Crohn's disease represent unique subgroups with specific clinical trajectories.

Purpose of the Study:

  • To highlight the unique aspects of pediatric Crohn's disease.
  • To discuss the impact of disease presentation on clinical decision-making in children.
  • To emphasize special considerations for growth and development in pediatric Crohn's management.

Main Methods:

  • Review of clinical characteristics and disease course in pediatric Crohn's disease patients.
  • Analysis of treatment paradigms, including medical and surgical interventions.
  • Consideration of pediatric-specific complications related to disease and treatment.

Main Results:

  • Pediatric Crohn's disease diagnosis often occurs in early adolescence, with earlier onset subgroups presenting unique challenges.
  • Standard treatment approaches require modifications to address growth and developmental concerns.
  • Surgical intervention plays a key role in nutritional support and mitigating treatment-related growth compromise.

Conclusions:

  • Pediatric Crohn's disease necessitates tailored management strategies that account for unique clinical features and developmental stages.
  • Addressing growth and development is paramount in the comprehensive care of children with Crohn's disease.
  • Multidisciplinary approaches, including surgical options, are vital for optimizing outcomes in pediatric Crohn's disease.
Keywords:
Crohn's diseasenutritional therapypediatricsurgery

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