Related Experiment Video
Updated: Jan 24, 2026
06:46
Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery
Published on: September 27, 2024
660
Pediatric Colorectal Surgery: A Collaborative Approach From a Single Institution
Courtney Pisano1, Ipek Sapci2, Paul A Karam3
1Department of Pediatric Surgery, Nationwide Children's Hospital 700 Children's Drive, Columbus, Ohio.
The Journal of Surgical Research
|May 21, 2019
Summary
Collaborative colorectal surgery involving pediatric and adult specialists improved outcomes for pediatric inflammatory bowel disease patients, reducing recovery time and hospital stays. This approach shows short-term benefits without increasing complication rates.
Area of Science:
- Pediatric Surgery
- Colorectal Surgery
- Gastroenterology
Background:
- Inflammatory bowel disease (IBD) frequently affects pediatric patients, often requiring lifelong management and surgical intervention.
- A significant portion of IBD diagnoses occur in individuals under 20, necessitating specialized, long-term care.
- Collaboration between pediatric and adult colorectal surgeons may enhance patient outcomes and experiences.
Purpose of the Study:
- To investigate the impact of collaborative surgical approaches on short-term outcomes in pediatric patients with inflammatory bowel disease.
- To compare outcomes between cases managed by pediatric surgeons alone, adult colorectal surgeons alone, and a collaborative team.
Main Methods:
- Retrospective analysis of 116 pediatric patients (≤18 years) undergoing colorectal resections for IBD between 2010-2017.
- Data collected included patient demographics, surgical procedures, surgeon involvement (pediatric, colorectal, collaborative), operative details, and postoperative recovery metrics.
- Outcomes analyzed included time to flatus and bowel movement, length of hospital stay, and surgical complication rates.
Main Results:
- The collaborative surgical group demonstrated significantly shorter times to flatus (2.27 days) and first bowel movement (2.64 days).
- Patients in the collaborative group also experienced a shorter length of hospital stay (4.45 days).
- Single-incision laparoscopic surgery was more prevalent in the collaborative group (77.8%), with no significant difference in complication rates across all groups.
Conclusions:
- Collaborative surgical management by pediatric and colorectal surgeons is associated with improved short-term outcomes for pediatric IBD patients.
- This multidisciplinary approach led to faster recovery and shorter hospitalizations.
- The findings support the integration of pediatric and adult surgical expertise for optimal care in pediatric colorectal surgery for IBD.
Related Concept Videos
01:29Chronic Pancreatitis II: Collaborative Care
335
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
335
01:26Pharmacokinetics in Pediatric Patients: Drug Excretion
214
In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
214
01:17Pharmacokinetics in Pediatric Patients: Drug Distribution
276
Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight,...
276
01:24Pharmacokinetics in Pediatric Patients: Drug Metabolism
200
In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses...
200
01:23Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption
261
Understanding the physiological differences in the pediatric population is crucial for effective pharmacotherapy. Neonates, infants, and children exhibit significant variations in gastric pH, gastric emptying time, intestinal transit time, and biliary function. These variations profoundly affect oral drug absorption, necessitating a nuanced approach to pediatric dosing.Neonates present with a unique physiological profile, having a gastric pH greater than 4 and faster and more irregular gastric...
261
01:20Frustration and Conflict: Approach-Approach, Approach-Avoidance
502
Frustration occurs when people are obstructed or prevented from achieving a desired goal or fulfilling a perceived need. For example, when someone's input is ignored in a discussion, it can lead to feelings of frustration. Conflict, however, arises from opposing interests, goals, or actions. Conflicts can take various forms based on the nature of these opposing desires or goals.
One common type of conflict is the Approach–Approach Conflict. In this case, a person faces two desirable...
One common type of conflict is the Approach–Approach Conflict. In this case, a person faces two desirable...
502