Related Experiment Video
Updated: Nov 28, 2025
Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
EARLY AND LONG-TERM OUTCOME OF SURGICAL INTERVENTION IN CHILDREN WITH INFLAMMATORY BOWEL DISEASE
Farbod Khosravi1, Pardis Ziaeefar1
1Shohada-e-Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Insights
Surgical outcomes in pediatric inflammatory bowel disease (IBD) show favorable results, but early and late complications are possible. Lack of prior drug treatment and bleeding predict long-term issues in children undergoing IBD surgery.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Inflammatory Bowel Disease Research
Background:
- Surgical intervention is sometimes necessary for pediatric inflammatory bowel disease (IBD) despite medical management options.
- Evaluating long-term surgical outcomes in children with IBD is crucial for treatment planning.
Purpose of the Study:
- To assess the long-term surgical outcomes and complication rates in pediatric patients with inflammatory bowel disease (IBD).
Main Methods:
- A retrospective cohort study involving 21 children with IBD requiring surgery.
- Data collected from patient files at a referral children's hospital, with follow-up to evaluate surgical outcomes.
Main Results:
- Early complication rate post-surgery was 47.6%, including wound infections and pelvic abscesses.
- Long-term complication-free survival rates at 5 and 10 years were 92.3% and 56.4%, respectively.
- Lack of prior drug treatment and bleeding as surgical indication predicted long-term complications.
Conclusions:
- Standard surgical treatment for pediatric IBD with surgical indications yields favorable outcomes.
- Both short-term and long-term surgical complications should be anticipated in pediatric IBD patients.
Background:
Long-term complication-free survival chart in children with IBD . Although children with inflammatory bowel disease (IBD), disease control is possible through medical procedures, but surgical intervention is indicated in some cases.
Aim:
To evaluated long-term surgical outcomes in children with IBD.
Methods:
This retrospective cohort study was done on 21 children suffering IBD with surgical indication admitted to a referral children hospital in Tehran in 2019. The baseline information was collected by reviewing the recorded files and children were followed-up to assess surgical outcome.
Results:
The rate of early complications after surgery was 47.6%; they included intestinal perforation in 4.8%, peritonitis in 4.8%, wound infection in 23.8%, pelvic abscesses in 14.3%, deep vein thrombosis in 4.8%, intestinal obstruction in 9.5%, pancreatitis in 9.5% and anal fissure in 4.8%. The mean duration of follow-up for patients was 6.79±4.24 years. The rate of delayed complications during follow up was 28.6%. Accordingly, long-term free-complication survival rate during 5-10 years after surgery was 92.3% and 56.4%, respectively. Among the early features, lack of prior drug treatment and bleeding as indication for surgery, were two predictors of long-term surgical complications.
Conclusion:
Standard surgery in the treatment of IBD in children with surgical indication is associated with favorable outcome, although short- and long-term surgical complications are also predictable.
Related Concept Videos
01:21Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:
01:30Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
01:17Chronic Bowel Disorders: Introduction
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
01:29Inflammatory Bowel Disease IV: Pharmacological Management
Pharmacologic...
01:30Inflammatory Bowel Disease II: Crohn's Disease
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...