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Updated: Jun 28, 2025

Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
Surgical management of pediatric Crohn's disease
Michela Carter1, Irene Isabel P Lim2
1Department of Surgery, Division of General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, United States.
Insights
Pediatric Crohn
Area of Science:
- Pediatric Gastroenterology and Surgery
Background:
- Crohn's disease in children requires managing growth, development, and psychosocial aspects.
- Early-onset Crohn's disease increases the risk of future surgeries.
Purpose of the Study:
- To review surgical techniques for pediatric Crohn's disease phenotypes.
- To identify perioperative factors for optimal surgical outcomes.
Main Methods:
- Literature review of surgical management strategies.
- Evaluation of surgical options for common Crohn's disease presentations in children.
Main Results:
- Biologics have changed disease course but not the need for surgery.
- Surgical techniques are advancing for pediatric Crohn's disease.
Conclusions:
- Defining surgical roles and options is crucial for pediatric Crohn's disease.
- Optimizing perioperative care improves post-surgical outcomes in pediatric Crohn's patients.
Abstract:
Management of pediatric-onset Crohn's disease uniquely necessitates consideration of growth, pubertal development, psychosocial function and an increased risk for multiple future surgical interventions. Both medical and surgical management are rapidly advancing; therefore, it is increasingly important to define the role of surgery and the breadth of surgical options available for this complex patient population. Particularly, the introduction of biologics has altered the disease course; however, the ultimate need for surgical intervention has remained unchanged. This review defines and evaluates the surgical techniques available for management of the most common phenotypes of pediatric-onset Crohn's disease as well as identifies critical perioperative considerations for optimizing post-surgical outcomes.
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