Related Experiment Video

Updated: Aug 3, 2026

Murine Ileocolic Bowel Resection with Primary Anastomosis
08:49

Murine Ileocolic Bowel Resection with Primary Anastomosis

Published on: October 29, 2014

Ulcerative colitis in childhood: should the rectum be preserved at surgery? Long-term results in 50 patients

S Lindham, R Lagercrantz

    Scandinavian Journal of Gastroenterology
    |January 1, 1980
    PubMed

    Insights

    Surgery for ulcerative colitis in children showed poor outcomes with rectum-preserving operations. Pancoloproctectomy with ileostomy is recommended due to high malignancy risk in early-onset disease.

    Area of Science:

    • Pediatric Surgery
    • Gastroenterology
    • Colorectal Surgery

    Background:

    • Ulcerative colitis (UC) in children presents unique surgical challenges.
    • Long-term outcomes of different surgical approaches for pediatric UC are not well-established.

    Purpose of the Study:

    • To evaluate the long-term results of surgical interventions for ulcerative colitis in a pediatric cohort.
    • To determine the optimal surgical strategy for children with ulcerative colitis, considering disease progression and malignancy risk.

    Main Methods:

    • A retrospective follow-up study of 50 children who underwent surgery for ulcerative colitis.
    • Analysis of outcomes based on surgical procedures: colectomy with ileorectal anastomosis, colectomy with ileostomy (rectum in situ), and pancoloproctectomy with ileostomy.

    Main Results:

    • Rectum-preserving operations (ileorectal anastomosis, ileostomy with rectum in situ) yielded unsatisfactory results.
    • Most children adapted well to life with an ileostomy.
    • Nineteen children with rectal inflammation underwent pancoloproctectomy and ileostomy.

    Conclusions:

    • Pancoloproctectomy with ileostomy is the preferred surgical method for children with ulcerative colitis.
    • This approach is recommended due to the significant risk of malignancy associated with early-onset disease.

    More Related Videos

    Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction08:26

    Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

    Published on: March 24, 2023

    Chinese Herbal Retention Enema for the Treatment of Ulcerative Colitis06:19

    Chinese Herbal Retention Enema for the Treatment of Ulcerative Colitis

    Published on: May 16, 2025

    Related Concept Videos

    Chronic Bowel Disorders: Introduction01:17

    Chronic Bowel Disorders: Introduction

    Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
    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...
    Inflammatory Bowel Disease I: Ulcerative Colitis01:27

    Inflammatory Bowel Disease I: Ulcerative Colitis

    Introduction
    Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
    Risk Factors
    The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
    Inflammatory Bowel Disease V: Surgical Management01:21

    Inflammatory Bowel Disease V: Surgical Management

    Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
    Here are some common surgical interventions for IBD:
    Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

    Peptic Ulcer Disease V: Surgical Management and Nursing Care

    Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
    Surgical Interventions for Peptic Ulcer Disease
    Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

    Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

    Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
    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...
    Inflammatory Bowel Disease II: Ulcerative Colitis01:20

    Inflammatory Bowel Disease II: Ulcerative Colitis

    Ulcerative colitis is a chronic inflammatory disorder of the colon characterized by continuous mucosal inflammation that typically begins in the rectum and extends proximally in a uniform pattern. Its pathogenesis involves a complex interplay of genetic predisposition, immune dysregulation, and environmental influences. These factors converge to impair the colon’s epithelial defenses and promote an exaggerated inflammatory response against luminal contents.Breakdown of the Mucosal BarrierA...