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The burden of surgery and postoperative complications in children with inflammatory bowel disease
Authors:Emma Fehmel  Warwick J. Teague  Di Simpson  Elizabeth McLeod  John M. Hutson  Jeremy Rosenbaum  Mark Oliver  George Alex  Sebastian K. King
Affiliation:1. Surgical Research, Murdoch Children''s Research institute, Melbourne, Australia;2. Department of Paediatric Surgery, The Royal Children''s Hospital, Melbourne, Australia;3. Department of Paediatrics, University of Melbourne, Melbourne, Australia;4. Department of Gastroenterology and Clinical Nutrition, The Royal Children''s Hospital, Melbourne, Australia;5. Department of Urology, The Royal Children''s Hospital, Melbourne, Australia
Abstract:

Background

Pediatric inflammatory bowel disease (IBD) may be associated with a higher burden of surgery and postoperative complications. This study aimed to measure the burden in pediatric IBD over a 20-year period in a large tertiary referral center.

Methods

A retrospective review was conducted of children diagnosed with IBD between 1996 and 2015, with a focus upon operative intervention (excluding endoscopy) and postoperative outcomes.

Results

Of 786 IBD patients, 121/581 (20.8%) with Crohn's disease (CD) and 22/205 (10.7%) with ulcerative colitis (UC) underwent surgery during the study period. When comparing 10-year epochs for CD, median time from diagnosis to intervention decreased from 34?months to 3?months (P?

Conclusion

Surgery and postoperative complications are common in pediatric IBD. The timing of intervention has trended towards earlier operations in both CD and UC.

Level of evidence

Treatment study—level III (retrospective comparative study).
Keywords:Inflammatory bowel disease  Crohn's disease  Ulcerative colitis  Surgery  Pediatric  Operative complications
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