The incidence of Crohn's disease (CD) has been increasing and surgery needs to be contemplated in a substantial number of cases. The relevant advent of biological treatment has changed but not eliminated the need for surgery in many patients. Despite previous publications on the indications for surgery in CD there was a need for a comprehensive review of existing evidence on the role of elective surgery and options in pediatric patients affected with CD. We present an expert opinion and critical review of the literature to provide evidence-based guidance to manage these patients. Indications, surgical options, risk factors and medications in pre and peri-operative period are reviewed in the light of available evidence. Risks and benefits of surgical options are addressed. An algorithm is proposed for the management of post-surgery monitoring, timing for follow-up endoscopy and treatment options.
Surgical Management of Crohn Disease in Children - Guidelines from the Paediatric IBD Porto Group of ESPGHAN / Amil Dias, Jorge; Kolacek, Sanja; Turner, Dan; Pærregaard, Anders; Rintala, Risto; Afzal, Nadeem Ahmad; Karolewska Bochenek, Katarzyna; Bronsky, Jiri; Chong, Sonny; Fell, John; Hojsak, Iva; Hugot, Jean Pierre; Koletzko, Sibylle; Kumar, Devinder; Lazowska Przeorek, Izabella; Lillehei, Craig; Lionetti, Paolo; Martin de Carpi, Javier; Pakarinen, Mikko; Ruemmele, Frank M; Shaoul, Ron; Spray, Christine; Staiano, Annamaria; Sugarman, Ian; Wilson, David C; Winter, Harland; Kolho, Kaija Leena. - In: JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION. - ISSN 0277-2116. - (2017), p. 1. [10.1097/MPG.0000000000001562]
Surgical Management of Crohn Disease in Children - Guidelines from the Paediatric IBD Porto Group of ESPGHAN
STAIANO, ANNAMARIA;
2017
Abstract
The incidence of Crohn's disease (CD) has been increasing and surgery needs to be contemplated in a substantial number of cases. The relevant advent of biological treatment has changed but not eliminated the need for surgery in many patients. Despite previous publications on the indications for surgery in CD there was a need for a comprehensive review of existing evidence on the role of elective surgery and options in pediatric patients affected with CD. We present an expert opinion and critical review of the literature to provide evidence-based guidance to manage these patients. Indications, surgical options, risk factors and medications in pre and peri-operative period are reviewed in the light of available evidence. Risks and benefits of surgical options are addressed. An algorithm is proposed for the management of post-surgery monitoring, timing for follow-up endoscopy and treatment options.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
