Surgical management of pediatric Crohn's disease.

Creator(s)

Michela Carter
Irene Isabel P. Lim, Children's Mercy Kansas CityFollow

Document Type

Article

Publication Date

4-2024

Identifier

DOI: 10.1016/j.sempedsurg.2024.151401

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.

Journal Title

Seminars in pediatric surgery

Volume

33

Issue

2

First Page

151401

Last Page

151401

MeSH Keywords

Humans; Crohn Disease; Child; Digestive System Surgical Procedures

Keywords

Crohn's disease; Inflammatory bowel disease; Minimally invasive surgical procedures; Pediatrics; Robotics

Recommended Citation

Carter M, Lim IIP. Surgical management of pediatric Crohn's disease. Semin Pediatr Surg. 2024;33(2):151401. doi:10.1016/j.sempedsurg.2024.151401