Restorative proctocolectomy with ileal pouch-anal anastomosis in very young patients with refractory ulcerative colitis

Bruce Robb, Gyu I. Gang, Dan D. Hershko, Marilyn M. Stoops, Connie S. Seeskin, Brad W. Warner, R. Sonnino, A. Coran, C. Moir, D. Caniano

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Background/Purpose: Restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA) is the standard surgical treatment for ulcerative colitis (UC). The purpose of the current study was to determine the outcome of very young patients (≤10 years of age) with UC undergoing IPAA. Methods: Between 1978 and 2002, 13 patients 10 years of age or younger underwent IPAA for management of UC at the authors' institution. Charts were reviewed for patient characteristics, and a standardized telephone interview was performed. Results: Average age at diagnosis was 4.0 years (range, 1.0 to 8.4 years), and patients underwent IPAA at a mean of 6.8 years (range, 3.7 to 10.8 years). Pancolitis was present in 100%. The mean follow-up was 9.1 years (1.0 to 16.1 years), the average number of stools per day was 5 (3 to 8). All patients are continent while awake, Pouchitis was documented in 9 patients (75%). All patients or their parents rated the outcome of their procedures as "excellent." Conclusions: When compared with older children, very young patients with UC tend to have more frequent total colonic involvement and a greater frequency of pouchitis after IPAA. The functional outcome and patient/family satisfaction with the procedure endorse IPAA as an attractive procedure even in the very young population with UC.

Original languageEnglish (US)
Pages (from-to)863-867
Number of pages5
JournalJournal of Pediatric Surgery
Volume38
Issue number6
DOIs
StatePublished - Jun 1 2003
Externally publishedYes

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Restorative Proctocolectomy
Colonic Pouches
Ulcerative Colitis
Pouchitis
Patient Satisfaction
Parents
Interviews

Keywords

  • Inflammatory bowel disease, ulcerative colitis colectomy
  • Pouchitis, ileal pouch

ASJC Scopus subject areas

  • Surgery

Cite this

Restorative proctocolectomy with ileal pouch-anal anastomosis in very young patients with refractory ulcerative colitis. / Robb, Bruce; Gang, Gyu I.; Hershko, Dan D.; Stoops, Marilyn M.; Seeskin, Connie S.; Warner, Brad W.; Sonnino, R.; Coran, A.; Moir, C.; Caniano, D.

In: Journal of Pediatric Surgery, Vol. 38, No. 6, 01.06.2003, p. 863-867.

Research output: Contribution to journalArticle

Robb, B, Gang, GI, Hershko, DD, Stoops, MM, Seeskin, CS, Warner, BW, Sonnino, R, Coran, A, Moir, C & Caniano, D 2003, 'Restorative proctocolectomy with ileal pouch-anal anastomosis in very young patients with refractory ulcerative colitis', Journal of Pediatric Surgery, vol. 38, no. 6, pp. 863-867. https://doi.org/10.1016/S0022-3468(03)00112-X
Robb, Bruce ; Gang, Gyu I. ; Hershko, Dan D. ; Stoops, Marilyn M. ; Seeskin, Connie S. ; Warner, Brad W. ; Sonnino, R. ; Coran, A. ; Moir, C. ; Caniano, D. / Restorative proctocolectomy with ileal pouch-anal anastomosis in very young patients with refractory ulcerative colitis. In: Journal of Pediatric Surgery. 2003 ; Vol. 38, No. 6. pp. 863-867.
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AU - Seeskin, Connie S.

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