Surgical Management of Crohn Disease in Children - Guidelines from the Paediatric IBD Porto Group of ESPGHAN

Jorge Amil Dias; Sanja Kolacek; Dan Turner; Anders Pærregaard; Risto Rintala; Nadeem Ahmad Afzal; Katarzyna Karolewska-Bochenek; Jiri Bronsky; Sonny Chong; John M E Fell; Iva Hojsak; Jean-Pierre Hugot; Sibylle Koletzko; Devinder Kumar; Izabella Lazowska-Przeorek; Craig Lillehei; Paolo Lionetti; Javier Martín-de-Carpi; Mikko Pakarinen; Frank M Ruemmele; Ron Shaoul; Christine Spray; Annamaria Staiano; Ian Sugarman; David C Wilson; Harland Winter; Kaija-Leena Kolho; IBD Working Group of ESPGHAN (IBD Porto Group)

doi:10.1097/MPG.0000000000001562

Surgical Management of Crohn Disease in Children - Guidelines from the Paediatric IBD Porto Group of ESPGHAN

Jorge Amil Dias, Sanja Kolacek, Dan Turner, Anders Pærregaard, Risto Rintala, Nadeem Ahmad Afzal, Katarzyna Karolewska-Bochenek, Jiri Bronsky, Sonny Chong, John M E Fell, Iva Hojsak, Jean-Pierre Hugot, Sibylle Koletzko, Devinder Kumar, Izabella Lazowska-Przeorek, Craig Lillehei, Paolo Lionetti, Javier Martín-de-Carpi, Mikko Pakarinen, Frank M RuemmeleRon Shaoul, Christine Spray, Annamaria Staiano, Ian Sugarman, David C Wilson, Harland Winter, Kaija-Leena Kolho, IBD Working Group of ESPGHAN (IBD Porto Group)

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84 Citationer (Scopus)

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.

Originalsprog	Engelsk
Tidsskrift	Journal of Pediatric Gastroenterology and Nutrition
Vol/bind	64
Udgave nummer	5
Sider (fra-til)	818-835
ISSN	0277-2116
DOI	https://doi.org/10.1097/MPG.0000000000001562
Status	Udgivet - 1 maj 2017

Adgang til dokumentet

10.1097/MPG.0000000000001562

Citationsformater

Amil Dias, J., Kolacek, S., Turner, D., Pærregaard, A., Rintala, R., Afzal, N. A., Karolewska-Bochenek, K., Bronsky, J., Chong, S., Fell, J. M. E., Hojsak, I., Hugot, J.-P., Koletzko, S., Kumar, D., Lazowska-Przeorek, I., Lillehei, C., Lionetti, P., Martín-de-Carpi, J., Pakarinen, M., ... IBD Working Group of ESPGHAN (IBD Porto Group) (2017). Surgical Management of Crohn Disease in Children - Guidelines from the Paediatric IBD Porto Group of ESPGHAN. Journal of Pediatric Gastroenterology and Nutrition, 64(5), 818-835. https://doi.org/10.1097/MPG.0000000000001562

Amil Dias, J, Kolacek, S, Turner, D, Pærregaard, A, Rintala, R, Afzal, NA, Karolewska-Bochenek, K, Bronsky, J, Chong, S, Fell, JME, Hojsak, I, Hugot, J-P, Koletzko, S, Kumar, D, Lazowska-Przeorek, I, Lillehei, C, Lionetti, P, Martín-de-Carpi, J, Pakarinen, M, Ruemmele, FM, Shaoul, R, Spray, C, Staiano, A, Sugarman, I, Wilson, DC, Winter, H, Kolho, K-L & IBD Working Group of ESPGHAN (IBD Porto Group) 2017, 'Surgical Management of Crohn Disease in Children - Guidelines from the Paediatric IBD Porto Group of ESPGHAN', Journal of Pediatric Gastroenterology and Nutrition, bind 64, nr. 5, s. 818-835. https://doi.org/10.1097/MPG.0000000000001562

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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.",

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AU - Amil Dias, Jorge

AU - Kolacek, Sanja

AU - Turner, Dan

AU - Pærregaard, Anders

AU - Rintala, Risto

AU - Afzal, Nadeem Ahmad

AU - Karolewska-Bochenek, Katarzyna

AU - Bronsky, Jiri

AU - Chong, Sonny

AU - Fell, John M E

AU - Hojsak, Iva

AU - Hugot, Jean-Pierre

AU - Koletzko, Sibylle

AU - Kumar, Devinder

AU - Lazowska-Przeorek, Izabella

AU - Lillehei, Craig

AU - Lionetti, Paolo

AU - Martín-de-Carpi, Javier

AU - Pakarinen, Mikko

AU - Ruemmele, Frank M

AU - Shaoul, Ron

AU - Spray, Christine

AU - Staiano, Annamaria

AU - Sugarman, Ian

AU - Wilson, David C

AU - Winter, Harland

AU - Kolho, Kaija-Leena

AU - IBD Working Group of ESPGHAN (IBD Porto Group)

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N2 - 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.

AB - 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.

KW - Journal Article

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DO - 10.1097/MPG.0000000000001562

M3 - Journal article

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Surgical Management of Crohn Disease in Children - Guidelines from the Paediatric IBD Porto Group of ESPGHAN

Abstract

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