TY - JOUR
T1 - Surgical Management of Crohn Disease in Children - Guidelines from the Paediatric IBD Porto Group of ESPGHAN
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)
PY - 2017/5/1
Y1 - 2017/5/1
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
UR - https://www.scopus.com/pages/publications/85014535655
U2 - 10.1097/MPG.0000000000001562
DO - 10.1097/MPG.0000000000001562
M3 - Journal article
C2 - 28267075
SN - 0277-2116
VL - 64
SP - 818
EP - 835
JO - Journal of Pediatric Gastroenterology and Nutrition
JF - Journal of Pediatric Gastroenterology and Nutrition
IS - 5
ER -