Surgical outcomes of very-early-onset ulcerative colitis: retrospective comparative study with older pediatric patients
Purpose The study compares the surgical outcomes of very-early-onset ulcerative colitis (VEO-UC), which is a rare disease diagnosed in pediatric patients < 6 years, with those of older pediatric patients with ulcerative colitis (UC). Methods A retrospective observational study of 57 pediatric pat...
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Published in | Pediatric surgery international Vol. 40; no. 1; p. 73 |
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Main Authors | , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Berlin/Heidelberg
Springer Berlin Heidelberg
07.03.2024
Springer Nature B.V |
Subjects | |
Online Access | Get full text |
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Summary: | Purpose
The study compares the surgical outcomes of very-early-onset ulcerative colitis (VEO-UC), which is a rare disease diagnosed in pediatric patients < 6 years, with those of older pediatric patients with ulcerative colitis (UC).
Methods
A retrospective observational study of 57 pediatric patients with UC was conducted at a single center. The study compared surgical complications and postoperative growth between the two groups.
Results
Out of the 57 patients, 6 had VEO-UC, and 5 of them underwent total colectomy. Compared with the surgical cases of older patients with UC (
n
= 6), the rate of postoperative complications in patients with VEO-UC (
n
= 5) was not significantly different, except for high-output ileostomy (80% vs. 0% at 3 weeks postoperatively,
p
= 0.02). The rate of postoperative central venous catheter (CVC) placement at > 90 days was higher in patients with VEO-UC (100% vs. 17%,
p
= 0.02). The median change in the
Z
-score of height before and 2 years after colectomy was not significantly different between VEO-UC and older patients (1.1 vs. 0.3,
p
= 0.13).
Conclusion
With regard to complications and outcomes, total colectomy for VEO-UC patients and that for older pediatric UC patients is comparable. However, high-output ileostomy and the long duration of CVC placement may pose management challenges. |
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Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 ObjectType-Undefined-3 |
ISSN: | 1437-9813 0179-0358 1437-9813 |
DOI: | 10.1007/s00383-024-05662-8 |