Annual Meeting of the North American Society for Pediatric Gastroenterology and Nutrition
94 CROHN'S DISEASE IN THE PEDIATRIC AGE GROUP: A 15 YEAR REVIEW
Wong, J; Fitzgerald, P; Issenman, R M
Divisions of Pediatric Surgery and Gastroenterology, Children's Hospital at Chedoke McMaster, Hamilton, ON.
POSTER SESSION II
Pathogenesis of Immunological/Inflammatory GI Diseases and IBD
Objective: To compare pediatric Crohn's Disease (CD) patients who required surgical management with those successfully managed medically and to review surgical variables and outcomes.
Methods: A review of hospital charts and the IBD Patient Database was done for all patients with CD for the period 1979 to 1994. Patient disease and surgical variables were recorded. Table
Forty-eight patients had primarily ileocecal disease, 49 only small bowel, 12 only large bowel and 1 had gastroduodenal disease. Thirty-four elective and 11 emergency procedures were done with a total of 4 major and 6 minor post-operative complications. Analysis of disease location revealed that patients with ileocecal disease had a significantly higher rate of surgical intervention (46%) compared to those with only small bowel (26%) or only large bowel (16%) disease. Twelve patients have had a recurrence of their disease after initial surgery.
Conclusions: (1) Sex, age at diagnosis and duration of symptoms at diagnosis were not predictive of requiring surgery. (2) Patients with ileocecal involvement appear to have a significantly greater chance of requiring surgery. (3) Complication rates and risk of CD recurrence remain high in these patients.
Section Description
Denver, October 4-5, 1996
© Lippincott-Raven Publishers
