Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Nov 20;33(2):e1518.
doi: 10.1590/0102-672020200002e1518. eCollection 2020.

EARLY AND LONG-TERM OUTCOME OF SURGICAL INTERVENTION IN CHILDREN WITH INFLAMMATORY BOWEL DISEASE

[Article in English, Portuguese]
Farbod Khosravi  1 , Pardis Ziaeefar  1
Affiliations

EARLY AND LONG-TERM OUTCOME OF SURGICAL INTERVENTION IN CHILDREN WITH INFLAMMATORY BOWEL DISEASE

[Article in English, Portuguese]
Farbod Khosravi et al. Arq Bras Cir Dig. .

Abstract
in English, Portuguese

Background: Long-term complication-free survival chart in children with IBD . Although children with inflammatory bowel disease (IBD), disease control is possible through medical procedures, but surgical intervention is indicated in some cases.

Aim: To evaluated long-term surgical outcomes in children with IBD.

Methods: This retrospective cohort study was done on 21 children suffering IBD with surgical indication admitted to a referral children hospital in Tehran in 2019. The baseline information was collected by reviewing the recorded files and children were followed-up to assess surgical outcome.

Results: The rate of early complications after surgery was 47.6%; they included intestinal perforation in 4.8%, peritonitis in 4.8%, wound infection in 23.8%, pelvic abscesses in 14.3%, deep vein thrombosis in 4.8%, intestinal obstruction in 9.5%, pancreatitis in 9.5% and anal fissure in 4.8%. The mean duration of follow-up for patients was 6.79±4.24 years. The rate of delayed complications during follow up was 28.6%. Accordingly, long-term free-complication survival rate during 5-10 years after surgery was 92.3% and 56.4%, respectively. Among the early features, lack of prior drug treatment and bleeding as indication for surgery, were two predictors of long-term surgical complications.

Conclusion: Standard surgery in the treatment of IBD in children with surgical indication is associated with favorable outcome, although short- and long-term surgical complications are also predictable.

Racional:: Em crianças com doença inflamatória intestinal (DII) o controle da doença é possível através de procedimentos médicos; contudo, intervenção cirúrgica é necessária em alguns casos.

Objetivo:: Avaliar os resultados cirúrgicos em longo prazo em crianças com DII.

Métodos:: Este estudo é coorte retrospectiva realizado em 21 crianças com DII com indicação cirúrgica admitida em um hospital infantil de referência em Teerã, Iran, em 2019. As informações foram coletadas através da revisão dos arquivos e as crianças foram acompanhadas para avaliar o resultado cirúrgico.

Resultados:: A taxa de complicações precoces pós-operatória foi de 47,6%; incluíram elas perfuração intestinal em 4,8%, peritonite em 4,8%, infecção de ferida em 23,8%, abscessos pélvicos em 14,3%, trombose venosa profunda em 4,8%, obstrução intestinal em 9,5%, pancreatite em 9,5% e fissura anal em 4,8%. O tempo médio de seguimento dos pacientes foi de 6,79±4,24 anos. A taxa de complicações tardias durante o acompanhamento foi de 28,6%. Consequentemente, a sobrevida livre de complicações em longo prazo, durante 5 a 10 anos após o procedimento, foi de 92,3% e 56,4%, respectivamente. Entre as características iniciais, falta de tratamento medicamentoso prévio e sangramento como indicação para cirurgia, foram dois preditores de complicações cirúrgicas em longo prazo.

Conclusão:: O tratamento cirúrgico no tratamento da DII em crianças está associado a resultado favorável, embora complicações cirúrgicas de curto e longo prazo também sejam previsíveis.

PubMed Disclaimer

Conflict of interest statement

Conflict of interest: none

Figures

None
Long-term complication-free survival chart in children with IBD
None
Sobrevida livre de complicações em longo prazo em crianças com DII
FIGURE 1
FIGURE 1. Long-term complication-free survival chart in children with IBD
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Benchimol EI, Fortinsky KJ, Gozdyra P. Epidemiology of pediatric inflammatory bowel disease a systematic review of international trends. Inflamm BowelDis. 2011;17(1):423–439. - PubMed
    1. Murch SH, Baldassano R, Buller H, Chin S, Griffiths AM, Hildebrand H, Jasinsky C, Kong T, Moore D, Orsi M. Inflammatory bowel disease Working Group report of the second World Congress of Pediatric Gastroenterology, Hepatology, and Nutrition. J Pediatr Gastroenterol Nutr. 2004;39(2):S647–S654. - PubMed
    1. Passos MAT, Chaves FC, Chaves-Junior N. The importance of colonoscopy in inflammatory bowel diseases. Arq Bras Cir Dig. 2018;31(2):e1374. - PMC - PubMed
    1. Mamula P, Markowitz JE, Baldassano RN. Inflammatory bowel disease in early childhood and adolescence: special considerations. Gastroenterol Clin North Am. 2003;32:967–995. - PubMed
    1. Kim SC, Ferry GD. Inflammatory bowel diseases in pediatric and adolescent patients clinical, therapeutic, and psychosocial considerations. Gastroenterology. 2004;126:1550–1560. - PubMed