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Ileostomy management children

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https://www.readbyqxmd.com/read/27692346/the-operative-management-of-children-with-complex-perianal-crohn-s-disease
#1
Natashia M Seemann, Sebastian K King, Abdul Elkadri, Thomas Walters, Joel Fish, Jacob C Langer
BACKGROUND/PURPOSE: Perianal Crohn's disease (PCD) can affect both quality of life and psychological wellbeing. A subset of pediatric patients with complex PCD require surgical intervention, although appropriate timing and treatment regimens remain unclear. This study aimed to describe a large pediatric cohort in a tertiary center to determine the range of surgical management in children with complex PCD. METHODS: A retrospective review of children requiring operative intervention for PCD over 13 years (2002-2014) was performed...
September 15, 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27595440/pneumoperitoneum-in-the-setting-of-pneumatosis-intestinalis-in-children-is-surgery-always-indicated
#2
Julie Galea, Katherine M Burnand, Fiona L Dawson, Chandrasen K Sinha, Dean Rex, Bruce O Okoye
Aim Pneumatosis intestinalis (PI) is a condition in which multiple gas-filled cysts form within the wall of the gastrointestinal tract in either the subserosa or submucosa. The presence of pneumoperitoneum in the presence of PI can present a therapeutic dilemma. The aim of our study was to review our experience and management of this condition. Methods A single-center retrospective study of consecutive children (> 1 year) presenting with a pneumoperitoneum and evidence of PI (2009-2015). Demographics, case notes, microbiology, and imaging were reviewed...
September 5, 2016: European Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27050051/pneumatosis-coli-in-complex-neurodisability-an-increasingly-problematic-disease-spectrum-and-proposed-management
#3
Rebecca West, Dipanker Dass, Santosh Mordekar, David Campbell, Richard Lindley
This case series describes our experience in managing four children with complex neurodisability, feed intolerance and pneumatosis coli. In all four cases their symptoms and feed tolerance were substantially improved by the formation of a laparoscopically assisted defunctioning ileostomy. We describe our current management strategy and believe this is a promising treatment for such patients that can reduce long term dependence on parenteral nutrition, although we acknowledge that there is a long term risk of disuse colitits in the defunctioned bowel...
April 4, 2016: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/26921936/histologic-inflammatory-activity-of-the-rectal-margin-as-a-predictor-of-postoperative-complication-in-ileoanal-anastomosis-j-pouch-procedure-in-children-with-refractory-ulcerative-colitis
#4
Nada Gawad, Dina El Demellawy, Carolyn Wayne, Juan Bass, Ahmed Nasr
BACKGROUND: Postoperative complication from the ileoanal anastomosis (J-pouch) procedure for surgical management of refractory ulcerative colitis (UC) increases the risk of pouch dysfunction. The purpose of this study was to determine if histologic inflammatory activity of the rectal margin is an independent predictor of complication after controlling for other variables. METHODS: A retrospective chart review was performed to identify all pediatric patients with UC who underwent a J-pouch procedure between 1995 and 2014...
May 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/26410260/surgical-aspects-of-inflammatory-bowel-diseases-in-pediatric-and-adolescent-age-groups
#5
Khaled El-Asmar, Ehab El-Shafei, Mohammed Abdel-Latif, Amr AbouZeid, Mosad El-Behery
BACKGROUND: Inflammatory bowel disease (IBD) is increasingly encountered in children. Early disease is associated with higher complication rate with increased incidence of surgical intervention. PATIENTS AND METHODS: From January 2010 to June 2015, 25 patients in the pediatric and adolescent age groups with IBD underwent surgical intervention in our center. They were classified into two groups. Group I included 15 patients with ulcerative colitis where 5 cases had left colon disease underwent left colectomy, while 10 cases had pancolonic disease underwent total colectomy and anal mucosectomy with ileo-anal or ileal pouch-anal anastomosis with covering ileostomy...
February 2016: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/26055603/management-of-necrotising-appendicitis-associated-with-widespread-necrotising-enterocolitis-of-the-small-and-large-bowel-and-perforated-duodenal-ulcer
#6
Vaibhav Gupta, Augusto Zani, Paul Jackson, Shailinder Singh
A 7-year-old boy presented in septic shock secondary to appendicitis with generalised peritonitis. Following crystalloid resuscitation, he underwent surgery. Faecopurulent contamination and free air were found. This was secondary to a perforated and gangrenous appendix, multiple large and small bowel segments with perforations, patches of necrosis, interspersed with healthy bowel and segments of questionable viability. There was also a perforated duodenal ulcer. Necrotic segments were resected using a 'clip-and-drop' technique to shorten operative duration and guide resection to preserve bowel length...
2015: BMJ Case Reports
https://www.readbyqxmd.com/read/25419595/management-of-chronic-intractable-constipation-in-children
#7
Basavaraj Kerur, Kanchan Kantekure, Silvana Bonilla, Bruce Orkin, Alejandro F Flores
BACKGROUND: Chronic intractable constipation (CIC) is a debilitating disease that is challenging to manage. Treatment options in children include medications, enemas, and surgical management in selected cases. METHOD: We reviewed medical records of pediatric patients diagnosed as having CIC at Tufts Medical Center from 2005 to 2012. Demographic variables, diagnostic procedures, and medical and surgical outcomes were collected. Clinical outcome was defined using the Rome III criteria...
December 2014: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/25144351/ulcerative-ileitis-after-proctocolectomy-in-children-a-complication-of-ulcerative-colitis-or-a-disease-in-itself-after-ileoanal-pullthrough
#8
Alba Sánchez-Galán, Ane M Andres, Beatriz Fernández-Caamaño, Alejandra Vilanova, Eva Dominguez, Ruben Ortiz, Gerardo Prieto, Manuel Lopez-Santamaria, J A Tovar
Ulcerative ileitis (UI) after restorative proctocolectomy (RPC) and ileoanal pullthrough procedure (IAPP) is a rare condition described as inflammation of the terminal ileum proximal to the anastomosis. It is mostly observed in ulcerative colitis (UC) and is designated as prepouch ileitis; sometimes with pouchitis, but not necessarily all the time. Its incidence in adults is less than 5%, but the information in children is limited. Pathogenesis is unknown, it has been considered as a disease by itself, independently on the underlying disease...
February 2015: European Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/24744776/functional-outcomes-and-quality-of-life-after-restorative-proctocolectomy-in-paediatric-patients-a-case-control-study
#9
Gianluca Pellino, Guido Sciaudone, Erasmo Miele, Giuseppe Candilio, Gilda Serena De Fatico, Gabriele Riegler, Annamaria Staiano, Silvestro Canonico, Francesco Selvaggi
Background. Restorative proctocolectomy with ileal-pouch anal anastomosis (IPAA) has some peculiarities in paediatric ulcerative colitis (UC). Aims. The primary aim was to compare the bowel function of patients undergoing IPAA between those operated on in childhood and adulthood. The secondary aim was to compare the quality of life (QoL) and outcomes for children between medical and surgical therapies. Method. Children undergoing IPAA were compared with adult patients undergoing IPAA between 2007 and 2012. Function was assessed 1 year after ileostomy closure...
2014: Gastroenterology Research and Practice
https://www.readbyqxmd.com/read/24439586/the-natural-history-of-familial-adenomatous-polyposis-syndrome-a-24-year-review-of-a-single-center-experience-in-screening-diagnosis-and-outcomes
#10
Raelene D Kennedy, D Dean Potter, Christopher R Moir, Mounif El-Youssef
PURPOSE: Understanding the natural history of Familial Adenomatous Polyposis (FAP) will guide screening and aid clinical management. METHODS: Patients with FAP, age ≤20years presenting between 1987 and 2011, were reviewed for presentation, diagnosis, extraintestinal manifestations, polyp burden, family history, histology, gene mutation, surgical intervention, and outcome. RESULTS: One hundred sixty-three FAP patients were identified. Diagnosis was made by colonoscopy (69%) or genetic screening (25%) at mean age of 12...
January 2014: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/24347288/total-colonic-aganglionosis-a-15-year-single-center-experience
#11
Simon Blackburn, Phillip Corbett, D Mervyn Griffiths, David Burge, R Mark Beattie, Michael Stanton
PURPOSE: Total colonic aganglionosis (TCA) is a rare condition, which is challenging to manage. Outcome data are sparse. We aimed to review the demographics, treatment, and outcomes of TCA in our center. PATIENTS AND METHODS: A retrospective case note review of 15 years from a single center was undertaken. RESULTS: A total of nine patients (five male) were managed. Gestational age at birth was 39 weeks (range, 32.5-41 weeks). All patients were referred with distal intestinal obstruction at a median of day 2 (range, 1-6 days) of life...
December 2014: European Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/23954583/outcomes-of-incontinent-ileovesicostomy-in-the-pediatric-patient
#12
Christina B Ching, Heidi A Stephany, Trisha M Juliano, Douglass B Clayton, Stacy T Tanaka, John C Thomas, Mark C Adams, John W Brock, John C Pope
PURPOSE: Ileovesicostomy is a reconstructive option in complex urological cases but pediatric specific outcomes are lacking. We report our results with pediatric ileovesicostomy. MATERIALS AND METHODS: We retrospectively evaluated patients younger than 18 years undergoing incontinent ileovesicostomy at Vanderbilt University. History, urinary tract management and operative course were reviewed in the electronic medical record. Particular attention was given to immediate and long-term postoperative complications...
February 2014: Journal of Urology
https://www.readbyqxmd.com/read/23839161/interleukin-10-receptor-mutations-in-children-with-neonatal-onset-crohn-s-disease-and-intractable-ulcerating-enterocolitis
#13
Jung Ok Shim, Solha Hwang, Hye Ran Yang, Jin Soo Moon, Ju Young Chang, Jae Sung Ko, Sung Sup Park, Gyeong-Hoon Kang, Woo Sun Kim, Jeong Kee Seo
Neonatal-onset inflammatory bowel disease (IBD) accounts for only 0.25% of pediatric IBD cases. The molecular pathogenesis of IBD remains unclear. Recently, rare Mendelian mutations have been identified in children with very early-onset Crohn's disease and ulcerative colitis. In this study, we report compound heterozygous mutations in the interleukin-10 receptor A (IL-10RA) gene in children with severe neonatal-onset IBD. Patient 1 had chronic diarrhea within the first month of life and had perianal fistulae...
October 2013: European Journal of Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/23403212/ileal-perforation-due-to-typhoid-fever-review-of-operative-management-and-outcome-in-an-urban-centre-in-nigeria
#14
REVIEW
A I Ugochukwu, O C Amu, M A Nzegwu
BACKGROUND: The management of ileal typhoid perforation is a challenging task in our environment. Lack of incidence data base and poor financial resources preclude adequate prevention of this public health menace. OBJECTIVES: For now the focus will remain the effective and strategic management of this complication to reduce the morbidity and mortality. METHODS: 86 cases of ileal typhoid perforation were seen over a two year period. Most were male children and male young adults...
2013: International Journal of Surgery
https://www.readbyqxmd.com/read/22005362/surgical-aspects-of-intestinal-tuberculosis-in-children-our-experience
#15
COMPARATIVE STUDY
Bilal Mirza, Lubna Ijaz, Muhammad Saleem, Afzal Sheikh
BACKGROUND: Tuberculosis (TB) is a major health problem in resource-constrained countries. Intestinal TB is especially notorious as a number of cases have to be dealt surgically, which too have morbidity and mortality. This study was conducted to identify various presentations of intestinal TB necessitating surgical intervention, their management, complications, and outcome in our hospital. MATERIALS AND METHODS: This was a retrospective study carried out at the Department of Paediatric Surgery, The Children's Hospital and The Institute of Child Health Lahore, Pakistan, from December 2007 to January 2010...
May 2011: African Journal of Paediatric Surgery: AJPS
https://www.readbyqxmd.com/read/21478589/exploratory-laparotomy-for-acute-intestinal-conditions-in-children-a-review-of-10-years-of-experience-with-334-cases
#16
Rajendra K Ghritlaharey, K S Budhwani, Dhirendra K Shrivastava
AIM: The aim of this study was to review 10 years of experience in the management of children with acute intestinal conditions requiring exploratory laparotomy. PATIENTS AND METHODS: This retrospective study included 334 children (244 boys and 90 girls) who underwent laparotomy for acute intestinal conditions between Jan 1, 2000 to Dec 31, 2009. Patients were grouped into two categories: group A (n = 44) included patients who needed laparotomy with terminal ileostomy and group B (n = 290) included patients who needed laparotomy without terminal ileostomy...
January 2011: African Journal of Paediatric Surgery: AJPS
https://www.readbyqxmd.com/read/21442425/laparoscopic-approach-for-children-with-inflammatory-bowel-diseases
#17
COMPARATIVE STUDY
Girolamo Mattioli, Alessio Pini-Prato, Arrigo Barabino, Paolo Gandullia, Stefano Avanzini, Edoardo Guida, Valentina Rossi, Luca Pio, Nicola Disma, Leila Mameli, Della Rocca Mirta, Giovanni Montobbio, Vincenzo Jasonni
BACKGROUND: Minimally invasive surgery is being increasingly applied to inflammatory bowel diseases (IBDs). Few pediatric series from selected research have been described to date. This study describes a unicentric experience of laparoscopic treatment of children with IBDs. MATERIALS AND METHODS: All consecutive patients with IBDs between February 2006 and February 2010 who underwent laparoscopic treatment were included. We reviewed notes and recorded demographic data, indications, perioperative management, surgical details, length of surgery, complications, postoperative management, length of hospitalization and functional outcome...
August 2011: Pediatric Surgery International
https://www.readbyqxmd.com/read/20561346/clostridium-difficile-colitis-in-children-following-lung-transplantation
#18
J B Rosen, M G Schecter, J S Heinle, E D McKenzie, D L Morales, M K Dishop, L Danziger-Isakov, G B Mallory, O Elidemir
Risk factors for Clostridium difficile diarrhea are antibiotic exposure, hospitalization, extreme ages, and immunodeficiency. Patients with CF have a high rate of colonization with C. difficile. We performed a retrospective chart review of patients at Texas Children's Hospital who underwent lung transplantation since the inception of our program in October 2002 until October 2008. There were 78 pediatric lung transplants performed at our institution during the study period. Four patients developed six total episodes of CDC for an overall incidence of 5...
August 2010: Pediatric Transplantation
https://www.readbyqxmd.com/read/20105606/antegrade-colonic-enemas-and-intestinal-diversion-are-highly-effective-in-the-management-of-children-with-intractable-constipation
#19
COMPARATIVE STUDY
Emily R Christison-Lagay, Leonel Rodriguez, Michael Kurtz, Kristin St Pierre, Daniel P Doody, Allan M Goldstein
PURPOSE: Intractable constipation in children is an uncommon but debilitating condition. When medical therapy fails, surgery is warranted; but the optimal surgical approach has not been clearly defined. We reviewed our experience with operative management of intractable constipation to identify predictors of success and to compare outcomes after 3 surgical approaches: antegrade continence enema (ACE), enteral diversion, and primary resection. METHODS: A retrospective review of pediatric patients undergoing ACE, diversion, or resection for intractable, idiopathic constipation from 1994 to 2007 was performed...
January 2010: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/20039449/double-balloon-enteroscopy-in-children-diagnosis-treatment-and-safety
#20
Mike Thomson, Krishnappa Venkatesh, Khalid Elmalik, Willam van der Veer, Maartan Jaacobs
AIM: To assess the feasibility and utility of double balloon enteroscopy (DBE) in the management of small bowel diseases in children. METHODS: Fourteen patients (10 males) with a median age of 12.9 years (range 8.1-16.7) underwent DBE; 5 for Peutz-Jeghers syndrome (PJ syndrome), 2 for chronic abdominal pain, 4 for obscure gastrointestinal (GI) bleeding, 2 with angiomatous malformations (1 blue rubber bleb nevus syndrome) having persistent GI bleeding, and 1 with Cowden's syndrome with multiple polyps and previous intussusception...
January 7, 2010: World Journal of Gastroenterology: WJG
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