Recurrent Crohn's disease.

Mahmoud Shehada, Lisa E McMahon

Journal: Seminars in pediatric surgery 2024;33(2):151403

PMID: 38593515

Full Text on Elsevier Science View on PubMed

Abstract

Although surgical management of the ileocolic segment in pediatric Crohn's disease is not curative, the main goal of therapy is to allow for growth, adequate nutrition, and age-appropriate development. Recurrent disease at the site of anastomosis presents as a major morbidity. Several factors have been implicated in the development of surgical recurrence though data in the literature is scarce. This review explores the epidemiology of recurrent ileocolic disease following primary surgery, indications for surgical intervention, and techniques reported in the literature. Pediatric data is scarce, and therefore, much of it is extrapolated from adult literature.

Address: Department of Surgery, Dartmouth-Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH 03756, USA. Electronic address: [email protected].; Division of Pediatric Surgery, Phoenix Children's Hospital, Phoenix, AZ, USA. Electronic address: [email protected].

DOI: 10.1016/j.sempedsurg.2024.151403

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MeSH Terms: Crohn Disease, Humans, Recurrence, Child, Risk Factors, Anastomosis, Surgical