A Comparison Of Outcomes For Adults And Children Undergoing Resection For Inflammatory Bowel Disease: Is There A Difference? | 25278
Journal of Gastrointestinal & Digestive System
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Background: The incidence of inflammatory bowel disease (IBD) is increasing in the paediatric population. Since 2007, a
single surgeon whose main practice is in the treatment of adults has performed surgery for IBD in adults and children within
two dedicated multidisciplinary teams. The aim was to assess and compare outcomes for adults and children following surgery
Methods: Analysis of a prospectively collected database was carried out to include all patients who had undergone resectional
surgery for IBD between 2007 and 2012.
Results: 48 adults and 30 children were included in the study. Median age for children was 14 years (range 8?16) and for adults
was 33.5 years (range 17?64). Median BMI was 23 (range 18?38) and 19 (range 13?29.5) in adults and children respectively
(P<0.001). Laparoscopic resection, including single port surgery, was performed in 27 (90%) children and 36 (75%) adults.
Postoperative complication rates were comparable, 11 (23%) in adults versus 6 (20%) in children (P=1.00). Median length of
stay was 5 days in adults versus 6.5 days in children (P=0.31).
Conclusion: Resectional surgery for IBD in children has outcomes that compare favourably with the adult population, with
the majority of cases being safely performed via a laparoscopic approach.
Justin Davies is Consultant Colorectal Surgeon, Clinical Director of Digestive Diseases, Lead Colorectal Surgeon and Associate Lecturer at Addenbrooke?s
Hospital, Cambridge University NHS Foundation Trust and Biomedical Campus, Cambridge, UK. He is a member of Council of the Association of Coloproctology of
Great Britain and Ireland and of The Royal Society of Medicine Section of Coloproctology. His clinical interests include laparoscopic surgery for inflammatory bowel
disease in adults and children, ileoanal pouch surgery and multidisciplinary surgery for locally advanced rectal cancer and anal cancer. He has co-edited a text
book and published over 50 peer-review papers and book chapters. His research in molecular stool screening has resulted in publications in the Lancet and Nature
Reviews Cancer. He is the recipient of the Patey Prize, John of Arderne Medal, ACPGBI British Travelling Fellowship and Price Thomas Travelling Fellowship.
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