Surgical care of the pediatric Crohn's disease patient

Fray Dylan Stewart

Research output: Contribution to journalArticle

Abstract

Despite the significant advances in the medical management of inflammatory bowel disease over the last decade, surgery continues to play a major role in the management of pediatric Crohn's disease (CD). While adult and pediatric Crohn's disease may share many clinical characteristics, pediatric Crohn's patients often have a more aggressive phenotype, and the operative care given by the pediatric surgeon to the newly diagnosed Crohn's patient is very different in nature to the surgical needs of adult patients after decades of disease progression. Children also have the unique surgical indication of growth failure to consider in the overall clinical decision making. While surgery is never curative in CD, it has the ability to transform the disease process in children, and appropriately timed operations may have tremendous impact on a child's physical and mental maturation. This monograph aims to address the surgical care of Crohn's disease in general, with a specific emphasis on the surgical treatment of small intestinal and ileocecal involvement.

Original languageEnglish (US)
Pages (from-to)373-378
Number of pages6
JournalSeminars in Pediatric Surgery
Volume26
Issue number6
DOIs
StatePublished - Dec 1 2017

Fingerprint

Crohn Disease
Pediatrics
Inflammatory Bowel Diseases
Disease Progression
Phenotype
Growth
Pediatric Crohn's disease
Therapeutics
Surgeons
Clinical Decision-Making

Keywords

  • Children
  • Complications
  • Crohn's disease
  • Inflammatory bowel disease
  • Outcomes
  • Surgery

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery

Cite this

Surgical care of the pediatric Crohn's disease patient. / Stewart, Fray Dylan.

In: Seminars in Pediatric Surgery, Vol. 26, No. 6, 01.12.2017, p. 373-378.

Research output: Contribution to journalArticle

Stewart, Fray Dylan. / Surgical care of the pediatric Crohn's disease patient. In: Seminars in Pediatric Surgery. 2017 ; Vol. 26, No. 6. pp. 373-378.
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