Surgical Management of Crohn Disease in Children: Guidelines From the Paediatric IBD Porto Group of ESPGHAN

IBD Working Group of ESPGHAN (IBD Porto Group); Jorge Amil-Dias; Sanja Kolacek; Dan Turner; Anders Pærregaard; Risto Rintala; Nadeem A Afzal; Katarzyna Karolewska-Bochenek; Jiri Bronsky; Sonny Chong; John Fell; Iva Hojsak; Jean-Pierre Hugot; Sibylle Koletzko; Devinder Kumar; Izabella Lazowska-Przeorek; Craig Lillehei; Paolo Lionetti; Javier Martin-de-Carpi; Mikko Pakarinen; Frank M Ruemmele; Ron Shaoul; Christine Spray; Annamaria Staiano; Ian Sugarman; David Wilson; Harland Winter; Kaija-Leena Kolho

doi:10.1097/MPG.0000000000001562

Surgical Management of Crohn Disease in Children: Guidelines From the Paediatric IBD Porto Group of ESPGHAN

IBD Working Group of ESPGHAN (IBD Porto Group), Jorge Amil-Dias, Sanja Kolacek, Dan Turner, Anders Pærregaard, Risto Rintala, Nadeem A Afzal, Katarzyna Karolewska-Bochenek, Jiri Bronsky, Sonny Chong, John Fell, Iva Hojsak, Jean-Pierre Hugot, Sibylle Koletzko, Devinder Kumar, Izabella Lazowska-Przeorek, Craig Lillehei, Paolo Lionetti, Javier Martin-de-Carpi, Mikko PakarinenFrank M Ruemmele, Ron Shaoul, Christine Spray, Annamaria Staiano, Ian Sugarman, David Wilson, Harland Winter, Kaija-Leena Kolho

School of Regeneration and Repair

Research output: Contribution to journal › Article › peer-review

Abstract

The incidence of Crohn disease (CD) has been increasing and surgery needs to be contemplated in a substantial number of cases. The relevant advent of biological treatment has changed but not eliminated the need for surgery in many patients. Despite previous publications on the indications for surgery in CD, there was a need for a comprehensive review of existing evidence on the role of elective surgery and options in pediatric patients affected with CD. We present an expert opinion and critical review of the literature to provide evidence-based guidance to manage these patients. Indications, surgical options, risk factors, and medications in pre- and perioperative period are reviewed in the light of available evidence. Risks and benefits of surgical options are addressed. An algorithm is proposed for the management of postsurgery monitoring, timing for follow-up endoscopy, and treatment options.

Original language	English
Pages (from-to)	818-835
Number of pages	18
Journal	Journal of pediatric gastroenterology and nutrition
Volume	64
Issue number	5
DOIs	https://doi.org/10.1097/MPG.0000000000001562
Publication status	Published - 1 May 2017

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Journal Article

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10.1097/MPG.0000000000001562

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IBD Working Group of ESPGHAN (IBD Porto Group), Amil-Dias, J., Kolacek, S., Turner, D., Pærregaard, A., Rintala, R., Afzal, N. A., Karolewska-Bochenek, K., Bronsky, J., Chong, S., Fell, J., Hojsak, I., Hugot, J.-P., Koletzko, S., Kumar, D., Lazowska-Przeorek, I., Lillehei, C., Lionetti, P., Martin-de-Carpi, J., ... Kolho, K.-L. (2017). Surgical Management of Crohn Disease in Children: Guidelines From the Paediatric IBD Porto Group of ESPGHAN. Journal of pediatric gastroenterology and nutrition, 64(5), 818-835. https://doi.org/10.1097/MPG.0000000000001562

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abstract = "The incidence of Crohn disease (CD) has been increasing and surgery needs to be contemplated in a substantial number of cases. The relevant advent of biological treatment has changed but not eliminated the need for surgery in many patients. Despite previous publications on the indications for surgery in CD, there was a need for a comprehensive review of existing evidence on the role of elective surgery and options in pediatric patients affected with CD. We present an expert opinion and critical review of the literature to provide evidence-based guidance to manage these patients. Indications, surgical options, risk factors, and medications in pre- and perioperative period are reviewed in the light of available evidence. Risks and benefits of surgical options are addressed. An algorithm is proposed for the management of postsurgery monitoring, timing for follow-up endoscopy, and treatment options.",

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year = "2017",

month = may,

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doi = "10.1097/MPG.0000000000001562",

language = "English",

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IBD Working Group of ESPGHAN (IBD Porto Group), Amil-Dias, J, Kolacek, S, Turner, D, Pærregaard, A, Rintala, R, Afzal, NA, Karolewska-Bochenek, K, Bronsky, J, Chong, S, Fell, J, Hojsak, I, Hugot, J-P, Koletzko, S, Kumar, D, Lazowska-Przeorek, I, Lillehei, C, Lionetti, P, Martin-de-Carpi, J, Pakarinen, M, Ruemmele, FM, Shaoul, R, Spray, C, Staiano, A, Sugarman, I, Wilson, D, Winter, H & Kolho, K-L 2017, 'Surgical Management of Crohn Disease in Children: Guidelines From the Paediatric IBD Porto Group of ESPGHAN', Journal of pediatric gastroenterology and nutrition, vol. 64, no. 5, pp. 818-835. https://doi.org/10.1097/MPG.0000000000001562

TY - JOUR

T1 - Surgical Management of Crohn Disease in Children

T2 - Guidelines From the Paediatric IBD Porto Group of ESPGHAN

AU - IBD Working Group of ESPGHAN (IBD Porto Group)

AU - Amil-Dias, Jorge

AU - Kolacek, Sanja

AU - Turner, Dan

AU - Pærregaard, Anders

AU - Rintala, Risto

AU - Afzal, Nadeem A

AU - Karolewska-Bochenek, Katarzyna

AU - Bronsky, Jiri

AU - Chong, Sonny

AU - Fell, John

AU - Hojsak, Iva

AU - Hugot, Jean-Pierre

AU - Koletzko, Sibylle

AU - Kumar, Devinder

AU - Lazowska-Przeorek, Izabella

AU - Lillehei, Craig

AU - Lionetti, Paolo

AU - Martin-de-Carpi, Javier

AU - Pakarinen, Mikko

AU - Ruemmele, Frank M

AU - Shaoul, Ron

AU - Spray, Christine

AU - Staiano, Annamaria

AU - Sugarman, Ian

AU - Wilson, David

AU - Winter, Harland

AU - Kolho, Kaija-Leena

PY - 2017/5/1

Y1 - 2017/5/1

N2 - The incidence of Crohn disease (CD) has been increasing and surgery needs to be contemplated in a substantial number of cases. The relevant advent of biological treatment has changed but not eliminated the need for surgery in many patients. Despite previous publications on the indications for surgery in CD, there was a need for a comprehensive review of existing evidence on the role of elective surgery and options in pediatric patients affected with CD. We present an expert opinion and critical review of the literature to provide evidence-based guidance to manage these patients. Indications, surgical options, risk factors, and medications in pre- and perioperative period are reviewed in the light of available evidence. Risks and benefits of surgical options are addressed. An algorithm is proposed for the management of postsurgery monitoring, timing for follow-up endoscopy, and treatment options.

AB - The incidence of Crohn disease (CD) has been increasing and surgery needs to be contemplated in a substantial number of cases. The relevant advent of biological treatment has changed but not eliminated the need for surgery in many patients. Despite previous publications on the indications for surgery in CD, there was a need for a comprehensive review of existing evidence on the role of elective surgery and options in pediatric patients affected with CD. We present an expert opinion and critical review of the literature to provide evidence-based guidance to manage these patients. Indications, surgical options, risk factors, and medications in pre- and perioperative period are reviewed in the light of available evidence. Risks and benefits of surgical options are addressed. An algorithm is proposed for the management of postsurgery monitoring, timing for follow-up endoscopy, and treatment options.

KW - Journal Article

U2 - 10.1097/MPG.0000000000001562

DO - 10.1097/MPG.0000000000001562

M3 - Article

C2 - 28267075

SN - 0277-2116

VL - 64

SP - 818

EP - 835

JO - Journal of pediatric gastroenterology and nutrition

JF - Journal of pediatric gastroenterology and nutrition

IS - 5

ER -

Surgical Management of Crohn Disease in Children: Guidelines From the Paediatric IBD Porto Group of ESPGHAN

Abstract

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