BAPS UK Inflammatory bowel disease surgical practice survey

Outcomes in pediatric patients undergoing straight vs J pouch ileoanal anastomosis: a multicenter analysis

“…Restorative proctocolectomy has been increasingly adapted as the optimal surgical treatment of ulcerative colitis (UC) or familial adenomatous polyposis (FAP) [1][2][3][4][5][6][7][8]. In most cases, such a pull-through has replaced other surgeries, including permanent end-ileostomy or colectomy with ilealrectal anastomosis.…”

Outcome after restorative proctocolectomy in children and adolescents

“…All patients had an intact pouch, and one had a longstanding ileostomy. The median frequency of defaecation per 24 h was 4 (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16), and the median nocturnal frequency was 0 (0-3). Two patients had a bowel frequency of more than 10 times a day, related to pouchitis (20%).…”

“…Two were defunctioned after the RPC for anastomotic leakage. All patients had a stapled J-pouch of a mean limb 17.4 (12)(13)(14)(15)(16)(17)(18)(19)(20) cm in the 16 patients in whom this information was available.…”

Complications following restorative proctocolectomy in children

“…Sixty patients (34 girls) underwent RPC at a median (range) age of 13.5 (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20) years. The preoperative and operative characteristics of the study group and their indications for surgery are illustrated in Table 1.…”

“…In the light of published concerns about the numbers of cases cared for by British pediatric surgeons [20], we were interested in whether our experience of RPC was sufficient to allow us to perform this demanding procedure to an acceptable standard. Comparison of our complications with larger series of adult patients and also other international pediatric comparators suggest that our complication rates are relatively low (Table 5).…”