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Does age affect surgical outcomes after ileal pouch–anal anastomosis in children?

Journal of Surgical Research Mar 28, 2019

Bismar N, et al. - Given that surgical intervention is considered in younger children for the treatment of ulcerative colitis (UC) and familial adenomatous polyposis (FAP), researchers reviewed their experience to assess outcome in this population after a laparoscopic restorative proctocolectomy and ileal pouch-anal anastomosis (LRS-IPAA). Sixty-five children with FAP or UC undergoing LRS-IPAA at a children's hospital from 2002 to 2017 were identified and grouped by age: young group (YG; 5-12 y; average age 9 y; n = 22) and older group (OG; 13-18 y; average age 15.4 y; n = 43). Groups displayed no significant differences in the functional outcomes after LRS-IPAA. Despite the small number, data suggest not considering younger age as a deterrent when considering LRS-IPAA in the treatment of UC and FAP in the pediatric population. Early intervention seems beneficial in younger patients with FAP.
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