Secondary pouchitis in a pediatric patient successfully treated by salvage surgery
Apart from primary pouchitis, patients with secondary pouchitis caused by surgical complications require surgical management. The use of abdomino‐anal salvage surgery to treat secondary pouchitis caused by surgical complications in pediatric patients with ulcerative colitis (UC) has not been reporte...
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| Veröffentlicht in: | Pediatrics international 2016-07, Vol.58 (7), p.625-628 |
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| creator | Okita, Yoshiki Araki, Toshimitsu Uchida, Keiichi Matsushita, Kohei Kawamura, Mikio Koike, Yuhki Otake, Kohei Inoue, Mikihiro Toiyama, Yuji Ohi, Masaki Tanaka, Koji Inoue, Yasuhiro Mohri, Yasuhiko Kusunoki, Masato |
| description | Apart from primary pouchitis, patients with secondary pouchitis caused by surgical complications require surgical management. The use of abdomino‐anal salvage surgery to treat secondary pouchitis caused by surgical complications in pediatric patients with ulcerative colitis (UC) has not been reported in detail. A girl was diagnosed with UC at 8 years old. She underwent restorative proctocolectomy with ileal pouch–anal anastomosis (IPAA) at 9 years old. She presented at 12 years old because of chronic antibiotic‐refractory pouchitis. The fistula and stricture failed to improve despite multiple local salvage surgeries and ileostomy construction. At 15 years old, she underwent redo IPAA. The patient was well at 20 years old with no signs of pouchitis. Early treatment by abdomino‐anal salvage surgery might be indicated to improve quality of life in pediatric patients with secondary pouchitis caused by surgical complication unresponsive to defunctioning and local salvage surgery. |
| doi_str_mv | 10.1111/ped.12870 |
| format | Article |
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The use of abdomino‐anal salvage surgery to treat secondary pouchitis caused by surgical complications in pediatric patients with ulcerative colitis (UC) has not been reported in detail. A girl was diagnosed with UC at 8 years old. She underwent restorative proctocolectomy with ileal pouch–anal anastomosis (IPAA) at 9 years old. She presented at 12 years old because of chronic antibiotic‐refractory pouchitis. The fistula and stricture failed to improve despite multiple local salvage surgeries and ileostomy construction. At 15 years old, she underwent redo IPAA. The patient was well at 20 years old with no signs of pouchitis. Early treatment by abdomino‐anal salvage surgery might be indicated to improve quality of life in pediatric patients with secondary pouchitis caused by surgical complication unresponsive to defunctioning and local salvage surgery.</description><identifier>ISSN: 1328-8067</identifier><identifier>EISSN: 1442-200X</identifier><identifier>DOI: 10.1111/ped.12870</identifier><identifier>PMID: 27097567</identifier><language>eng</language><publisher>Australia: Blackwell Publishing Ltd</publisher><subject>Anastomosis ; Antibiotics ; Child ; children ; Colitis, Ulcerative - surgery ; Colonoscopy - methods ; Complications ; Defecography ; Female ; Fistulae ; Follow-Up Studies ; Humans ; Ileostomy ; Ostomy ; Patients ; Pediatrics ; pouchitis ; Pouchitis - diagnosis ; Pouchitis - etiology ; Proctocolectomy, Restorative - methods ; Quality of life ; Radiography, Abdominal ; redo ileal pouch–anal anastomosis ; Salvage ; salvage surgery ; Stricture ; Surgery ; Surgical outcomes ; Ulcerative colitis</subject><ispartof>Pediatrics international, 2016-07, Vol.58 (7), p.625-628</ispartof><rights>2016 Japan Pediatric Society</rights><rights>2016 Japan Pediatric Society.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c4350-3adad471f9802974ecc8a5fa031dd638a4453c831eae1dadaafc7ff7b1be60bc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fped.12870$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fped.12870$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27097567$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Okita, Yoshiki</creatorcontrib><creatorcontrib>Araki, Toshimitsu</creatorcontrib><creatorcontrib>Uchida, Keiichi</creatorcontrib><creatorcontrib>Matsushita, Kohei</creatorcontrib><creatorcontrib>Kawamura, Mikio</creatorcontrib><creatorcontrib>Koike, Yuhki</creatorcontrib><creatorcontrib>Otake, Kohei</creatorcontrib><creatorcontrib>Inoue, Mikihiro</creatorcontrib><creatorcontrib>Toiyama, Yuji</creatorcontrib><creatorcontrib>Ohi, Masaki</creatorcontrib><creatorcontrib>Tanaka, Koji</creatorcontrib><creatorcontrib>Inoue, Yasuhiro</creatorcontrib><creatorcontrib>Mohri, Yasuhiko</creatorcontrib><creatorcontrib>Kusunoki, Masato</creatorcontrib><title>Secondary pouchitis in a pediatric patient successfully treated by salvage surgery</title><title>Pediatrics international</title><addtitle>Pediatr Int</addtitle><description>Apart from primary pouchitis, patients with secondary pouchitis caused by surgical complications require surgical management. The use of abdomino‐anal salvage surgery to treat secondary pouchitis caused by surgical complications in pediatric patients with ulcerative colitis (UC) has not been reported in detail. A girl was diagnosed with UC at 8 years old. She underwent restorative proctocolectomy with ileal pouch–anal anastomosis (IPAA) at 9 years old. She presented at 12 years old because of chronic antibiotic‐refractory pouchitis. The fistula and stricture failed to improve despite multiple local salvage surgeries and ileostomy construction. At 15 years old, she underwent redo IPAA. The patient was well at 20 years old with no signs of pouchitis. Early treatment by abdomino‐anal salvage surgery might be indicated to improve quality of life in pediatric patients with secondary pouchitis caused by surgical complication unresponsive to defunctioning and local salvage surgery.</description><subject>Anastomosis</subject><subject>Antibiotics</subject><subject>Child</subject><subject>children</subject><subject>Colitis, Ulcerative - surgery</subject><subject>Colonoscopy - methods</subject><subject>Complications</subject><subject>Defecography</subject><subject>Female</subject><subject>Fistulae</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Ileostomy</subject><subject>Ostomy</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>pouchitis</subject><subject>Pouchitis - diagnosis</subject><subject>Pouchitis - etiology</subject><subject>Proctocolectomy, Restorative - methods</subject><subject>Quality of life</subject><subject>Radiography, Abdominal</subject><subject>redo ileal pouch–anal anastomosis</subject><subject>Salvage</subject><subject>salvage surgery</subject><subject>Stricture</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><subject>Ulcerative colitis</subject><issn>1328-8067</issn><issn>1442-200X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1LxDAQhoMoun4c_AMS8KKHrkmbNulR1k9YUPwAb2GaTtdIt61Jq_TfG129CDqXGZKHh-EdQvY5m_JQJx2WUx4rydbIhAsRRzFjT-thTmIVKZbJLbLt_QtjTEklNslWLFku00xOyN09mrYpwY20awfzbHvrqW0o0CC10DtraAe9xaanfjAGva-Guh5p7xB6LGkxUg_1Gyww_LsFunGXbFRQe9z77jvk8eL8YXYVzW8ur2en88iIJGVRAiWUQvIqVyzOpUBjFKQVsISXZZYoECJNjEo4AvKAAlRGVpUseIEZK0yyQ45W3s61rwP6Xi-tN1jX0GA7eM0V5yqPWS4CevgLfWkH14TtdMyzUEKo9D-KhxRzkSnOAnW8ooxrvXdY6c7ZZQhQc6Y_z6FDcvrrHIE9-DYOxTK8_pA_-QfgZAW82xrHv0369vxspfwAlgeUTw</recordid><startdate>201607</startdate><enddate>201607</enddate><creator>Okita, Yoshiki</creator><creator>Araki, Toshimitsu</creator><creator>Uchida, Keiichi</creator><creator>Matsushita, Kohei</creator><creator>Kawamura, Mikio</creator><creator>Koike, Yuhki</creator><creator>Otake, Kohei</creator><creator>Inoue, Mikihiro</creator><creator>Toiyama, Yuji</creator><creator>Ohi, Masaki</creator><creator>Tanaka, Koji</creator><creator>Inoue, Yasuhiro</creator><creator>Mohri, Yasuhiko</creator><creator>Kusunoki, Masato</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope></search><sort><creationdate>201607</creationdate><title>Secondary pouchitis in a pediatric patient successfully treated by salvage surgery</title><author>Okita, Yoshiki ; Araki, Toshimitsu ; Uchida, Keiichi ; Matsushita, Kohei ; Kawamura, Mikio ; Koike, Yuhki ; Otake, Kohei ; Inoue, Mikihiro ; Toiyama, Yuji ; Ohi, Masaki ; Tanaka, Koji ; Inoue, Yasuhiro ; Mohri, Yasuhiko ; Kusunoki, Masato</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4350-3adad471f9802974ecc8a5fa031dd638a4453c831eae1dadaafc7ff7b1be60bc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Anastomosis</topic><topic>Antibiotics</topic><topic>Child</topic><topic>children</topic><topic>Colitis, Ulcerative - surgery</topic><topic>Colonoscopy - methods</topic><topic>Complications</topic><topic>Defecography</topic><topic>Female</topic><topic>Fistulae</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Ileostomy</topic><topic>Ostomy</topic><topic>Patients</topic><topic>Pediatrics</topic><topic>pouchitis</topic><topic>Pouchitis - diagnosis</topic><topic>Pouchitis - etiology</topic><topic>Proctocolectomy, Restorative - methods</topic><topic>Quality of life</topic><topic>Radiography, Abdominal</topic><topic>redo ileal pouch–anal anastomosis</topic><topic>Salvage</topic><topic>salvage surgery</topic><topic>Stricture</topic><topic>Surgery</topic><topic>Surgical outcomes</topic><topic>Ulcerative colitis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Okita, Yoshiki</creatorcontrib><creatorcontrib>Araki, Toshimitsu</creatorcontrib><creatorcontrib>Uchida, Keiichi</creatorcontrib><creatorcontrib>Matsushita, Kohei</creatorcontrib><creatorcontrib>Kawamura, Mikio</creatorcontrib><creatorcontrib>Koike, Yuhki</creatorcontrib><creatorcontrib>Otake, Kohei</creatorcontrib><creatorcontrib>Inoue, Mikihiro</creatorcontrib><creatorcontrib>Toiyama, Yuji</creatorcontrib><creatorcontrib>Ohi, Masaki</creatorcontrib><creatorcontrib>Tanaka, Koji</creatorcontrib><creatorcontrib>Inoue, Yasuhiro</creatorcontrib><creatorcontrib>Mohri, Yasuhiko</creatorcontrib><creatorcontrib>Kusunoki, Masato</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><jtitle>Pediatrics international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Okita, Yoshiki</au><au>Araki, Toshimitsu</au><au>Uchida, Keiichi</au><au>Matsushita, Kohei</au><au>Kawamura, Mikio</au><au>Koike, Yuhki</au><au>Otake, Kohei</au><au>Inoue, Mikihiro</au><au>Toiyama, Yuji</au><au>Ohi, Masaki</au><au>Tanaka, Koji</au><au>Inoue, Yasuhiro</au><au>Mohri, Yasuhiko</au><au>Kusunoki, Masato</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Secondary pouchitis in a pediatric patient successfully treated by salvage surgery</atitle><jtitle>Pediatrics international</jtitle><addtitle>Pediatr Int</addtitle><date>2016-07</date><risdate>2016</risdate><volume>58</volume><issue>7</issue><spage>625</spage><epage>628</epage><pages>625-628</pages><issn>1328-8067</issn><eissn>1442-200X</eissn><abstract>Apart from primary pouchitis, patients with secondary pouchitis caused by surgical complications require surgical management. The use of abdomino‐anal salvage surgery to treat secondary pouchitis caused by surgical complications in pediatric patients with ulcerative colitis (UC) has not been reported in detail. A girl was diagnosed with UC at 8 years old. She underwent restorative proctocolectomy with ileal pouch–anal anastomosis (IPAA) at 9 years old. She presented at 12 years old because of chronic antibiotic‐refractory pouchitis. The fistula and stricture failed to improve despite multiple local salvage surgeries and ileostomy construction. At 15 years old, she underwent redo IPAA. The patient was well at 20 years old with no signs of pouchitis. Early treatment by abdomino‐anal salvage surgery might be indicated to improve quality of life in pediatric patients with secondary pouchitis caused by surgical complication unresponsive to defunctioning and local salvage surgery.</abstract><cop>Australia</cop><pub>Blackwell Publishing Ltd</pub><pmid>27097567</pmid><doi>10.1111/ped.12870</doi><tpages>4</tpages></addata></record> |
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| ispartof | Pediatrics international, 2016-07, Vol.58 (7), p.625-628 |
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| subjects | Anastomosis Antibiotics Child children Colitis, Ulcerative - surgery Colonoscopy - methods Complications Defecography Female Fistulae Follow-Up Studies Humans Ileostomy Ostomy Patients Pediatrics pouchitis Pouchitis - diagnosis Pouchitis - etiology Proctocolectomy, Restorative - methods Quality of life Radiography, Abdominal redo ileal pouch–anal anastomosis Salvage salvage surgery Stricture Surgery Surgical outcomes Ulcerative colitis |
| title | Secondary pouchitis in a pediatric patient successfully treated by salvage surgery |
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