Temporal trends in ileoanal pouch surgery for paediatric onset ulcerative colitis in England from 1997 to 2015 using hospital episode statistics

•About 10% of children with ulcerative colitis undergo colectomy before their 18th birthday. Ileal pouch-anal anastomosis (IPAA) allows restoration of intestinal continuity but is undertaken infrequently in children.•This population based study found the median length of stay following IPAA was 8 da...

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Veröffentlicht in:Journal of pediatric surgery 2022-02, Vol.57 (2), p.257-260
Hauptverfasser: Bethell, George, Ashton, James J, Adams, Steve, Johnson, Toby, Beattie, R Mark, Hall, Nigel J, Stanton, Michael P
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Sprache:eng
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Zusammenfassung:•About 10% of children with ulcerative colitis undergo colectomy before their 18th birthday. Ileal pouch-anal anastomosis (IPAA) allows restoration of intestinal continuity but is undertaken infrequently in children.•This population based study found the median length of stay following IPAA was 8 days, with readmission required in 16.8% and return to theatre in 11%. These outcomes can be used for surgeon/centre benchmarking. Ileal pouch-anal anastomosis (IPAA) following colectomy for ulcerative colitis (UC) achieves restoration of intestinal continuity with potential return of continence. It is undertaken relatively infrequently in children. We aimed to investigate the national frequency of IPAA in paediatric UC and report outcomes useful for surgeon/centre benchmarking. Hospital Episode Statistics data were obtained for all admissions in England (1997–2015) in children (
ISSN:0022-3468
1531-5037
DOI:10.1016/j.jpedsurg.2021.10.027