Inflammatory disease of the lower gastrointestinal tract in children

Ulcerative colitis and transmural colitis present with many of the same symptoms, but there is a differing frequency in the symptom complex. Early operation is preferable in transmural colitis and limited resection is usually helpful at first. Total colectomy is usually performed in patients with ch...

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Veröffentlicht in:The American journal of surgery 1971, Vol.121 (1), p.30-38
Hauptverfasser: James, Paul M., Hightower, Felda, Myers, Richard T., Nedwich, Alexander
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container_title The American journal of surgery
container_volume 121
creator James, Paul M.
Hightower, Felda
Myers, Richard T.
Nedwich, Alexander
description Ulcerative colitis and transmural colitis present with many of the same symptoms, but there is a differing frequency in the symptom complex. Early operation is preferable in transmural colitis and limited resection is usually helpful at first. Total colectomy is usually performed in patients with chronic ulcerative colitis, but only after a prolonged trial of nonoperative therapy. The histopathologic appearance of the two entities is different in most patients, and a clear delineation can be made by the pathologist. The evaluation of the patient preoperatively, technical aspects of the procedure, and the care in the postoperative period are described. Long-term prognosis for granulomatous colitis is not as good as that for ulcerative colitis [15]. However, both diseases are amenable to surgical therapy. Limited aggressive therapy is necessary in both entities. Earlier procedures are warranted for transmural colitis, and ultimately total colectomy is needed in patients with ulcerative colitis.
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subjects Adolescent
Child
Colectomy
Colitis, Ulcerative - diagnosis
Colitis, Ulcerative - surgery
Crohn Disease - diagnosis
Crohn Disease - surgery
Diagnosis, Differential
Female
Humans
Ileostomy
Male
Postoperative Complications
title Inflammatory disease of the lower gastrointestinal tract in children
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