Does the timing of pouch creation in 2-stage operations for pediatric patients with ulcerative colitis matter?

: Children with fulminant ulcerative colitis(UC) traditionally undergo 2-stage operations: restorative-proctocolectomy(RP/IPAA) and ileostomy followed by ostomy closure. In the biologic era, surgeons have modified their strategy: initial subtotal-colectomy/diversion, followed by RP/IPAA without diversion. Yet, evidence on efficacy and functional outcomes with the “modified 2-stage” approach is limited in children. We sought to compare the timing of pouch creation in 2-stage operations to determine outcomes.

Source: Journal of Pediatric Surgery - February 20, 2021 Category: Surgery Authors: Nathan S. Rubalcava, Natalie A. Moreno, Jeremy Adler, James D. Geiger, Ronald B. Hirschl, Samir K. Gadepalli Source Type: research