What Are Indications for a Ileostomy?

Discussion There are three types of inflammatory bowel disease (IBD): Crohn’s disease (CD) – can affect entire gastrointestinal tract but often is discontinuous (i.e., has skipped areas), has transmural inflammation and disease, has granulomas Ulcerative colitis (UC) – affects the colon, is continuous (i.e., has no skipped areas) and has superficial mucosal ulcerations Unclassified IBD – has chronic colitis but not specific features of CD or UC The specific pathogenesis appears to be multifactorial with having a genetic predisposition (1.6 – 30% risk of developing UC if patient has first degree relative), the gut microbiome, the body’s inflammatory response and the overall external environment as factors. Patients can have malnutrition (more common in CD), linear growth impairment and have an increased risk of cancer (including colorectal, lymphoma and non-melanoma skin cancer). Patients have an increased risk of depression, anxiety, and feeling of lack of control in their lives. In some studies, patients with IBD have higher academic achievement and higher annual incomes. There has been an increased incidence of pediatric IBD and especially CD over the last few decades. There also seems to be a latitudinal gradient with more patients in northern latitudes than southern ones. Ulcerative colitis often presents with increased bowel movements (including at night), stooling urgency, mucousy or bloody stools and abdominal pain. Patients may ...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news