Please Note:
This course may contain imagery and/or video of surgical procedures.
This lecture was delivered on September 24, 2021. Per our 3-year review policy, we’ve decided to maintain this lecture on CHOP OPEN. This content may contain information that has since been updated.
In this lecture, Dr. Mattei will present on surgical options for children with ulcerative colitis or familial polyposis. Ulcerative colitis (UC) is an inflammatory disease of the colon. While most children are treated with medicine and do well, a small percentage will fail medical management and are offered surgery, which is curative but requires removal of the entire colon and rectum. Most are able to have a J-pouch reconstruction, which allows them to avoid a permanent ileostomy and essentially live a normal life, but this is a complex operation with significant risks. Children with familial polyposis have an inherited tendency to make polyps that puts them at high risk for colon cancer at an early age. Colectomy and J-pouch reconstruction is offered to many of these children as well. We will discuss the CHOP experience with this operation, how it has evolved over time, and how our outcomes have improved.
Learning Objectives:
- Understand the indications for surgical intervention in children and adolescents with Ulcerative Colitis (UC) or Familial Polyposis (FAP)
- Appreciate the short- and long-term risks and benefits of total colectomy and J-pouch reconstruction
Speaker:
This seminar focuses on surgery and was delivered at a virtual event titled, “Advanced Pediatric Surgical Techniques in Plastic and General Surgery,” on September 24, 2021.
Additional CHOP Resources:
Content Disclaimer
The Terms of Use and Privacy Policy set forth on the website of The Children’s Hospital of Philadelphia apply to any and all uses of and access to this site and the content found here.
The work presented in the presentations, videos, and other content on this site (“Presentations”) includes publicly available medical evidence, a consensus of medical practitioners, and/or opinions of individual practitioners that may differ from consensus opinions. These Presentations are intended only to provide general information and need to be adapted for each specific patient based on the practitioner’s professional judgment, consideration of any unique circumstances, the needs of each patient and their family, the availability of various resources at the health care institution where the patient is located, and other factors. The Presentations are not intended to constitute medical advice or treatment, nor should they be relied upon as such. The Presentations are not intended to create a doctor-patient relationship between/among The Children’s Hospital of Philadelphia, its physicians and the individual patients in question. The information contained in these Presentations are general in nature, and do not and are not intended to refer to specific patients.
CHOP, The Children’s Hospital of Philadelphia Foundation and its or their affiliates, the authors, presenters, practitioners, editors, and others associated with the creation of the Presentations (“CHOP”) are not responsible for errors or omissions in the Presentations; for any outcomes a patient might experience where a clinician reviewed one or more such Presentations in connection with providing care for that patient; and/or for any and all third party content on the site or in the Presentations. CHOP makes no warranty, expressed or implied, with respect to the currency, completeness, applicability or accuracy of the Presentations. Application of the information in or to a particular situation remains the professional responsibility of the practitioner who is directly treating the patient.
To the extent that the Presentations include information regarding drug dosing, in view of ongoing research, changes in government regulations and the constant flow of information relating to drug therapy and drug reactions, the viewer should not rely on the Presentation content, but rather is urged to check the package insert for each drug for indications, dosage, warnings and precautions.
Some drugs and medical devices presented in the Presentations have United States Food and Drug Administration (FDA) clearance for limited use in restricted research settings. It is the responsibility of the practitioner to ascertain the FDA status of each drug or device planned for use in their clinical practice.
You shall indemnify, defend and hold harmless CHOP, The Children’s Hospital of Philadelphia Foundation, and its/their current and former employees, officers, and agents, trustees, and their respective successors, heirs and assigns (“Indemnitees”) against any claims, liability, damage, loss or expenses (including attorneys’ fees and expenses of litigation) in connection with any claims, suits, actions, demands or judgments arising directly or indirectly out of your reference to or use of the Presentations.
The Presentations are protected by copyright laws and in some cases patent laws, and all rights are reserved under such laws. No part of the Presentations may be reproduced in any form by any means, or utilized in any other way, absent prior written permission from the copyright owner.
By starting this module, you agree to our Content Disclaimer and Terms of Service.