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.
- 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
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.
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