ניתן לגשת למאמר המלא באמצעות הספרייה הרפואית הזמינה לך בקישור. להלן תקציר המאמר:

Carter M, Lim IIP. Surgical management of pediatric Crohn's disease. Semin Pediatr Surg. 2024 Apr;33(2):151401. doi: 10.1016/j.sempedsurg.2024.151401. Epub 2024 Mar 28. PMID: 38615423.

Abstract

Management of pediatric-onset Crohn's disease uniquely necessitates consideration of growth, pubertal development, psychosocial function and an increased risk for multiple future surgical interventions. Both medical and surgical management are rapidly advancing; therefore, it is increasingly important to define the role of surgery and the breadth of surgical options available for this complex patient population. Particularly, the introduction of biologics has altered the disease course; however, the ultimate need for surgical intervention has remained unchanged. This review defines and evaluates the surgical techniques available for management of the most common phenotypes of pediatric-onset Crohn's disease as well as identifies critical perioperative considerations for optimizing post-surgical outcomes.