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16 results on '"Illiceto, M. T."'

1. P1181 Prevalence and trend of anemia in a large cohort of children with inflammatory bowel disease

Author

D'Arcangelo, G, primary, Brecciaroli, M, additional, Gagliostro, G, additional, Auletta, D, additional, Pellegrino, S, additional, Arrigo, S, additional, Graziano, F, additional, Miele, E, additional, Illiceto, M T, additional, Alvisi, P, additional, Dilillo, D, additional, De Giacomo, C, additional, Lionetti, P, additional, Pastore, M, additional, Cananzi, M, additional, Bramuzzo, M, additional, Panceri, R, additional, Norsa, L, additional, Aloi, M, additional, and Scarallo, L, additional

Published
2024
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2. Impact of COVID-19 pandemic on pediatric endoscopy: A multicenter study on behalf of the SIGENP Endoscopy Working Group

Author

Renzo S., Scarallo L., Antoniello L. M., Bramuzzo M., Chiaro A., Cisaro F., Contini A. C. I., De Angelis G. L., De Angelis P., Di Nardo G., Felici E., Iuliano S., Macchini F., Mantegazza C., Martelossi S., Oliva S., Parrinello F., Rea F., Pizzol A., Romano C., Russo G., Sansotta N., Lionetti P., Dabizzi E., Saccomani M. D., Di Toma M., Gatti S., Illiceto M. T., Isoldi S., Maino M., Pellegrino M., Strisciuglio C., Renzo, S., Scarallo, L., Antoniello, L. M., Bramuzzo, M., Chiaro, A., Cisaro, F., Contini, A. C. I., De Angelis, G. L., De Angelis, P., Di Nardo, G., Felici, E., Iuliano, S., Macchini, F., Mantegazza, C., Martelossi, S., Oliva, S., Parrinello, F., Rea, F., Pizzol, A., Romano, C., Russo, G., Sansotta, N., Lionetti, P., Dabizzi, E., Saccomani, M. D., Di Toma, M., Gatti, S., Illiceto, M. T., Isoldi, S., Maino, M., Pellegrino, M., and Strisciuglio, C.

Subjects
child, Hepatology, SARS-CoV-2, pediatric endoscopy, surveys and questionnaires, Gastroenterology, COVID-19, endoscopy, endoscopy, gastrointestinal, humans, pandemics, gastrointestinal, Endoscopy, Gastrointestinal
Abstract

Background: Aim of the present report was to investigate the repercussions of COVID-19 pandemic on the procedural volumes and on the main indications of pediatric digestive endoscopy in Italy. Methods: An online survey was distributed at the beginning of December 2020 to Italian digestive endoscopy centers. Data were collected comparing two selected time intervals: the first from 1st of February 2019 to 30th June 2019 and the second from 1st February 2020 to 30th June 2020. Results: Responses to the survey came from 24 pediatric endoscopy Units. Globally, a reduction of 37.2% was observed between 2019 and 2020 periods with a significant decrease in median number of procedures (111 vs 57, p < 0.001). Both the median number of procedures performed for new diagnoses and those for follow-up purposes significantly decreased in 2020 (63 vs 36, p < 0.001 and 42 vs 21, p< 0.001, respectively). We reported a drastic reduction of procedures performed for suspected Celiac Disease and Functional Gastrointestinal Disorders (55.1% and 58.0%, respectively). Diagnostic endoscopies for suspected IBD decreased of 15.5%, whereas procedures for Mucosal Healing (MH) assessment reduced of 48.3%. Conclusions: Our study provides real-world data outlining the meaningful impact of COVID-19 on pediatric endoscopy practice in Italy.

Published
2022

3. Relationship between salt consumption and iodine intake in a pediatric population

Author

Iacone, R., Iaccarino Idelson, P., Campanozzi, A., Rutigliano, I., Russo, O., Formisano, P., Galeone, D., Macchia, P. E., Strazzullo, P., Agabiti-Rosei, E., Carcea, M., Donfrancesco, C., Galletti, F., Giampaoli, S., Iacoviello, L., Scalfi, L., Siani, A., De Filippo, G., Malamisura, B., Cecere, G., Micillo, M., D'Angelo, E., Maschione, R., De Marco, G., D'Angelo, G., Cosenza, C., Gualano, R., Borsetti, R., Cela, G., Francavilla, R., Tetro, A., Pensabene, L., Talarico, V., Graziano, F., Palermo, B. V. E., Lombardi, G., Illiceto, M. T., Tonelli, L., Catassi, C., Tonelli, G., Castellucci, G., Ferraro, L., Cozzali, R., Di Biase, R., Cipolli, S., Lezo, A., Santini, B., Salvatore, S., Morando, L., Paoletti, S., Gallese, A., Mazzone, T., Iacone, Roberto, IACCARINO IDELSON, Paola, Campanozzi, Angelo, Rutigliano, Irene, Russo, Ornella, Formisano, Pietro, Galeone, Daniela, Macchia, PAOLO EMIDIO, and Strazzullo, Pasquale

Subjects
Adolescent, Endocrinology, Diabetes and Metabolism, Salt (chemistry), Nutritional Status, Medicine (miscellaneous), Context (language use), Sodium Chloride, World health, Animal science, 24 h urinary excretion, Environmental health, salt, Humans, Medicine, Sodium Chloride, Dietary, Salt intake, Child, Iodine intake, chemistry.chemical_classification, Thyroid, Consumption (economics), Nutrition and Dietetics, iodine prophylaxi, business.industry, Salt reduction, Iodine deficiency disorders, Original Contribution, Iodised salt, pediatric, chemistry, Italy, iodine deficiency disorder, Salt restriction, Hypertension, Iodine prophylaxis, Cardiology and Cardiovascular Medicine, business, Pediatric age, Iodine, Pediatric population
Abstract

Purpose The World Health Organization recommends reduction of salt intake to Methods The study population was made of 1270 children and adolescents. Estimates of salt consumption and iodine intake were obtained by measuring 24 h urinary sodium and iodine excretion. Results The iodine intake increased gradually across quartiles of salt consumption independently of sex, age and body weight (p 10.2 g/day). We estimated that approximately 65–73% of the total iodine intake was derived from food and 27–35% from iodized salt and that iodized salt made actually only 20% of the total salt intake. Conclusion In this pediatric population, in face of an elevated average salt consumption, the use of iodized salt was still insufficient to ensure an adequate iodine intake, in particular among teenagers. In the perspective of a progressive reduction of total salt intake, the health institutions should continue to support iodoprophylaxis, in the context of the national strategies for salt reduction. In order for these policies to be successful, in addition to educational campaigns, it is needed that the prescriptions contained in the current legislation on iodoprophylaxis are made compelling through specific enforcement measures for all the involved stakeholders.

Published
2020

4. Foreign body and caustic ingestions in children: A clinical practice guideline: Foreign Bodies and Caustic ingestions in children

Author

Oliva S., Romano C., De Angelis P., Isoldi S., Mantegazza C., Felici E., Dabizzi E., Fava G., Renzo S., Strisciuglio C., Quitadamo P., Saccomani M. D., Bramuzzo M., Orizio P., Nardo G. D., Bortoluzzi F., Pellegrino M., Illiceto M. T., Torroni F., Cisaro F., Zullo A., Macchini F., Gaiani F., Raffaele A., Bizzarri B., Arrigo S., de' Angelis G. L., Martinelli M., Norsa L., Oliva, S., Romano, C., De Angelis, P., Isoldi, S., Mantegazza, C., Felici, E., Dabizzi, E., Fava, G., Renzo, S., Strisciuglio, C., Quitadamo, P., Saccomani, M. D., Bramuzzo, M., Orizio, P., Nardo, G. D., Bortoluzzi, F., Pellegrino, M., Illiceto, M. T., Torroni, F., Cisaro, F., Zullo, A., Macchini, F., Gaiani, F., Raffaele, A., Bizzarri, B., Arrigo, S., de' Angelis, G. L., Martinelli, M., and Norsa, L.

Subjects
Button battery, Magnet, Food impaction, Caustic ingestion, Foreign body ingestion
Abstract

Foreign body and caustic ingestions in children are usually the most common clinical challenges for emergency physicians, general pediatricians and pediatric gastroenterologists. Management of these conditions often requires different levels of expertise and competence. Endoscopy is often necessary but there is a high risk of misusing this tool with incorrect timing and indications. The imprecise clinical history frequently leaves clinicians uncertain about timing and nature of the ingestion. Few clinical guidelines regarding management of these ingestions in children have been published, none of which from the Italian Society of Pediatric Gastroenterology, Hepatology and Nutrition (SIGENP). An expert panel of Italian endoscopists was convened by the SIGENP Endoscopy Working Group to produce the present article that outlines practical clinical approaches to the pediatric patient with a variety of foreign body and caustic ingestions. The Italian Association of Hospital Gastroenterologists and Endoscopists (AIGO) has also endorsed the project since many adult endoscopists usually manage children with these conditions. Differently from the other published guidelines, the proposed one focuses on the role of the endoscopists (regardless of whether they are adult or pediatric gastroenterologists) in the diagnostic process of children with foreign body and caustic ingestions.

Published
2020

8. The current status of pediatric endoscopy in Italy: a national survey

Author

Deganello Saccomani, M., Norsa, L., Bramuzzo, M., Gandullia, P., Romano, C., Miele, E., Chiaro, A., Francavilla, R., Illiceto, M. T., Paci, M., Ravelli, A., Bizzarri, B., Balassone, V., Muscas, A., Campanozzi, A., Alvisi, P., Granata, A., Costa, L., Mandato, C., Di Nardo, G., Malamisura, B., Motta, V., Malaventura, Cristina, Fanti, L., Centenari, C., Dodaro, N., Raffaele, A., and Oliva, S.

Subjects
NO
Published
2018

9. Paediatric Ulcerative Colitis Surgery: Italian Survey

Author

Mattioli, G., primary, Barabino, A., additional, Aloi, M., additional, Arrigo, S., additional, Caldaro, T., additional, Carlucci, M., additional, Cucchiara, S., additional, De Angelis, P., additional, Di Leo, G., additional, Illiceto, M. T., additional, Impellizzeri, P., additional, Leonelli, L., additional, Lisi, G., additional, Lombardi, G., additional, Martelossi, S., additional, Martinelli, M., additional, Miele, E., additional, Randazzo, A., additional, Romano, C., additional, Romeo, C., additional, Romeo, E., additional, Selvaggi, F., additional, Valenti, S., additional, and Dall’Oglio, L., additional

Published
2015
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12. Epidemiological trends of pediatric IBD in Italy: A 10-year analysis of the Italian society of pediatric gastroenterology, hepatology and nutrition registry

Author

Patrizia Alvisi, Flavio Labriola, Luca Scarallo, Paolo Gandullia, Daniela Knafelz, Matteo Bramuzzo, Giovanna Zuin, Maria Rosa Pastore, Maria Teresa Illiceto, Erasmo Miele, Francesco Graziano, Claudio Romano, Daniela Bartoletti, Salvatore Oliva, Serena Arrigo, Fiammetta Bracci, Sara Renzo, Anna Agrusti, Marina Aloi, Paolo Lionetti, Salvatore Accomando, Claudia Banzato, Graziano Barera, Marco Brunero, Pier Luigi Calvo, Angelo Campanozzi, Mara Cananzi, Mara Corpino, Rita Cozzali, Gianluigi De Angelis, Costantino De Giacomo, Dario Dilillo, Enrico Felici, Simona Gatti, Valentina Motta, Lorenzo Norsa, Paolo Maria Pavanello, Andrea Pession, Silvia Provera, Alberto Ravelli, Antonio Maria Ricci, Silvia Salvatore, Caterina Strisciuglio, Alvisi P., Labriola F., Scarallo L., Gandullia P., Knafelz D., Bramuzzo M., Zuin G., Pastore M.R., Illiceto M.T., Miele E., Graziano F., Romano C., Bartoletti D., Oliva S., Arrigo S., Bracci F., Renzo S., Agrusti A., Aloi M., Lionetti P., Accomando S., Banzato C., Barera G., Brunero M., Calvo P.L., Campanozzi A., Cananzi M., Corpino M., Cozzali R., De Angelis G., De Giacomo C., Dilillo D., Felici E., Gatti S., Motta V., Norsa L., Pavanello P.M., Pession A., Provera S., Ravelli A., Ricci A.M., Salvatore S., Strisciuglio C., Alvisi, P., Labriola, F., Scarallo, L., Gandullia, P., Knafelz, D., Bramuzzo, M., Zuin, G., Pastore, M. R., Illiceto, M. T., Miele, E., Graziano, F., Romano, C., Bartoletti, D., Oliva, S., Arrigo, S., Bracci, F., Renzo, S., Agrusti, A., Aloi, M., Lionetti, P., Accomando, S., Banzato, C., Barera, G., Brunero, M., Calvo, P. L., Campanozzi, A., Cananzi, M., Corpino, M., Cozzali, R., De Angelis, G., De Giacomo, C., Dilillo, D., Felici, E., Gatti, S., Motta, V., Norsa, L., Pavanello, P. M., Pession, A., Provera, S., Ravelli, A., Ricci, A. M., Salvatore, S., and Strisciuglio, C.

Subjects
Registrie, Delayed Diagnosis, Hepatology, Delayed Diagnosi, Gastroenterology, Pediatric IBD, Epidemiological trend, Inflammatory Bowel Diseases, Settore MED/38 - Pediatria Generale E Specialistica, Crohn Disease, Italy, Epidemiological trends, Humans, Colitis, Ulcerative, Registries, Child, Human
Abstract

Introduction: The present study aimed at evaluating Italian epidemiological trends of pediatric inflammatory bowel diseases (IBD) over the period 2009–2018. Materials and methods: Data from 1969 patients enrolled in the Italian Society of Pediatric Gastroenterology, Hepatology and Nutrition Registry, by 49 pediatric IBD centers throughout the country, were analyzed, comparing three different time intervals (2009–2012, 2013–2015, 2016–2018). Results: The number of new IBD diagnoses ranged from 175 to 219 per year, evenly distributed over the examined period of time. From 2009 to 2018, the minimal incidence ranged from 1.59 to 2.04 /105 inhabitants aged < 18 years, with an overall slight predominance of ulcerative colitis (UC) over Crohn's disease (CD) (ratio: 1.1). Mean diagnostic delay was 6.8 months for CD and 4.1 months for UC, with a significant reduction for CD when comparing the three-time intervals (p =0.008). The most frequent disease locations according to the Paris classification were ileocolonic for CD (41.3%) and pancolitis for UC (54.6%). Conclusions: The minimal incidence rate in Italy seems to have stabilized over the last two decades, even if it has increased when compared to previous reports. UC is still slightly more prevalent than CD in our country. Diagnostic delay significantly decreased for CD, reflecting an improved diagnostic capacity.

Published
2022

13. Foreign body ingestion in children: Beware of disk batteries and multiple magnets

Author

M.T. Illiceto, Chiara Ziparo, Federica Anselmi, Mariano Caldore, Enzo Tipo, Francesco Esposito, Flora Caruso, Giovanni Di Nardo, Giovanni Gaglione, Pasquale Dolce, Paolo Quitadamo, Cristina Bucci, Casimiro Del Monaco, Quitadamo, P., Anselmi, F., Caldore, M., Caruso, F., Bucci, C., del Monaco, C., Tipo, E., Gaglione, G., Illiceto, M. T., Esposito, F., Dolce, P., Ziparo, C., and Di Nardo, G.

Subjects
Foreign body ingestion, children, Pediatrics, medicine.medical_specialty, business.industry, Electric Power Supplie, General Medicine, Foreign Bodies, Chest pain, Dysphagia, Asymptomatic, Foreign Bodie, Drooling, Eating, Electric Power Supplies, Pediatrics, Perinatology and Child Health, medicine, Magnets, Humans, medicine.symptom, business, Child, Clinical scenario, Foreign Body Ingestion, Human
Abstract

Foreign body ingestion in children is a challenging clinical scenario. Children may be completely asymptomatic or present with overt symptoms, including drooling, dysphagia, chest pain, and feeding refusal (1, 2, 3). The majority of ingested foreign bodies passes spontaneously along the gastrointestinal (GI) tract and causes no harm nor symptoms.

Published
2021

14. Foreign body and caustic ingestions in children: A clinical practice guideline

Author

Federica Gaiani, Serena Arrigo, Maristella Pellegrino, Marco Deganello Saccomani, M.T. Illiceto, Enrico Felici, Massimo Martinelli, Barbara Bizzarri, Lorenzo Norsa, Francesco Macchini, Paolo Quitadamo, Claudio Romano, Sara Renzo, C. Mantegazza, Angelo Zullo, Filippo Torroni, Gian Luigi De' Angelis, Sara Isoldi, E Dabizzi, Paola De Angelis, Endoscopists (Aigo), Caterina Strisciuglio, Salvatore Oliva, Paolo Orizio, Alessandro Raffaele, Giorgio Fava, Giovanni Di Nardo, Fabio Cisarò, Francesco Bortoluzzi, Matteo Bramuzzo, Oliva, S., Romano, C., De Angelis, P., Isoldi, S., Mantegazza, C., Felici, E., Dabizzi, E., Fava, G., Renzo, S., Strisciuglio, C., Quitadamo, P., Saccomani, M. D., Bramuzzo, M., Orizio, P., Nardo, G. D., Bortoluzzi, F., Pellegrino, M., Illiceto, M. T., Torroni, F., Cisaro, F., Zullo, A., Macchini, F., Gaiani, F., Raffaele, A., Bizzarri, B., Arrigo, S., de' Angelis, G. L., Martinelli, M., and Norsa, L.

Subjects
medicine.medical_specialty, Caustics, Gastrointestinal Diseases, Food impaction, Caustic ingestions, Physical examination, Caustic ingestion, Pediatrics, Button battery, Foreign body ingestion, Magnet, 03 medical and health sciences, Eating, 0302 clinical medicine, Button battery, Caustic ingestions, Food impaction, Foreign body ingestion, Magnet, Burns, Chemical, medicine, Humans, Medical history, Child, Competence (human resources), Pediatric gastroenterology, Societies, Medical, Hepatology, medicine.diagnostic_test, business.industry, Gastroenterology, Endoscopy, Guideline, medicine.disease, Foreign Bodies, Clinical Practice, Pediatric patient, Italy, 030220 oncology & carcinogenesis, 030211 gastroenterology & hepatology, Medical emergency, Foreign body, business, Digestive System
Abstract

Foreign body and caustic ingestions in children are usually the most common clinical challenges for emergency physicians, general pediatricians and pediatric gastroenterologists. Management of these conditions often requires different levels of expertise and competence. Endoscopy is often necessary but there is a high risk of misusing this tool with incorrect timing and indications. The imprecise clinical history frequently leaves clinicians uncertain about timing and nature of the ingestion. Few clinical guidelines regarding management of these ingestions in children have been published, none of which from the Italian Society of Pediatric Gastroenterology, Hepatology and Nutrition (SIGENP). An expert panel of Italian endoscopists was convened by the SIGENP Endoscopy Working Group to produce the present article that outlines practical clinical approaches to the pediatric patient with a variety of foreign body and caustic ingestions. The Italian Association of Hospital Gastroenterologists and Endoscopists (AIGO) has also endorsed the project since many adult endoscopists usually manage children with these conditions. Differently from the other published guidelines, the proposed one focuses on the role of the endoscopists (regardless of whether they are adult or pediatric gastroenterologists) in the diagnostic process of children with foreign body and caustic ingestions.

Published
2020

15. The pediatric endoscopy practice in Italy: A nationwide survey on behalf of the Italian society of pediatric gastroenterology, hepatology and nutrition (SIGENP)

Author

Alessandro Muscas, Gian Luigi de’Angelis, Rita Cozzali, Valerio Balassone, Claudio Romano, Ruggiero Francavilla, Fabio Cisarò, M.T. Illiceto, Paolo Orizio, M.R. D'Altilia, Michele Citrano, Monica Paci, Lorenzo Norsa, Caterina Pacenza, Stefano Martelossi, C. Mantegazza, Simona Gatti, Alessandro Raffaele, A. Famiani, Lorenzo Costa, Grazia D’Adamo, Giovanni Di Nardo, Cristina Malaventura, Antonino Granata, Alberto Ravelli, Alice Monzani, M. Maino, Angelo Campanozzi, B. Parma, Erasmo Miele, Matteo Bramuzzo, Natale Dodaro, Paolo Gandullia, Andrea Chiaro, Enrico Felici, Marco Deganello Saccomani, Lorella Fanti, Emanuele Nicastro, Teresa Di Chio, Salvatore Accomando, Patrizia Alvisi, Salvatore Oliva, Francesca Cavataio, Chiara Centenari, Caterina Strisciuglio, Diego Falchetti, Deganello, S. M., Norsa, L., Oliva, S., De'Angelis, G. L., Accomando, S., Alvisi, P., Balassone, V., Bramuzzo, M., Campanozzi, A., Cavataio, F., Centenari, C., Chiaro, A., Cisaro, F., Citrano, M., Costa, L., Cozzali, R., D'Adamo, G., D'Altilia, M., Di Chio, T., Di Nardo, G., Dodaro, N., Falchetti, D., Famiani, A., Fanti, L., Felici, E., Francavilla, R., Gandullia, P., Gatti, S., Granata, A., Illiceto, M. T., Maino, M., Malaventura, C., Mantegazza, C., Martelossi, S., Miele, E., Monzani, A., Muscas, A., Nicastro, E., Orizio, P., Pacenza, C., Paci, M., Parma, B., Raffaele, A., Ravelli, A., Romano, C., Strisciuglio, C., Deganello Saccomani M., Norsa L., Oliva S., de'Angelis G.L., Accomando S., Alvisi P., Balassone V., Bramuzzo M., Campanozzi A., Cavataio F., Centenari C., Chiaro A., Cisaro F., Citrano M., Costa L., Cozzali R., D'Adamo G., D'Altilia M., Di Chio T., Di Nardo G., Dodaro N., Falchetti D., Famiani A., Fanti L., Felici E., Francavilla R., Gandullia P., Gatti S., Granata A., Illiceto M.T., Maino M., Malaventura C., Mantegazza C., Martelossi S., Miele E., Monzani A., Muscas A., Nicastro E., Orizio P., Pacenza C., Paci M., Parma B., Raffaele A., Ravelli A., Romano C., and Strisciuglio C.

Subjects
medicine.medical_specialty, Adolescent, Endoscopy, Digestive System, Pediatrics, Gastroenterology, Italy, MEDLINE, Nutritional Status, Nationwide survey, Pediatrics, NO, Internal medicine, medicine, Humans, Endoscopy, Digestive System, Child, Pediatric gastroenterology, Societies, Medical, digestive endoscopy, Pediatric endoscopy, Hepatology, medicine.diagnostic_test, business.industry, Gastroenterology, Infant, Newborn, Infant, Nutritional status, Endoscopy, Multicenter study, Italy, pediatric endoscopy, gastroenterology, Family medicine, Child, Preschool, Health Care Surveys, business, Digestive System
Published
2019

16. Paediatric ulcerative colitis surgery: Italian Survey

Author

Marina Aloi, Massimo Martinelli, Francesco Selvaggi, G. Lombardi, Evelina Miele, Marcello Carlucci, P. De Angelis, S. Valenti, Lorenzo Leonelli, Serena Arrigo, Salvatore Cucchiara, Erminia Romeo, Luigi Dall'Oglio, Stefano Martelossi, Girolamo Mattioli, Carmelo Romeo, Gabriele Lisi, Pietro Impellizzeri, G. Di Leo, Tamara Caldaro, A. Randazzo, Claudio Romano, M.T. Illiceto, Arrigo Barabino, Mattioli, G, Barabino, A, Aloi, M, Arrigo, Alessandro, Caldaro, T, Carlucci, M, Cucchiara, Salvatore, De Angelis, P, Di Leo, G, Illiceto, M. T, Impellizzeri, P, Leonelli, Cristina, Lisi, G, Lombardi, G, Martelossi, S, Martinelli, M, Miele, Erasmo, Randazzo, A, Romano, C, Romeo, C, Romeo, E, Selvaggi, F, Valenti, S, Dall'Oglio, L., Arrigo, S, Cucchiara, S, Leonelli, L, Miele, E, Romeo, Ester, and Selvaggi, Francesco

Subjects
IBD, Paediatric ulcerative colitis, surgery, Adolescent, Child, Child, Preschool, Colitis, Ulcerative, Male, medicine.medical_specialty, Reconstructive surgery, Colectomies, Adolescent, Attitude of Health Personnel, medicine.medical_treatment, Restorative, Paediatric ulcerative colitis, surgery, Child, Child, Preschool, Colitis, Ulcerative, Colostomy, Defecation, Drug Resistance, Fecal Incontinence, Female, Humans, Italy, Pouchitis, Proctocolectomy, Restorative, Retrospective Studies, Severity of Illness Index, Gastroenterology, Medicine (all), Ulcerative, Anastomosis, Epidemiology, Medicine, Laparoscopy, Preschool, Colectomy, medicine.diagnostic_test, business.industry, General surgery, Retrospective cohort study, General Medicine, Paediatric ulcerative coliti, medicine.disease, Colitis, Ulcerative colitis, Surgery, Proctocolectomy, business
Abstract

Background and Aims: Recent epidemiological studies showed an increase in ulcerative colitis among children, especially in its aggressive form, requiring surgical treatment. Although medical therapeutic strategies are standardized, there is still no consensus regarding indications, timing and kind of surgery. This study aimed to define the surgical management of paediatric ulcerative colitis and describe attitudes to it among paediatric surgeons. Methods: This was a retrospective cohort study. All national gastroenterology units were invited to participate. From January 2009 to December 2013, data on paediatric patients diagnosed with ulcerative colitis that required surgery were collected. Results: Seven units participated in the study. Seventy-one colectomies were performed (77.3% laparoscopically). Main surgical indications were a severe ulcerative colitis attack (33.8%) and no response to medical therapies (56.3%). A three-stage strategy was chosen in 71% of cases. Straight anastomosis was performed in 14% and J-pouch anastomosis in 86% of cases. A reconstructive laparoscopic approach was used in 58% of patients. Ileo-anal anastomosis was performed by the Knight–Griffen technique in 85.4% and by the pull-through technique in 9.1% of patients. Complications after colectomy, after reconstruction and after stoma closure were reported in 12.7, 19.3 and 35% of cases, respectively. Conclusions: This study shows that there is general consensus regarding indications for surgery. The ideal surgical technique remains under debate. Laparoscopy is a procedure widely adopted for colectomy but its use in reconstructive surgery remains limited. Longer follow-up must be planned to define the quality of life of these patients.

Published
2015

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