Our Summary

This research paper compares the 30-day outcomes of two types of surgery - laparoscopic (minimally invasive) and open - performed on children with ulcerative colitis and Crohn’s disease. The surgeries involved removing part or all of the colon or intestines. The data for the research was taken from records of surgeries done in 2012-2013.

For the children with ulcerative colitis, 74% of the surgeries were done laparoscopically. These patients had shorter hospital stays after surgery and fewer complications related to the surgical wound. However, after considering other factors, the type of surgery did not independently affect the length of hospital stay.

For children with Crohn’s disease, 65% of the surgeries were done laparoscopically. These patients had similar rates of complications to those with open surgery, but their hospital stays were shorter after surgery.

The researchers suggest that more data needs to be gathered to further analyze the outcomes of these surgeries, including the factors related to complications from the surgical wound.

FAQs

  1. What types of surgeries were compared in this research paper for children with ulceric colitis and Crohn’s disease?
  2. According to the research, what were the main differences in outcomes between laparoscopic and open surgeries for children with ulcerative colitis and Crohn’s disease?
  3. What further research do the authors suggest is needed in relation to the outcomes of these surgeries?

Doctor’s Tip

One helpful tip a doctor might tell a patient about intestinal resection is to follow post-operative care instructions carefully to reduce the risk of complications and promote healing. This may include taking prescribed medications, following a specific diet, avoiding strenuous activities, and attending follow-up appointments. Additionally, maintaining a healthy lifestyle, including regular exercise, can help improve overall recovery and long-term outcomes.

Suitable For

Patients who may be recommended for intestinal resection surgery include those with severe ulcerative colitis or Crohn’s disease that have not responded to other treatments, such as medications or dietary changes. Additionally, patients with complications such as intestinal obstruction, fistulas, abscesses, or severe bleeding may also be candidates for intestinal resection. In some cases, patients with precancerous or cancerous growths in the intestines may also require intestinal resection surgery. Ultimately, the decision to recommend intestinal resection surgery will depend on the individual patient’s specific condition and medical history.

Timeline

Before intestinal resection:

  • Patient is diagnosed with ulcerative colitis or Crohn’s disease
  • Patient undergoes pre-operative evaluation and preparation
  • Surgery type (laparoscopic or open) is determined by the healthcare team
  • Surgery is scheduled and performed to remove part or all of the colon or intestines

After intestinal resection:

  • Patient is monitored in the hospital for post-operative recovery
  • Patient may experience pain, discomfort, and potential complications
  • Patient gradually resumes eating and moving around
  • Patient receives follow-up care and instructions for managing their recovery at home
  • Patient may undergo additional treatments or therapies to manage their condition post-surgery.

What to Ask Your Doctor

  1. What are the potential risks and benefits of undergoing intestinal resection surgery?
  2. Are there any alternative treatment options available for my condition?
  3. How experienced are you in performing laparoscopic intestinal resection surgery?
  4. What can I expect in terms of recovery time and post-operative care?
  5. Will I need any additional treatments or medications after the surgery?
  6. What are the long-term effects of having part of my colon or intestines removed?
  7. How will this surgery affect my quality of life and ability to digest food?
  8. Are there any specific dietary or lifestyle changes I should make before or after the surgery?
  9. What is the success rate of this surgery for patients with my specific condition?
  10. Are there any support groups or resources available for patients who have undergone intestinal resection surgery?

Reference

Authors: Mahida JB, Asti L, Deans KJ, Minneci PC, Nwomeh BC. Journal: J Surg Res. 2015 Nov;199(1):130-6. doi: 10.1016/j.jss.2015.04.009. Epub 2015 Apr 8. PMID: 25935468