Colectomy in Pediatric Ulcerative Colitis
The most common indications for colectomy in childhood are UC and familial adenomatous polyposis (FAP). Since the majority of children with UC have pancolitis or left-sided colitis that can extend to pancolitis, partial colectomy has little if any role in surgical therapy for UC. The ideal surgery for UC would remove all colonic mucosa in order to eliminate inflammation and its malignancy risk, minimize pelvis dissection and manipulation of pelvic organs, maintain bowel continuity with the anal canal, leave the sensorimotor apparatus of the bowel and anal sphincters intact and preserve the child's body image.
Expert Rev Gastroenterol Hepatol. 2013;7(3):215-223. © 2013 Expert Reviews Ltd.