Surgical aspects of XXXX in pediatric and adolescent age groups.

@entity1 @entity851 @entity66 @entity326 @entity5042 @entity1066 @entity31 @entity29 @entity260 @entity530 @entity281 @entity292 @entity1321 @entity30 @entity1049
BACKGROUND: @entity29 ( @entity29 ) is increasingly encountered in @entity1 . Early disease is associated with higher complication rate with increased incidence of surgical intervention. @entity1 AND METHODS: From January 2010 to June 2015, 25 @entity1 in the pediatric and adolescent age groups with @entity29 underwent surgical intervention in our center. They were classified into two groups. Group I included 15 @entity1 with @entity31 where 5 cases had left @entity1049 underwent left colectomy, while 10 cases had @entity66 underwent total colectomy and anal mucosectomy with ileo-anal or ileal pouch-anal anastomosis with covering ileostomy. Group II included 10 cases with @entity30 where the indications for surgery were @entity1321 in seven cases, fulminant @entity281 with @entity326 in one, perianal @entity292 and @entity1066 in one, and @entity851 due to resistant intestinal @entity292 in one. RESULTS: Group I included eight males and seven females; mean age at surgery was 10.6  years. There were @entity260 in seven cases in the form of @entity530 and wound @entity281 in one, wound @entity281 in two, and recurrent @entity5042 in four cases. Group II contained eight males and two females; mean age at surgery was 6.6  years. Two cases had recurrent symptoms after stricturoplasty. The mean length of time from diagnosis to surgery was 2.4  years (ranging from 6 to 36  months). CONCLUSION: A multidisciplinary team is mandatory for proper management of @entity29 cases. The risk of the disease and the expected surgical complications determine the timing of surgical interference.
