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CHRONIC REGIONAL ENTEROCOLITIS (MB CROHN) IN CHILDREN AND ADOLESCENTS
Author(s) -
EHRENPREIS TH.,
GIERUP J.,
LAGERCRANTZ R.
Publication year - 1971
Publication title -
acta pædiatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/j.1651-2227.1971.tb06644.x
Subject(s) - medicine , enterocolitis , disease , incidence (geometry) , anastomosis , pediatrics , ulcerative colitis , surgery , gastroenterology , physics , optics
Summary A series of 36 children and adolescents with chronic regional enterocolitis is presented. An apparent increase in the occurrence of the disease is noted. Clinical and roentgenological findings are reported. A high incidence of colonic localization was found and is probably typical of a paediatric series. There were difficulties in establishing an early diagnosis, mainly due to the common occurrence of nonspecific symptoms in the early stages of the disease. The guiding principles for the differentiation between regional enterocolitis and ulcerative colitis are discussed. The results of conservative treatment were poor. The majority of patients (31) were subjected to surgical therapy; the main indication being chronic, progressive disease. The immediate results of surgery were good. In respect of late results, a recurrence rate of about 50% was encountered. Extensive disease, especially when treated with resection and ileorectal anastomosis seemed to have an unfavourable prognosis. The importance of radical resections is stressed.