Premium
Secondary pouchitis in a pediatric patient successfully treated by salvage surgery
Author(s) -
Okita Yoshiki,
Araki Toshimitsu,
Uchida Keiichi,
Matsushita Kohei,
Kawamura Mikio,
Koike Yuhki,
Otake Kohei,
Inoue Mikihiro,
Toiyama Yuji,
Ohi Masaki,
Tanaka Koji,
Inoue Yasuhiro,
Mohri Yasuhiko,
Kusunoki Masato
Publication year - 2016
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/ped.12870
Subject(s) - pouchitis , medicine , proctocolectomy , anastomosis , surgery , ulcerative colitis , fistula , salvage therapy , ileostomy , complication , general surgery , disease , chemotherapy
Apart from primary pouchitis, patients with secondary pouchitis caused by surgical complications require surgical management. The use of abdomino‐anal salvage surgery to treat secondary pouchitis caused by surgical complications in pediatric patients with ulcerative colitis (UC) has not been reported in detail. A girl was diagnosed with UC at 8 years old. She underwent restorative proctocolectomy with ileal pouch–anal anastomosis (IPAA) at 9 years old. She presented at 12 years old because of chronic antibiotic‐refractory pouchitis. The fistula and stricture failed to improve despite multiple local salvage surgeries and ileostomy construction. At 15 years old, she underwent redo IPAA. The patient was well at 20 years old with no signs of pouchitis. Early treatment by abdomino‐anal salvage surgery might be indicated to improve quality of life in pediatric patients with secondary pouchitis caused by surgical complication unresponsive to defunctioning and local salvage surgery.