Würfel A, Waag K L, Hofmann-von Kap-herr S
Kinderchirurgische Universitätsklinik Mainz, Bundesrepublik Deutschland.
Langenbecks Arch Chir Suppl Kongressbd. 1991:124-8.
Surgery in children with Crohn's disease--like in adults--most frequently consists in the repair of stenoses, abscesses and fistulae. However, if growth and development are retarded, surgery must also be used to prevent irreversible impairment. Seventeen (of 32) patients were considerably retarded before surgery; 13 of these recovered to normal after operation. As regards ulcerative colitis, surgery is rarely needed in children, but if so, the indication and procedure is the same as for adults.
儿童克罗恩病的手术——与成人一样——最常见的是修复狭窄、脓肿和瘘管。然而,如果生长发育迟缓,手术也必须用于防止不可逆转的损害。(32名患者中的)17名患者在手术前发育明显迟缓;其中13名在术后恢复正常。至于溃疡性结肠炎,儿童很少需要手术,但如果需要,其适应症和手术方法与成人相同。