Fondell Andrew W, Mosha Maua H, Maltz Ross M, Boyle Brendan M, Niklinska-Schirtz Barbara Joanna, Kugathasan Subra, Gibson Meghan E, Shapiro Jason M, Rosenheck Sarah M, Langseder Annette L, Kennedy Mary C, Rosh Joel R, Hyams Jeffrey S
Division of Digestive Diseases, Hepatology, and Nutrition, Connecticut Children's, Hartford, Connecticut, USA.
Division of Pediatric Gastroenterology, Hepatology and Nutrition, Nationwide Children's Hospital, Columbus, Ohio, USA.
Crohns Colitis 360. 2020 Jul 20;2(3):otaa060. doi: 10.1093/crocol/otaa060. eCollection 2020 Jul.
Limited data are available for long-term outcomes of pediatric patients with abdominal abscess or phlegmon at diagnosis of Crohn disease.
We performed a retrospective chart review of such children over a recent 6-year period at 5 pediatric inflammatory bowel diseases.
Fifty-two patients (mean age 15.9 ± 1.8 years) were reviewed. Thirty-six had an abscess and 27 (75%) required resectional therapy compared to 16 with phlegmon which 10 (63%) requiring surgery. Overall (37/52) 71% had surgery which was performed within 6 months in 32 (86%).
A similar high surgical rate exists whether pediatric patients with Crohn disease present with abscess or phlegmon.
关于克罗恩病诊断时患有腹部脓肿或蜂窝织炎的儿科患者的长期预后，可用数据有限。
我们对5家儿科炎症性肠病中心最近6年的此类儿童进行了回顾性病历审查。
共审查了52例患者（平均年龄15.9±1.8岁）。36例有脓肿，其中27例（75%）需要进行切除治疗；16例有蜂窝织炎，其中10例（63%）需要手术。总体而言，52例中有37例（71%）接受了手术，其中32例（86%）在6个月内进行了手术。
克罗恩病的儿科患者无论是出现脓肿还是蜂窝织炎，手术率都同样高。
