Pediatric Inflammatory Bowel Disease: Special Considerations

Fuller MK1. Surg Clin North Am. 2019 Dec;99(6):1177-1183. doi: 10.1016/j.suc.2019.08.008. Epub 2019 Sep 23.


Author information

Department of Surgery, University of Nebraska Medical Center, Children's Hospital and Medical Center, Omaha, NE, USA; Boys Town National Research Hospital, Boystown, NE, USA. Electronic address: megan.fuller@boystown.org.


Pediatric inflammatory bowel disease may present differently than adult onset disease. It is important to consider a broader differential diagnosis in very early onset disease. Diagnostic and treatment decisions must consider the long term risks and benefits over a lifetime. Surgical triggers in children may include impaired growth and inability to wean from steroids in addition to standard adult indications. Effective transition of care to adult providers is a key to prevent flares and loss of follow-up.

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