Doença de Crohn complicada em idade pediátrica.
This case report describes our experience in treatment of a child with Crohn's disease involvement of ileocecal and sigmoid regions complicated with a severe abdominal wall abscess. A combined therapeutic approach of the acute episode was based on intestinal diversion, abscess drainage, antibio...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Ordem dos Médicos
1998-07-01
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| Series: | Acta Médica Portuguesa |
| Online Access: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2294 |
| _version_ | 1811242487516233728 |
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| author | P Casella F Alves J Cabral |
| author_facet | P Casella F Alves J Cabral |
| author_sort | P Casella |
| collection | DOAJ |
| description | This case report describes our experience in treatment of a child with Crohn's disease involvement of ileocecal and sigmoid regions complicated with a severe abdominal wall abscess. A combined therapeutic approach of the acute episode was based on intestinal diversion, abscess drainage, antibiotherapy, nutritional support and post-operative immunosuppression with azathioprine. The definitive treatment of the ileocolonic involvement occurred 6 months after the acute episode and consisted of limited resection, multiple strictureplasties, primar" closure of ileosigmod fistula and undiversion. This operative procedure was followed by a short period of total parenteral nutrition and progressive re-establishment ofenteric nutritional support and immunosuppression. At 18 months follow-up, under low dose azathioprine revealed, a normal growth with a 20 Kg weight gain and 10 cm height gain, no evidence of fistula recurrence or restenosis and suggests the safety of strictureplasty in paediatric patients as a way to conserve as much small bowel as possible. |
| first_indexed | 2024-04-12T13:51:54Z |
| format | Article |
| id | doaj.art-25ced6626bf84f4c9c1a133a05ea3b17 |
| institution | Directory Open Access Journal |
| issn | 0870-399X 1646-0758 |
| language | English |
| last_indexed | 2024-04-12T13:51:54Z |
| publishDate | 1998-07-01 |
| publisher | Ordem dos Médicos |
| record_format | Article |
| series | Acta Médica Portuguesa |
| spelling | doaj.art-25ced6626bf84f4c9c1a133a05ea3b172022-12-22T03:30:30ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07581998-07-0111710.20344/amp.2294Doença de Crohn complicada em idade pediátrica.P Casella0F AlvesJ CabralDepartamento de Cirurgia, Hospital Dona Estefânia, Lisboa.This case report describes our experience in treatment of a child with Crohn's disease involvement of ileocecal and sigmoid regions complicated with a severe abdominal wall abscess. A combined therapeutic approach of the acute episode was based on intestinal diversion, abscess drainage, antibiotherapy, nutritional support and post-operative immunosuppression with azathioprine. The definitive treatment of the ileocolonic involvement occurred 6 months after the acute episode and consisted of limited resection, multiple strictureplasties, primar" closure of ileosigmod fistula and undiversion. This operative procedure was followed by a short period of total parenteral nutrition and progressive re-establishment ofenteric nutritional support and immunosuppression. At 18 months follow-up, under low dose azathioprine revealed, a normal growth with a 20 Kg weight gain and 10 cm height gain, no evidence of fistula recurrence or restenosis and suggests the safety of strictureplasty in paediatric patients as a way to conserve as much small bowel as possible.https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2294 |
| spellingShingle | P Casella F Alves J Cabral Doença de Crohn complicada em idade pediátrica. Acta Médica Portuguesa |
| title | Doença de Crohn complicada em idade pediátrica. |
| title_full | Doença de Crohn complicada em idade pediátrica. |
| title_fullStr | Doença de Crohn complicada em idade pediátrica. |
| title_full_unstemmed | Doença de Crohn complicada em idade pediátrica. |
| title_short | Doença de Crohn complicada em idade pediátrica. |
| title_sort | doenca de crohn complicada em idade pediatrica |
| url | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2294 |
| work_keys_str_mv | AT pcasella doencadecrohncomplicadaemidadepediatrica AT falves doencadecrohncomplicadaemidadepediatrica AT jcabral doencadecrohncomplicadaemidadepediatrica |