Surgical management of ulcerative colitis in childhood

Semin Pediatr Surg. 1994 Feb;3(1):33-8.


Ulcerative colitis (UC) is a more severe disease in children than in adults and is less likely to be cured without surgery. Total colectomy and rectal mucosectomy provide a permanent cure for children who have UC. Reconstruction with an endorectal ileal pull-through procedure with ileal reservoir is an excellent alternative to a permanent ileostomy. This operation can be performed with low morbidity and with an approximately 94% expectation of good-to-excellent function based on our clinical experience with 94 children and 273 adults.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Adult
  • Anastomosis, Surgical / methods
  • Child
  • Colectomy / methods
  • Colitis, Ulcerative / pathology
  • Colitis, Ulcerative / surgery*
  • Female
  • Follow-Up Studies
  • Humans
  • Intestinal Mucosa / pathology
  • Male
  • Middle Aged
  • Proctocolectomy, Restorative / methods