A Complicated Matter: Predictors for Postoperative Infections After Bowel Resection in Pediatric Inflammatory Bowel Disease

Children with inflammatory bowel disease (IBD) need surgery whenever medical therapy fails. The postoperative course is frequently accompanied by symptoms suggestive of infection, such as fever. The aim of our study was to analyze the postoperative course after bowel resection in pediatric IBD patie...

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Bibliographic Details
Published in:Journal of pediatric surgery 2024-12, Vol.60 (3), p.162105, Article 162105
Main Authors: Versteegh, H.P., Huijgen, D., Meeussen, C.J.H.M., Escher, J.C., Sloots, C.E.J.
Format: Article
Language:English
Subjects:
Colitis
Crohn
IBD
Postoperative complications
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Summary:Children with inflammatory bowel disease (IBD) need surgery whenever medical therapy fails. The postoperative course is frequently accompanied by symptoms suggestive of infection, such as fever. The aim of our study was to analyze the postoperative course after bowel resection in pediatric IBD patients in relation to postoperative infections. All our pediatric IBD patients who underwent a bowel resection between 2012 and 2022 were retrospectively reviewed. Clinical data regarding surgery and the postoperative course were analyzed. The primary outcomes were signs and symptoms indicative of infection, such as fever, surgical site infection, and abscesses. One hundred patients underwent an IBD-related resection, of whom 69 for Crohn's disease. A total of 42 postoperative infections occurred in 26 patients, most commonly a superficial surgical site infection (38 %). Out of 48 patients who experienced postoperative fever, 52 % had an actual infection, compared to 2 % of those without fever (p 200 mg/L) and high (
ISSN:0022-3468
1531-5037
1531-5037
DOI:10.1016/j.jpedsurg.2024.162105