Opening book details…
Can I read Endoscopic ultrasound to guide the combined medical and surgical management of pediatric perianal Crohnʼs disease on EtoBox?
Endoscopic ultrasound to guide the combined medical and surgical management of pediatric perianal Crohnʼs disease by Michael J. Rosen; Dedrick E. Moulton; Tatsuki Koyama; Walter M. Morgan; Stephen E. Morrow; Alan J. Herline; Roberta L. Muldoon; Paul E. Wise; Brent D. Polk; David A. Schwartz is a Medicine article available to read on EtoBox.
What is Endoscopic ultrasound to guide the combined medical and surgical management of pediatric perianal Crohnʼs disease about?
Background: Perianal fistulas are a debilitating manifestation of Crohn's disease (CD) in the pediatric population and present a management challenge. The aims of this study were to describe our experience using endoscopic ultrasound (EUS) to guide management of perianal CD (PCD) in a pediatric population, and determine whether using EUS to monitor healing after seton placement improves outcomes. ## Methods: We conducted a retrospective study of 2 cohorts: pediatric subjects with PCD who underwent EUS and pediatric subjects who underwent seton placement between 2002 and 2007. Results: In all, 25 children underwent a total of 42 EUS procedures. Of 28 EUSs performed to evaluate suspected perianal disease, complex fistulizing disease was identified in 15 (54%). Setons were placed after most EUSs demonstrating complex fistulizing disease and after none demonstrating superficial or no fistulizing disease. Of 14 EUSs performed to monitor healing around a seton, 7 (50%) demonstrated persistent peri-seton inflammation. Setons were more often left in place after an EUS revealing persistent inflammation (86% versus 0%), and the patients were more likely to have a biologic initiated or change
Who reads Endoscopic ultrasound to guide the combined medical and surgical management of pediatric perianal Crohnʼs disease?
It is typically read by researchers, students, and practitioners in Medicine.
- Author
- Michael J. Rosen; Dedrick E. Moulton; Tatsuki Koyama; Walter M. Morgan; Stephen E. Morrow; Alan J. Herline; Roberta L. Muldoon; Paul E. Wise; Brent D. Polk; David A. Schwartz
- Publisher
- John Wiley and Sons; Oxford University Press; Oxford University Press (OUP) (ISSN 1078-0998)
- Published
- 2010
- Language
- EN
- Field
- Medicine (Health Sciences)