Abstract
Ulcerative colitis in childhood has a prognosis even more serious than that in the adult and in recent years has been increasing in frequency. There may be a remarkable retardation of physical and sexual development with ulcerative colitis in childhood. Of 38 children operated on for ulcerative colitis at 16 years or younger, 22 were boys and 16 were girls. Fifteen were operated upon prior to the introduction of steroids and 23 after steroids were introduced. Steroids have not increased the interval between disease onset and surgery, but have changed the indications for surgery. Surgery for chronic invalidism is now a more common indication than acute exacerbation. Ileostomy and subtotal colectomy has been the most common operation. In the past 10 years there have been no deaths following subtotal colectomy or proctocolectomy.
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