Operative Management of Inflammatory Bowel Disease in Children

Pediatric CD and UC often require surgical intervention. Early surgery can improve outcomes by balancing medical and surgical care and reducing long-term complications. In CD, ICR is a common surgical approach, and adjuvant techniques like balloon dilation and strictureplasty help preserve bowel length in cases of strictures. For abscesses, combining percutaneous drainage with medical therapy can be effective in managing the condition while avoiding more invasive procedures. VEO-IBD presents unique challenges, requiring careful consideration before surgery due to the potential for disease reclassification. In UC, surgery is necessary in severe or refractory cases, with colectomy being a curative option. Emergencies like toxic megacolon demand timely surgical intervention. By integrating advanced surgical techniques and tailored treatment strategies, clinicians can significantly enhance patient outcomes and quality of life for children facing these challenging conditions.