Abstract | PURPOSE: The primary purpose of this study was to investigate the relationship between Pediatric Ulcerative Colitis Activity Index (PUCAI) and operative management. We also specifically evaluated those patients receiving tacrolimus for their disease. METHODS: RESULTS: Sixty patients were identified. Forty-two (70%) underwent combined and 18 (30%) had staged procedures. Pre-operative PUCAI was lower for combined versus staged patients (p = < 0.001). Furthermore, a higher pre-operative PUCAI strongly correlated with the likelihood of undergoing a staged procedure (p < 0.001). Forty-four patients (73%) received tacrolimus. Significant improvement in their PUCAI was noted from induction to pre-operative evaluation (p < 0.001). Minor and reversible side effects occurred in 46% of patients receiving tacrolimus, but complication rates were not significantly different. CONCLUSIONS: There is a very strong correlation between the PUCAI and the likelihood of undergoing a staged procedure. A significant improvement in PUCAI occurs following preoperative tacrolimus therapy.
|
Authors | Fabienne L Gray, Christopher G Turner, David Zurakowski, Athos Bousvaros, Bradley C Linden, Robert C Shamberger, Craig W Lillehei |
Journal | Journal of pediatric surgery
(J Pediatr Surg)
Vol. 48
Issue 7
Pg. 1540-5
(Jul 2013)
ISSN: 1531-5037 [Electronic] United States |
PMID | 23895969
(Publication Type: Journal Article)
|
Copyright | Copyright © 2013 Elsevier Inc. All rights reserved. |
Chemical References |
- Immunosuppressive Agents
- Tacrolimus
|
Topics |
- Adolescent
- Child
- Child, Preschool
- Colitis, Ulcerative
(diagnosis, drug therapy, surgery)
- Female
- Humans
- Immunosuppressive Agents
(therapeutic use)
- Male
- Predictive Value of Tests
- Retrospective Studies
- Tacrolimus
(therapeutic use)
- Young Adult
|