DOI: 10.36347/sjmcr.2018.v06i11.023

Pages: 995-1000

Inflammatory colitis are inflammatory bowel disease. They are medico-surgical affections; their treatment is initially medical and become surgical in the event of complications or failure of medical treatment. This is retrospective study and conserne a series of 13 cases of inflammatory bowel disease including one case of ulcerative colitis (UC), all operated in the surgical department “A” of the children’s hospital. The aim of the study is to explain the epidemiological, clinical, and paraclinical characteristics for inflammatory bowel disease and to specify the indications and the place of the surgical treatment in the assumption of responsibility of the inflammatory colites in the child. The average age of surgical patients was 14.4 years, with a sex ratio which was one. The most frequent location for Crohn's was ileocecal location, so it interested the entire colon including the rectum to the case of ulcerative colitis. The main indication for surgery was the enterocutaneous fistulae (25%). We can say that the place of surgical treatment remains high, surgery is dominated by the actions of excision according to the location of the infringement. In our series, resection was performed in 11 cases; the procedure most used is the ileocecal resection. In the only case of ulcerative colitis, total colectomy with ileoanal anastomosis was necessary. The postoperative continuations were marked by the appearance in two patients with a recurrence leading to an entero-cutaneous fistula at the right iliac fossa which had evolved under medical treatment, one patient had sepsis in the postoperative and died in intensive’ care department.