MSS 2020 FALL ePOSTER
EVOLUTION OF PEDIATRIC GASTROINTESTINAL ULCER DISEASE: IS ACUTE SURGICAL INTERVENTION RELEVANT?
Alyssa D. Brown B.S., Michael D. Traynor Jr M.D. MPH, D. Dean Potter Jr M.D., Michael B. Ishitani M.D., Christopher R. Moir M.D., Paul J. Galardy M.D., and Denise B. Klinkner M.D. M.Ed
Poster Presenter: Alyssa Brown, BS
Background: There is a lack of contemporary data about pediatric gastrointestinal ulcer disease. We hypothesized that ulcers found in immunosuppressed children were more likely to require surgical intervention.
Objective: Because of the relative infrequency of GI ulcer disease requiring surgery, surgery is often emergent or urgent with data for best approaches and expected outcomes among children limited. The data are even more lacking in the area of pediatric immunosuppression and GI ulcer disease. Our objective was to address these gaps.
Methods: All children
Results: Of 129 cases, 19 (14.7%) were immunosuppressed. Eleven were post-transplant; four were diagnosed with post-transplant lymphoproliferative disease (PTLD). Eleven were associated with cancer. Three of 19 immunosuppressed and 28/110 immunocompetent patients were taking antacids. Nine immunosuppressed patients required surgical intervention, including all PTLD cases, compared to 18 immunocompetent (47.3% vs 16.4%, p
Conclusion: Surgical treatment for ulcers remains relevant for pediatric patients. Immunosuppressed patients have more complications, longer hospital stays, and are more likely to need surgical intervention. Efforts should be made for ulcer prophylaxis with a low threshold to investigate epigastric pain in these complex patients.
- Author(s) Alyssa D. Brown B.S., Michael D. Traynor Jr M.D. MPH, D. Dean Potter Jr M.D., Michael B. Ishitani M.D., Christopher R. Moir M.D., Paul J. Galardy M.D., and Denise B. Klinkner M.D. M.Ed
- Program Mayo Clinic
- Category Pediatric Surgery | Clinical Science
- Presentation Type ePoster