The incidence of Crohn disease (CD) has been increasing and surgery needs to be contemplated in a substantial number of cases. The relevant advent of biological treatment has changed but not eliminated the need for surgery in many patients. Despite previous publications on the indications for surgery in CD, there was a need for a comprehensive review of existing evidence on the role of elective surgery and options in pediatric patients affected with CD. We present an expert opinion and critical review of the literature to provide evidence-based guidance to manage these patients. Indications, surgical options, risk factors, and medications in pre- and perioperative period are reviewed in the light of available evidence. Risks and benefits of surgical options are addressed. An algorithm is proposed for the management of postsurgery monitoring, timing for follow-up endoscopy, and treatment options.

• MeSH
• adjuvantní chemoterapie MeSH
• anastomóza chirurgická MeSH
• antiflogistika terapeutické užití   MeSH
• biologická terapie MeSH
• Crohnova nemoc farmakoterapie   chirurgie   MeSH
• dítě MeSH
• elektivní chirurgické výkony MeSH
• imunosupresiva terapeutické užití   MeSH
• kolektomie * metody   MeSH
• lidé MeSH
• perioperační péče metody   MeSH
• pooperační komplikace etiologie   terapie   MeSH
• recidiva MeSH
• sekundární prevence metody   MeSH
• tenké střevo chirurgie   MeSH
• výběr pacientů MeSH
• Check Tag
• dítě MeSH
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• směrnice pro lékařskou praxi MeSH
• Názvy látek
• antiflogistika MeSH
• imunosupresiva MeSH