#1 Ranked Children’s Hospital by U.S. News & World Report
MyPatients provides referring primary care providers with secure access to their patients’ information.
Boston Children's has launched the world's 1st program dedicated to offering hand transplants to children who qualify.
Innovation insider is a semi-monthly e-newsletter analyzes innovations at Boston Children’s, other academic medical centers and from industry.
Read the latest blog by a Boston Children's doctor, clinician or staff member.
There are many ways you can help children and their families get the care they need.
We understand that no one wants to hear that they or their child may need surgery. We make that recommendation only when absolutely necessary to make a patient well.
Patients with IBD who opt for surgery are in the hands of a surgery team with unmatched skill and expertise. Our pediatric GI surgeons consistently rank no. 1 in the country, according to US News & World Report.
Expert drug therapy and nutrition counseling are the cornerstones of the treatment plans we develop for every patient.
However, in severe or complex cases we may recommend surgery when we feel a patient’s quality of life is severely impacted by their condition – due to constant pain and discomfort or the potential for severe internal damage.
There are many reasons why we may recommend surgery as the next step. You or your child may:
The decision to have surgery is a joint one, made between the patient, family members, your gastroenterologist and the surgeon.
About 20 percent of children with ulcerative colitis will eventually need surgery – either as a teen or young adult. When patients opt to move forward with surgery, they often find relief from their symptoms and go on to lead normal, healthy lives.
Many of our ulcerative colitis patients who underwent surgery have shared their personal treatment stories with us. Read our IBD patient stories.
The decision to move ahead with surgery is a significant one, as it requires undergoing and recovering from two surgeries several months apart.
Proctocolectomy is a surgical procedure that removes the colon and rectum. Traditionally, it resulted in the creation of a stoma – a small opening in the abdomen through which waste collects in an external pouch called an ostomy bag.
At Boston Children’s, our goal is for you or your child to avoid the need for a permanent ostomy bag.
We perform ileal anal anastomosis (IPAA), also called J-pouch reconstruction, to preserve the ability to use the bathroom normally without the need for an external bag.
Surgery for Crohn’s disease can keep patients feeling well and minimize damage to the intestine. It is not a cure, because the inflammation caused by this disease can re-occur anywhere along the digestive tract.
Surgeries your IBD team may recommend include:
Patients with Crohn’s may suffer from painful obstructions called strictures that make it difficult for food to pass through the bowel. Strictureplasty is a minimally invasive, bowel-sparing alternative to removing a section of intestine. Instead, our surgeons widen the section of bowel narrowed by strictures and remove the scar tissue.
Intestinal resection is one of the most common surgeries performed on patients with Crohn’s disease. Partial resection is a procedure in which the surgeon removes a section of the intestine affected by Crohn’s and re-attaches the two healthy segments (an area called an anastomosis). Our surgeons utilize laparoscopic (minimally invasive) techniques whenever possible. This approach leads to faster recovery times, less pain, fewer incisions and minimal scarring.
The intestinal inflammation caused by Crohn’s can lead to sore and ulcers called fistulas, through which gastric fluid may leak. We always use medicine first to heal these infections, but in some cases, it does not work. In these cases, surgery closes the intestinal holes and prevents further drainage of gastric fluid.
Patients with Crohn’s may develop abscesses – a collection of pus along the digestive tract or anal area that can lead to abdominal pain and uncomfortable bowel movements. In most cases, our IBD team treats these abscesses with antibiotics. In some cases, we may recommend surgically draining the area for better healing.
For more information, appointments or a second opinion, please call the Boston Children’s IBD Center at 617-355-6058 or request an appointment online.
We are grateful to have been ranked #1 on U.S. News & World Report's list of the best children's hospitals in the nation for the third year in a row, an honor we could not have achieved without the patients and families who inspire us to do our very best for them. Thanks to you, Boston Children's is a place where we can write the greatest children's stories ever told.”