ABSTRACT
The evolution of surgical procedures for inflammatory bowel disease has been one of trial and error. Based on previous successful and unsuccessful outcomes, a variety of procedures have been developed that allow for maximal preservation of bowel length as well as function. These include proctocolectomy with end-ileostomy, endorectal pull-through, and stricturoplasty. The pediatric patient with inflammatory bowel disease presents with additional growth, nutritional, and psychologic problems that may not affect the adult patient. All of these factors must be considered when determining the timing and type of procedure.
