[Involvement of the appendix in the inflammatory process in severe nonspecific chronic ulcerative colitis in children]. / Vovlechenie appendiksa v vospalitel'nyi protsess pri tiazhelom khronichekom nespetsificheskom iazvennom kolite u detei.

The authors examined appendix tissues taken from 16 children and adolescents who had undergone colectomy for severe chronic ulcerative colitis. Fourteen patients had the mucosa and submucous layer involved in the chronic inflammatory process that is typical of ulcerative colitis, 5 patients showed inflammation in the muscular and subserous layers. The clinical symptomatology of appendicitis was absent.

[Surgical treatment of nonspecific ulcerative colitis in children]. / Khirurgicheskoe lechenie iazvennogo kolita u detei.

The experience of treatment of 285 children with nonspecific ulcerative colitis enabled the authors to conclude that the surgical treatment should be more widely recommended in children with severe and even mild nonspecific ulcerative colitis when the conservative treatment proved to be ineffective. They believe that such operations should be fulfilled in two steps: the first step consists in a complete removal of the colon and anastomosing of the separated part of the ileum to the rectum stump. The second step should liquidate the ileostoma and repair the continuity of the intestine.