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It is utilized in patients who have medically refractory colitis, severe perianal disease, or irreversible bowel damage. In patients with ulcerative colitis, it is primarily performed during a restorative proctocolectomy with ileal pouch anal anastomosis to protect the high\u2010risk anastomoses. In the setting of Crohn's disease, ileal diversion reduces the exposure of diseased distal intestine to pro\u2010inflammatory stool. During perioperative planning, it is crucial for the gastroenterologist to partner early with a multidisciplinary team including surgeons, nutritionists, wound ostomy care nurses, psychologists, and social workers. Patients should be assessed for malnutrition and should be optimized nutritionally with enteral or parenteral nutrition. As they are associated with increased risk of postoperative complications, corticosteroids should be significantly reduced or completely discontinued preoperatively. Though ileal diversion may reduce the complications associated with anastomosis, serious postoperative complications can include diversion colitis and high\u2010output fistulae. This review aims to provide an overview of the role of ileal diversion in the treatment of pediatric IBD to pediatric gastroenterologists to inform their medical decision\u2010making and discussions with patients and families.<\/jats:p>","DOI":"10.1002\/jpn3.12331","type":"journal-article","created":{"date-parts":[[2024,7,30]],"date-time":"2024-07-30T05:33:52Z","timestamp":1722317632000},"page":"800-806","source":"Crossref","is-referenced-by-count":2,"title":["Role of ileal diversion in pediatric inflammatory bowel disease"],"prefix":"10.1002","volume":"79","author":[{"given":"Amanda A.","family":"Simard","sequence":"first","affiliation":[{"name":"Department of Pediatrics Columbia University Irving Medical Center New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Swetha","family":"Kotamraju","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Columbia University Irving Medical Center New York New York USA"},{"name":"Division of 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