Although the incidence of pediatric Crohn’s disease has been increasing, the types of procedures used to manage the disorder and their rates of use have mostly remained stable over the years, according to an analysis of the Kids’ Inpatient Database for 2003, 2006, 2009, and 2012.

• The rates of ileocolic resection, other types of small bowel resection, and other colon resections have not changed significantly over time.
• Pediatric patients are, however, more like to have a laparoscopic colon resection, which has increased by 41% annually.
• The rates of subsequent ileostomy formation have almost doubled over time (odds ratio: 1.9).
• Older children and males were more likely to undergo bowel resection.
• Children treated in a large urban teaching hospital were also more likely to have had a bowel resection.