Declining rates of surgery in pediatric-onset inflammatory bowel disease: a Swedish nationwide register-based cohort study 2002-2022
Helena Rolandsdotter, Kári Kristjánsson, Åsa H Everhov, Caroline Nordenvall, The Swibreg Study Group, Petter Malmborg, Pär Myrelid, Matilda Bräutigam, Jonas F Ludvigsson, Ola Olén · 2026
Read Declining rates of surgery in pediatric-onset inflammatory bowel disease: a Swedish nationwide register-based cohort study 2002-2022 by Helena Rolandsdotter, Kári Kristjánsson, Åsa H Everhov, Caroline Nordenvall, The Swibreg Study Group, Petter Malmborg, Pär Myrelid, Matilda Bräutigam, Jonas F Ludvigsson, Ola Olén (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13575933.txt.
Description
Helena Rolandsdotter and co-authors track surgery rates in children with inflammatory bowel disease in Sweden in this 2026 study. The disease covers Crohn's disease and ulcerative colitis, both lifelong gut conditions. Advanced drug therapies have spread over the last two decades. The team asked whether surgery fell in step. They used national registers to find all 8,200 patients diagnosed as children from 2002 to 2022, and followed them into adulthood.
Five year rates of gut surgery fell from 9.6 percent in the first period to 6.1 percent in the second. Colectomy fell for ulcerative colitis, and small bowel surgery fell sharply for Crohn's disease. Over the same span, first line use of advanced therapies doubled, and second line use rose four fold. The authors read the two trends as parallel shifts in care. They note follow-up was shorter for the later group, so longer tracking will sharpen the picture.
Catalog record
| CREATOR | Helena Rolandsdotter, Kári Kristjánsson, Åsa H Everhov, Caroline Nordenvall, The Swibreg Study Group, Petter Malmborg, Pär Myrelid, Matilda Bräutigam, Jonas F Ludvigsson, Ola Olén |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 36 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |