Published online May 28, 2015. doi: 10.3748/wjg.v21.i20.6101
Peer-review started: February 10, 2015
First decision: March 10, 2015
Revised: March 30, 2015
Accepted: April 9, 2015
Article in press: April 9, 2015
Published online: May 28, 2015
Core tip: Approximately 25% of patients with inflammatory bowel disease have onset of symptoms in childhood or adolescence. The unique and often severe features of childhood presentation make treatment decisions challenging. The dogma of surgical conservatism in Crohn's disease is challenged in the specific instance of left sided colitis. Furthermore we argue that the separation of adult and paediatric inflammatory bowel disease practice may disadvantage children, delaying adaption of innovative treatments and timely transition.