Growth after intestinal resection for Crohn's disease in children, adolescents, and young adults

Abstract

The pattern of weight and height growth was improved after intestinal resection for CD. Nonetheless, close monitoring of postoperative growth is necessary especially in children diagnosed with CD at a young age.

Surgical Management of Crohn Disease in Children

“…After surgery, a significant improvement occurred in z scores for height and a mean height velocity of patients increased from 2.3 cm/y preoperatively to 3.4 cm/y following surgery. These results were supported by other studies (46)(47)(48)(49). Moreover, delaying surgical intervention into the late stages of puberty results in poor catch-up growth (39).…”

Practice Parameters for the Surgical Management of Crohn's Disease

“…78,79 In these instances, surgery can restore normal growth, but it is optimally performed before the onset of puberty. [80][81][82][83][84] 2. Patients with symptomatic disorders of the skin, mouth, eye, or joints who fail to respond to medical therapy should be considered for operation.…”

Growth retardation in pediatric inflammatory bowel diseases – pathogenesis and treatment

“…However, in several retrospective studies, in which growth rate in children with inflammatory bowel disease during the pre-pubertal period who underwent surgical local resection of the intestine due to the resistance of the disease to the treatment, has been evaluated and statistically significant acceleration of growth rate has been observed after these procedures [31][32][33]. These procedures caused an increase of anabolic processes, expressed as increased utilization of nitric compounds already 4 weeks after the procedure.…”