Impact of Nutritional Deficiencies on Children and Young Adults with Crohn's Disease Undergoing Intraabdominal Surgery

McLoughlin, Robert J.; McKie, Kerri; Hirsh, Michael; Cleary, Muriel A.; Aidlen, Jeremy T.

doi:10.1016/j.jpedsurg.2019.10.012

Cited by 9 publications

(6 citation statements)

References 17 publications

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“…Wasting was not associated with 30-day post-operative infection of any type. These results are consistent with prior studies that have described poorer pediatric postoperative outcomes among children who were stunted and required nutritional support, but not among those who were wasted in patients with Crohn's disease and for gastrointestinal and thoracic surgery [2,3,5]. Other prior work in specific patient populations, and this study more broadly, highlight that using anthropometrically derived malnutrition definitions may have limited utility for pre-operative risk stratification in a US-based pediatric surgery population.…”

Section: Discussionsupporting

confidence: 89%

“…Data are abstracted by trained reviewers and include patient demographics, clinical characteristics, and up to 30-day postoperative outcomes. The design of this database has been described previously [1,21]. All pediatric surgical hospitalizations included in the 2016-2018 NSQIP-P database were eligible for inclusion.…”

Section: Data Source and Study Populationmentioning

confidence: 99%

“…As such, albumin levels are usually used in conjunction with anthropometrically derived markers of malnutrition like stunting and wasting for pre-operative risk assessment [13][14][15]. However, no single factor or combination of factors has been identified to accurately and consistently predict pre-operative risk for surgery, and results have varied depending on the metric used [2][3][4][5][6][7][16][17][18][19][20]. For example, among children who had abdominal or thoracic surgery, being stunted was associated with increased risk of 30-day post-operative complications, but wasting was not [5].…”

mentioning

confidence: 99%

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Commentary regarding the impact of malnutrition (nutritional imbalance) on pediatric surgical outcome

Chwals

2021

Journal of Pediatric Surgery

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Section: Discussionsupporting

confidence: 89%

Section: Data Source and Study Populationmentioning

confidence: 99%

mentioning

confidence: 99%

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Commentary regarding the impact of malnutrition (nutritional imbalance) on pediatric surgical outcome

Chwals

2021

Journal of Pediatric Surgery

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“…Studying the consumer market and also the literature, it was observed that consumer interest in healthy diets has increased in recent years. This is a result of the fact that more and more people nowadays face various food deficiencies or various health conditions caused by inadequate nutrition [7][8][9][10][11]. By closely studying what people purchase from pharmacies, it was observed that more and more people buy food supplements based on vitamins and minerals [12].…”

Section: Introductionmentioning

confidence: 99%

Impact of Germination on the Microstructural and Physicochemical Properties of Different Legume Types

Atudorei

Stroe

Codină

2021

Plants

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The microstructural and physicochemical compositions of bean (Phaseolus vulgaris), lentil (Lens culinaris Merr.), soybean (Glycine max L.), chickpea (Cicer aretinium L.) and lupine (Lupinus albus) were investigated over 2 and 4 days of germination. Different changes were noticed during microscopic observations (Stereo Microscope, SEM) of the legume seeds subjected to germination, mostly related to the breakages of the seed structure. The germination caused the increase in protein content for bean, lentil, and chickpea and of ash content for lentil, soybean and chickpea. Germination increased the availability of sodium, magnesium, iron, zinc and also the acidity for all legume types. The content of fat decreased for lentil, chickpea, and lupine, whereas the content of carbohydrates and pH decreased for all legume types during the four-day germination period. Fourier transform infrared spectroscopic (FT-IR) spectra show that the compositions of germinated seeds were different from the control and varied depending on the type of legume. The multivariate analysis of the data shows close associations between chickpea, lentil, and bean and between lupine and soybean samples during the germination process. Significant negative correlations were obtained between carbohydrate contents and protein, fat and ash at the 0.01 level.

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“…9 Koofy et al discovered the highest prevalence of malnutrition in patients undergoing gastrointestinal surgery in the screening developed according to STRONGKIDS newly published ESPEN (European Society for Clinical Nutrition and Metabolism) guidelines used in his study and discovered a significant correlation between preoperative age and postoperative complications. [9][10][11][12][13] The findings obtained in the study conducted by Roberson et al suggest that preoperative malnutrition may be a modifiable risk factor for preventing surgical complications and is associated with increased morbidity in surgery. [13][14][15] Previous research identified malnutrition predictors, such as hypoalbuminemia, weakness, and the need for nutritional support, as potential indicators of poor postoperative outcomes.…”

Section: Discussionmentioning

confidence: 99%

Does preoperative nutritional assessment affect clinical outcomes in children with acute appendicitis

CESUR

Özçelik

2022

Journal of Contemporary Medicine

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Background: Malnutrition increases postoperative complications in pediatric surgical patients. Objective: The aim of the present study was to examine whether the preoperative nutritional status had any effect on postoperative outcomes in pediatric patients with acute appendicitis who were in need of emergency surgery. Methods: This retrospective clinical study was carried out at the Department of Pediatric Surgery, Adana City Training and Research Hospital, University of Health Sciences. The study included 74 patients, whose data were analyzed retrospectively. The patients' preoperative Gomez malnutrition classifications and body mass indexes (BMI) were calculated and compared to clinical outcomes. Results: The study included 74 children who had appendectomy procedures. The mean age was 11.5±3.7 years, 64.9% of the patients in the study were male, while 35.1% were female. The duration of admission to the hospital was 1.77±1.34 days. A BMI cut-off value of less than 16.74 was found to be statistically significant (p<0.001), with 100.0% percent sensitivity and 68.66% specificity. Wound infection was more common in patients with a BMI greater than 16.74 (p=0.010). Low BMI patients were more common in the 0-6 age group and the 7-13 age group (p<0.001). Conclusion: Nutritional assessment is an essential part of the care of children undergoing surgery. In the present study, we discovered that mild-to-moderate malnutrition before surgery increased postoperative morbidity, hospital stay, and wound infection frequency in children with low BMI. These evaluation systems, in our opinion, will pave the way for positive changes in postoperative management planning.

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Impact of Nutritional Deficiencies on Children and Young Adults with Crohn's Disease Undergoing Intraabdominal Surgery

Cited by 9 publications

References 17 publications

Commentary regarding the impact of malnutrition (nutritional imbalance) on pediatric surgical outcome

Commentary regarding the impact of malnutrition (nutritional imbalance) on pediatric surgical outcome

Impact of Germination on the Microstructural and Physicochemical Properties of Different Legume Types

Does preoperative nutritional assessment affect clinical outcomes in children with acute appendicitis

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