Influence of preoperative parenteral alimentation on postoperative growth in adolescent crohn's disease

Alan M. Lake, Samuel Kim, Richard K. Mathis, W. Allan Walker

Research output: Contribution to journalArticlepeer-review

Abstract

The postoperative growth rates achieved in eight early pubertal adolescent males with Crohn's disease undergoing surgery for obstructive complications is reported as a function of the use of 1 month's preoperative central venous alimentation. All patients had ileal strictures with ileocplitis, bone ages less than 13, Tanner stages 1 or 2, and growth velocities below the 3rd percentile for age. During a 3-year follow-up, those receiving preoperative venous alimentation demonstrated greater oral caloric in-take (significant for 1 year) and greater postoperative growth velocity (significant for 2 years) in comparison to those patients who did not receive preoperative venous alimentation. There was no significant difference between the two groups of patients in postoperative weight gain, sexual development, and 3-year disease control.

Original languageEnglish (US)
Pages (from-to)182-186
Number of pages5
JournalJournal of pediatric gastroenterology and nutrition
Volume4
Issue number2
DOIs
StatePublished - Apr 1985

Keywords

  • Crohn's disease
  • Parenteral nutrition
  • Postoperative adolescent growth

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Gastroenterology

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