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Crohn's disease in children and adolescents: is inadequate weight gain a valid indication for surgery?
- Source :
-
Journal of pediatric surgery [J Pediatr Surg] 1979 Jun; Vol. 14 (3), pp. 325-8. - Publication Year :
- 1979
-
Abstract
- Seventy children and adolescents hospitalized for Crohn's disease at the University of Michigan Medical Center between 1966 and 1976 are reviewed. Thirty-three of these children were managed medically and 37 underwent a total of 60 operative procedures. There were 33 bowel resections, 7 appendectomies, 4 abscess drainages, 3 bowel bypasses, and 13 miscellaneous operative procedures. The total operative mortality was 1.7%, and there were 10 complications, all of which were successfully managed. Among the 26 children undergoing bowel resections, 22 were below the third percentile for weight preoperatively. Nearly two-thirds of these gained weight to the 35th percentile following resection. The remainder of the children had a variety of growth and symptomatic responses to surgery. Resection aimed at complete removal of diseased bowel can be expected to yield substantial weight gain in children with Crohn's disease.
Details
- Language :
- English
- ISSN :
- 0022-3468
- Volume :
- 14
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Journal of pediatric surgery
- Publication Type :
- Academic Journal
- Accession number :
- 480096
- Full Text :
- https://doi.org/10.1016/s0022-3468(79)80492-3