Abstract
Seventeen children underwent 19 bowel resections as part of their management of Crohn's disease. Thirteen children had evidence of retardation of linear growth preoperatively, of whom 12 exhibited catch up growth, crossing at least one centile band, after resection. Seven of the 12 showed early signs of puberty at the time of resection and one child was regarded as being fully pubertal. All children were symptomatic before their surgery; at one year 11 were asymptomatic and three others were substantially improved. Surgical resection of localised Crohn's disease, followed by adequate nutritional support has lead to catch up growth and a prolonged symptom free period in most of our patients and this was not limited by their age or stage of puberty.
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Selected References
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- Frey C. F., Weaver D. K. Colectomy in children with ulcerative and granulomatous colitis. Arch Surg. 1972 Apr;104(4):416–423. doi: 10.1001/archsurg.1972.04180040030005. [DOI] [PubMed] [Google Scholar]
- Guttman F. M. Granulomatous enterocolitis in childhood and adolescence. J Pediatr Surg. 1974 Feb;9(1):115–121. doi: 10.1016/0022-3468(74)90017-7. [DOI] [PubMed] [Google Scholar]
- Homer D. R., Grand R. J., Colodny A. H. Growth, course, and prognosis after surgery for Crohn's disease in children and adolescents. Pediatrics. 1977 May;59(5):717–725. [PubMed] [Google Scholar]
- Kelts D. G., Grand R. J., Shen G., Watkins J. B., Werlin S. L., Boehme C. Nutritional basis of growth failure in children and adolescents with Crohn's disease. Gastroenterology. 1979 Apr;76(4):720–727. [PubMed] [Google Scholar]
- Kirschner B. S., Klich J. R., Kalman S. S., deFavaro M. V., Rosenberg I. H. Reversal of growth retardation in Crohn's disease with therapy emphasizing oral nutritional restitution. Gastroenterology. 1981 Jan;80(1):10–15. [PubMed] [Google Scholar]
- Morin C. L., Roulet M., Roy C. C., Weber A. Continuous elemental enteral alimentation in children with Crohn's disease and growth failure. Gastroenterology. 1980 Dec;79(6):1205–1210. [PubMed] [Google Scholar]
- Rosenthal S. R., Snyder J. D., Hendricks K. M., Walker W. A. Growth failure and inflammatory bowel disease: approach to treatment of a complicated adolescent problem. Pediatrics. 1983 Oct;72(4):481–490. [PubMed] [Google Scholar]
- Wesson D. E., Shandling B. Results of bowel resection for Crohn's disease in the young. J Pediatr Surg. 1981 Aug;16(4):449–452. doi: 10.1016/s0022-3468(81)80004-8. [DOI] [PubMed] [Google Scholar]