Physical Growth in Children after Intestinal Resection Surgery and Some Influencing Factors
Main Article Content
Abstract
Physical growth plays an important role in children and depends on multiple factors such as nutrition, living environment, genetic background, and, in particular, associated diseases. This study was conducted to describe physical growth in infants during 12 months after intestinal resection surgery and to identify associated factors. A total of 67 infants were enrolled (61.2% male); 31.3% were preterm, 34.3% had intestinal dysfunction, 86.6% underwent small bowel resection, and 91% were fully orally fed. At 12 months, 34.4% were underweight and 38.8% were stunted, reflecting persistent growth restriction; 14.9% were wasted, and 28.4% had microcephaly. Intestinal dysfunction, presence of an enterostomy, and residual small bowel length < 100cm were identified as risk factors negatively affecting physical growth.
Article Details
Keywords
Underweight, stunting, wasting, intestinal resection
References
2. Otim P, Elobu EA, Mbiine R, et al. The etiological spectrum of bowel obstruction and early postoperative outcome among neonates at a tertiary hospital in Uganda. World J Pediatr Surg. 2022; 5(4): e000377.
3. Wang H, Wang Y, Deng C, et al. Prediction of intestinal failure from necrotizing enterocolitis following surgery: A multicenter retrospective review. Medicine (Baltimore). 2019; 98(19): e15568.
4. Lê Xuân Hưng, Trần Anh Quỳnh , Nguyễn Thị Thuý Hồng. 15. Tình trạng dinh dưỡng của trẻ mắc hội chứng ruột ngắn sau đóng dẫn lưu hai đầu ruột tại Bệnh viện Nhi Trung ương. Tạp chí Nghiên cứu Y Học. 2023; 170(9): 136-143.
5. ASPEN definitions in pediatric intestinal failure - Modi - 2022 - Journal of Parenteral and Enteral Nutrition - Wiley Online Library. Accessed May 22, 2023.
6. Merritt RJ, Cohran V, Raphael BP, et al. Intestinal rehabilitation programs in the management of pediatric intestinal failure and short bowel syndrome. Journal of pediatric gastroenterology and nutrition. 2017; 65(5): 588-596.
7. Organization WH. WHO Child Growth Standards: Length/Height-for-Age, Weight-for-Age, Weight-for-Length, Weight-for-Height and Body Mass Index-for-Age: Methods and Development. World Health Organization; 2006.
8. Organization WH. WHO Child Growth Standards: Head Circumference-for-Age, Arm Circumference-for-Age, Triceps Skinfold-for-Age and Subscapular Skinfold-for-Age: Methods and Development. World Health Organization; 2007.
9. Sarkar S, Patra C, Dasgupta MK, et al. Prevalence of congenital anomalies in neonates and associated risk factors in a tertiary care hospital in eastern India. Journal of clinical neonatology. 2013; 2(3): 131-134.
10. Lee SM, Lee JA, Chung SH, et al. Nationwide Long-Term Growth and Developmental Outcomes of Infants for Congenital Anomalies in the Digestive System and Abdominal Wall Defects With Surgery in Korea. Journal of Korean medical science. 2023; 38(49). Accessed May 8, 2025. https://synapse.koreamed.org/articles/1516085054.
11. Tran QA, Ngo TT, Nguyen TTN, et al. The Outcomes of Treatment in Infants with Short Bowel Syndrome. Journal of Child Science. 2023; 13(01): e12-e19. doi:10.1055/s-0043-1764341.
12. Nguyễn Văn Hoàng. Đánh giá tình trạng dinh dưỡng sau phẫu thuật ruột non ở trẻ em tại bệnh viện Nhi Trung ương.Thạc sĩ nhi khoa. Đại học Y Hà Nội. 2019
13. Kế hoạch hành động thực hiện Chiến lược Quốc gia về dinh dưỡng đến năm 2025. Accessed May 8, 2025. Accessed May 8, 2025. https://vncdc.gov.vn/ke-hoach-hanh-dong-thuc-hien-chienluoc-quoc-gia-ve-dinh-duong-den-nam-2025-nd16965.html.
14. McLaughlin CM, Channabasappa N, Pace J, et al. Growth trajectory in children with short bowel syndrome during the first 2 years of life. Journal of pediatric gastroenterology and nutrition. 2018; 66(3): 484-488.
15. Goulet O, Baglin-Gobet S, Talbotec C, et al. Outcome and long-term growth after extensive small bowel resection in the neonatal period: a survey of 87 children. European journal of pediatric surgery. 2005; 15(02): 95-101.