Growth of Children with Neonatal Short Bowel Syndrome: Its Relationship to Gestational Age
DOI:
https://doi.org/10.52787/agl.v52i2.187Keywords:
Short bowel syndrome, intestinal failure, growth, home parenteral nutrition, prematurityAbstract
Introduction. It has been described that children with chronic intestinal failure secondary to short bowel syndrome have an impact on growth.
Objective. To compare the growth of children with chronic intestinal failure secondary to neonatal short bowel syndrome between newborns of gestational age ≥ 36 weeks and 6 days Group 1 and < 36 weeks Group 2, evaluated at two years of age and during childhood.
Methods. Longitudinal, retrospective, analytical study of children with neonatal short bowel syndrome and chronic intestinal failure. Growth, weight/age z-score, height/age z-score and body mass index/age z-score (World Health Organization) were determined at 2 years of age; a posteriori, we analyzed the beginning and end of a period of one year between 2-9 years of age of the same patients.
Results. Group 1: 13 patients, Group 2: 8 patients. A greater impact on height/age z-score was found in Group 2 at 2 years (p < 0.008). During the analyzed period after 2 years, it was observed that that the weight/age z-score and the body mass index z-score/age remained stable, while the height/age z-score worsened in both groups.
Conclusion. Children with < 36-weeks of gestational age had a greater impact on longitudinal growth at 2 years and both groups studied had a negative impact on height growth after 2 years.
References
-1. Fernández A, Desantadina V, Balacco M, Busoni V, Cabral A, Cosentino S, et. al. Guía clínica para el manejo de la falla intestinal secundaria a síndrome de intestino corto en pediatría. Arch Argent Pediatr. 2021t;119(5): e441-e472.
-2. D’Antiga L, Goulet O. Intestinal failure in children: the European view. J Pediatr Gastroenterol Nutr. 2013;56:118-26.
-3. Chandra R, Kesavan A. Current treatment paradigms in pediatric short bowel syndrome. Clin Journal Gastroenterol. 2018;11:103-12.
-4. Merritt RJ, Cohran V, Raphael BP, et al. Intestinal Rehabilitation Programs in the Management of Pediatric Intestinal Failure and Short Bowel Syndrome. J Pediatr Gastroenterol Nutr. 2017;65(5):588-96.
-5. Mutanen A, Wales PW. Etiology and prognosis of pediatric short bowel syndrome. Semin Pediatr Surg. 2018;27(4):209-17.
-6. Mezoff EA, Cole CR, Cohran VC. Etiology and Medical Management of Pediatric Intestinal Failure. Gastroenterol Clin North Am. 2019;48(4):483-98.
-7. Wales PW, de Silva N, Kim J, Lecce L, et al. Neonatal short bowel syndrome: population-based estimates of incidence and mortality rates. J Pediatr Surg. 2004;39(5):690-5.
-8. Batra A, Keys SC, Johnson MJ, et al. Epidemiology, management and outcome of ultrashort bowel syndrome in infancy. Arch Dis Child Fetal Neonatal Ed. 2017;102(6):F551-6.
-9. Lacaille F, Gupte G, Colomb V, et al. Intestinal Failure–Associated Liver Disease: A Position Paper of the ESPGHAN Working Group of Intestinal Failure and Intestinal Transplantation. JPGN. 2015;60(2):272-83.
-10. Norsa L, Nicastro E, Di Giorgio A, Lacaille F, D'Antiga L. Prevention and Treatment of Intestinal Failure-Associated Liver Disease in Children. Nutrients. 2018;10(6):664.
-11. Kolaček S, Puntis JWL, Hojsak I; ESPGHAN/ESPEN/ESPR/CSPEN working group on pediatric parenteral nutrition. ESPGHAN/ESPEN/ESPR/CSPEN Guidelines on Pediatric Parenteral Nutrition: Venous Access. Clin Nutr. 2018;37(6 Pt B):2379-91.
-12. Hartman C, Shamir R, Simchowitz V, et al.; ESPGHAN/ESPEN/ESPR/CSPEN working group on pediatric parenteral nutrition. ESPGHAN/ESPEN/ESPR/CSPEN Guidelines on Pediatric Parenteral Nutrition: Complications. Clin Nutr. 2018;37(6 Pt B):2418-29.
-13. Fullerton BS, Hong CR, Jaksic T. Long-term outcomes of pediatric intestinal failure. Semin Pediatr Surg. 2017;26(5):328-35.
-14. Olieman JF, Penning C, Spoel M, et al. Long-term impact of infantile short bowel syndrome on nutritional status and growth. Br J Nutr. 2012;107(10):1489-97.
-15. Duggan CP, Jaksic T. Pediatric Intestinal Failure. N Engl J Med. 2017;377(7):666-75.
-16. Oliveira C, de Silva NT, Stanojevic S, et al. Change of Outcomes in Pediatric Intestinal Failure: Use of Time-Series Analysis to Assess the Evolution of an Intestinal Rehabilitation Program. J Am Coll Surg. 2016;222(6):1180-1188.e3.
-17. Nagelkerke SCJ, Mager DJ, Benninga MA, et al. Reporting on outcome measures in pediatric chronic intestinal failure: A systematic review. Clin Nutr. 2020;39(7):1992-2000.
-18. Morton DL, Hawthorne KM, Moore CE. Growth of Infants with Intestinal Failure or Feeding Intolerance Does Not Follow Standard Growth Curves. J Nutr Metab. 2017;2017.
-19. Batra A, Beattie RM. Infants on Parenteral Nutrition: Getting the Calories Right. JPEN. 2018;42(2):268-9.
-20. Abi Nader E, Lambe C, Talbotec C, et al. A New Concept to Achieve Optimal Weight Gain in Malnourished Infants on Total Parenteral Nutrition. JPEN J Parenter Enteral Nutr. 2018;42(1):78-86.
-21. Pichler J, Chomtho S, Fewtrell M, et al. Growth and bone health in pediatric intestinal failure patients receiving long-term parenteral nutrition. Am J Clin Nutr. 2013;97(6):1260-9.
-22. Pichler J, Chomtho S, Fewtrell M, et al. Body composition in paediatric intestinal failure patients receiving long-term parenteral nutrition. Arch Dis Child. 2014;99:147-53.
-23. Dalieri M, Fabeiro M, Prozzi M, et al. Growth assessment of children with neonatal short bowel syndrome. Nutr Hosp. 2007;22(4):455-60.
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Copyright (c) 2022 Adriana Fernández, Rosana Vagni, Verónica Garrido, Gisela Merlo, Natalia Delgado, Analía Cabrera, Romina Vega, Alejandro Viqueiras, Ana Cabral, Humberto Fain, Corina Dlugoszewski, Horacio F González

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