CROHNS-DISEASE IN CHILDREN AND ADOLESCENTS - IS INADEQUATE WEIGHT-GAIN A VALID INDICATION FOR SURGERY

被引:13
作者
BENNER, J [1 ]
WEINTRAUB, WH [1 ]
WESLEY, JR [1 ]
CORAN, AG [1 ]
机构
[1] UNIV MICHIGAN,PEDIAT SURG SECT,ANN ARBOR,MI 48109
关键词
Crohn's disease; regional enteritis;
D O I
10.1016/S0022-3468(79)80492-3
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
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. © 1979 Grune & Stratton, Inc.
引用
收藏
页码:325 / 328
页数:4
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