Malnutrition Puts Children with Crohn’s at Higher Risk of Post-surgery Complications, Study Says

Malnutrition Puts Children with Crohn’s at Higher Risk of Post-surgery Complications, Study Says
Worsening degrees of malnutrition are directly linked to a higher risk of 30-day complications in children with Crohn's disease who have undergone major bowel surgery, a study says. The study, “Malnutrition increases the risk of 30-day complications after surgery in pediatric patients with Crohn disease,” appeared in the Journal of Pediatric Surgery.  Although there is no cure for Crohn's disease (CD), children with this condition may benefit from surgical removal of the affected intestine parts, a strategy that can improve the child’s growth and development. Studies have previously shown that malnourishment in adult CD patients is associated with a higher risk for post-surgery complications. This study's authors believe no similar evaluation has been done on children with the disease. A group of researchers from the Johns Hopkins University School of Medicine explored the outcomes of CD pediatric patients’ surgeries and how they correlated to the children's nutritional status. A total of 516 patients with a median age of 15.5 years were evaluated, using data collected by the American College of Surgeons for the National Surgical Quality Improvement Program Pediatric Registry (NSQIP-P). Selected patients, diagnosed with CD, underwent major bowel surgery — 45.5% of them had an ileocecectomy (surgical removal of the ileum, the final section of the small intestine). In this group, there were 68 post-surgery complications (13.2%), 27 reoperations (5.2%) and
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