Impact of Presence, Level, and Closure of a Stoma on Growth in Young Children: A Retrospective Cohort Study
Topic overview
This retrospective study of 172 young children demonstrates that stomas significantly impair growth, with 61% showing decline and 51% of small bowel stoma patients developing severe malnourishment. Proximal small bowel stomas and major resections led to worse outcomes, while stoma closure enabled catch-up growth in 67% of patients within one year.
Key takeaways
- 61% of children under 3 years with stomas showed growth decline, with small bowel stomas causing severe malnutrition in 51% vs 16% for colostomies
- Proximal small bowel stomas (within 50cm of Treitz) and major resections (≥30cm) resulted in significantly worse growth outcomes at closure
- 67% of children demonstrated catch-up growth within one year after stoma closure, emphasizing the importance of timely reversal
- Adequate sodium supplementation and early closure (<6 weeks) did not significantly improve growth outcomes in this cohort
- Avoid proximal small bowel stomas when possible and minimize bowel resection length to reduce negative impact on pediatric growth
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How to cite: GlobalCastMD. Impact of Presence, Level, and Closure of a Stoma on Growth in Young Children: A Retrospective Cohort Study. GlobalCastMD Medical Library. 2023-05-16. https://dev.library.globalcastmd.com/article/8446?via_space=staycurrentmd
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