Tejani A, Dobias B, Nangia B S, Mahadevan R
Pediatrics. 1978 May;61(5):685-93.
Growth and development data on 19 children who survived gut surgery in the immediate newborn period are presented. The follow-up period ranges from seven months to seven years six months, with a mean of three years eight months. Neonates who undergo gut resection are at a higher risk for delay in height and weight gain compared to those who have gut surgery without resection. Six of the 12 children who had gut resection showed delay in height gain and seven showed delay in weight gain. Of the seven children who had gut surgery but no resection, only one showed delay in height and weight gain after the age of 1 year. An individual approach and careful serial follow-ups are recommended for all children undergoing gut resection in the newborn period. Of the eight children who had psychometric testing in the gut-resected group, only two are normal. Three of the four older children in this group show signs of perceptuomotor defects, suggesting the need for subtesting such children at about 6 years of age so that remedial help, if necessary, may be provided when formal schooling begins.
本文呈现了19名在新生儿期接受肠道手术且存活下来的儿童的生长发育数据。随访期从7个月至7年6个月不等，平均为3年8个月。与未进行肠道切除的肠道手术患儿相比，接受肠道切除的新生儿身高和体重增长延迟的风险更高。12名接受肠道切除的儿童中有6名身高增长延迟，7名体重增长延迟。在7名接受了肠道手术但未进行切除的儿童中，只有1名在1岁后出现身高和体重增长延迟。对于所有在新生儿期接受肠道切除的儿童，建议采取个体化方法并进行仔细的连续随访。在接受肠道切除的组中接受心理测试的8名儿童中，只有2名正常。该组中4名较大儿童中的3名表现出感知运动缺陷迹象，这表明需要在大约6岁时对这些儿童进行分测试，以便在正式上学开始时如有必要可提供补救帮助。
