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Delayed linear growth in children with enterocystoplasties
K E Wagstaff1, C R Woodhouse, P G Duffy
1Academic Unit, Institute of Urology, London.
British Journal of Urology
|March 1, 1992
Summary
Urologic reconstruction using bowel segments can impact pediatric growth. Some children experienced delayed height and weight gain, suggesting potential bone development alterations after surgery.
Area of Science:
- Pediatric Surgery
- Growth and Development
- Urology
Background:
- Urinary diversion using intestinal segments is a complex surgical procedure.
- Assessing the long-term effects on pediatric growth is crucial for patient management.
Purpose of the Study:
- To evaluate the impact of urinary pouches constructed from bowel on height and weight growth in children.
- To identify patterns of growth disturbances following this type of reconstructive surgery.
Main Methods:
- Retrospective review of 60 children undergoing urinary pouch creation from bowel.
- Inclusion criteria required at least two pre- and post-operative measurements of height and weight.
- Minimum follow-up duration of 2.5 years was mandated.
Main Results:
- Delayed linear growth (height) occurred in 20% of patients, with a mean percentile loss of 25 points.
- Delayed growth in both height and weight was observed in 4 patients.
- Accelerated growth was noted in height alone (2), weight alone (7), and both (7).
- No significant differences in laboratory data were found between growth groups.
Conclusions:
- Delayed linear growth in isolation is an uncommon but concerning outcome following bowel-derived urinary pouch creation.
- This finding may indicate significant alterations in bone development.
- Further investigation into the mechanisms affecting bone development in these patients is warranted.