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Growth from Birth to 30 months for Infants Born with Congenital Gastrointestinal Anomalies and Disorders.

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OBJECTIVE  This study aimed to investigate growth among neonates with gastrointestinal disorders. STUDY DESIGN  Inclusion criteria included neonates with gastroschisis, omphalocele, intestinal atresia, tracheoesophageal fistula, Hirschsprung's disease, malabsorption disorders, congenital… Click to show full abstract

OBJECTIVE  This study aimed to investigate growth among neonates with gastrointestinal disorders. STUDY DESIGN  Inclusion criteria included neonates with gastroschisis, omphalocele, intestinal atresia, tracheoesophageal fistula, Hirschsprung's disease, malabsorption disorders, congenital diaphragmatic hernia, and imperforate anus born between 2010 and 2018. Anthropometrics were collected for the first 30 months, and a subgroup analysis was performed for gastroschisis infants. RESULTS  In 61 subjects, 13% developed severe growth failure within the first month. One-, four-, and nine-month weight and length z-scores were less than birth weight in all infants (p < 0.05). In infants with gastroschisis, a similar pattern was observed for weight z-scores only (p < 0.05). From birth to 15 months, head circumference z-score increased over time in all infants (p = 0.001), while in gastroschisis infants, weight, length, and head circumference z-scores increased over time (p < 0.05). CONCLUSION  In a cohort of infants with gastrointestinal disorders, growth failure was followed by catch-up growth.

Keywords: infants born; birth months; disorders growth; months infants; growth birth; growth

Journal Title: American journal of perinatology
Year Published: 2020

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