Abstract
Failure to thrive (FTT) is well documented among congenital diaphragmatic hernia (CDH) survivors ≤3years of age, but its etiology, severity, and persistence beyond this age require further elucidation. We conducted a single-center, retrospective study assessing anthropometrics, measured energy expenditure, and feeding tube (FT) use of 5-17 year olds in our multidisciplinary CDH clinic since January 2001. We stratified clinic visits based on age A: 5.0-6.9, B: 7.0-9.9, C: 10.0-14.9, and D: 15-17.9years. One hundred sixteen patients with 376 outpatient visits were reviewed. Anthropometric z-scores were below zero and did not vary across age cohorts. FTT and growth stunting each occurred in 14% of clinic visits. FTs inserted during infancy occurred in 25% of patients, and 60% remained by age 7years. In cohort A, those with FTs were lighter and shorter than those without (p<0.05) but had similar BMIs. FTT incidence was higher in the FT group (p=0.020), but FTs were present in only 30% of those with FTT. Indirect calorimetry revealed increased energy expenditure in 58% of patients. Failure to thrive continues in long-term CDH survivors, FTs may not improve incidence of FTT. Increased energy expenditure may play a role.
References
Jan 1, 1983·Journal of the American Academy of Child Psychiatry·J R GallerE Mason
Apr 19, 2000·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·N H BoumanF W Hazebroek
Apr 2, 2004·Journal of Child Psychology and Psychiatry, and Allied Disciplines·S S Corbett, R F Drewett
Feb 28, 2007·Journal of the American Dietetic Association·Dale A Schoeller
Jul 4, 2007·Pediatrics·Maureen M BlackRaymond H Starr
Dec 24, 2008·European Journal of Pediatrics·Anthony S de Buys Roessingh, Anh Tuan Dinh-Xuan
Jun 18, 2009·Archives of Disease in Childhood·M G PeetsoldR J Gemke
Jul 4, 2009·Journal of Pediatric Surgery·Charles Christoph RoehrGerd Schmalisch
May 15, 2010·European Journal of Clinical Nutrition·F Gottrand, P B Sullivan
Jul 17, 2010·The Journal of Pediatrics·Anne DarielUNKNOWN French CDH Study Group
Apr 30, 2011·JPEN. Journal of Parenteral and Enteral Nutrition·Scott PentiukAjay Kaul
Jul 19, 2011·Journal of Pediatric Surgery·Virginia FriskKarel O'Brien
Jun 26, 2012·Scandinavian Journal of Medicine & Science in Sports·M H M van der Cammen-van ZijpH IJsselstijn
Nov 2, 2012·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·Priscilla P L Chiu, Hanneke Ijsselstijn
May 25, 2013·Journal of Pediatric Surgery·Tim JancelewiczPriscilla P Chiu
Sep 23, 2014·Journal of Pediatric Gastroenterology and Nutrition·Andrea CarpenterMarialena Mouzaki
Citations
Mar 5, 2016·Journal of Pediatric Surgery·Sebastian K KingPriscilla P L Chiu
Sep 21, 2010·Journal of Pediatric Surgery·Tim JancelewiczKerilyn K Nobuhara
Nov 12, 2016·Journal of Pediatric Surgery·Hester F ShiehTerry L Buchmiller
May 11, 2017·Journal of Pediatric Gastroenterology and Nutrition·Lan T VuHanmin Lee
Oct 16, 2015·Journal of Pediatric Gastroenterology and Nutrition·Beth HaliburtonMarialena Mouzaki
Jul 6, 2020·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Jennifer R BathgateKarna Murthy
Jun 20, 2018·Pediatric Research·Hanneke IJsselstijnUNKNOWN CDH EURO Consortium Group
Nov 13, 2018·Pediatric Surgery International·Katie A FritzMir A Basir
Sep 4, 2017·Neonatology·Eva Van GinderdeurenMarijke Proesmans
Feb 27, 2021·Pediatric Pulmonology·Sahar Al BaroudiEric B Jelin
Feb 4, 2021·Prenatal Diagnosis·Lennart Van der VeekenMatteo Bruschettini
Mar 29, 2021·Journal of Pediatric Surgery·Hannah FlemingJason Gien
Apr 24, 2021·Journal of Pediatric Surgery·K Taylor WildUrsula S Nawab
Jul 25, 2021·BMJ Case Reports·Kevin C McGannMichael H Livingston
Jul 21, 2021·Journal of Pediatric Surgery·Francesca LandolfoFrancesco Morini
Jul 23, 2021·Prenatal Diagnosis·Katinka WellerAlex J Eggink
Jun 13, 2021·Journal of Pediatric Gastroenterology and Nutrition·Marisa E SchwabLan T Vu
Oct 29, 2017·Journal of Pediatric Surgery·Ryan M AntielHolly L Hedrick