Identification of risk factors for postoperative recurrent Hirschsprung associated enterocolitis

Abstract

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Screening of undernutrition in children with Hirschsprung disease using preoperative anthropometric parameters: A multicenter cross‐sectional study

“…Finally, our study provides additional evidence concerning moderate to severe undernutrition, as it is significantly associated with poor postoperative outcomes, which is consistent with the results of previous studies identifying risk factors for recurrent HAEC and quality of life in patients with HSCR 11,26 . Ding et al reported the impact of preoperative nutrition support in patients with HSCR and refractory constipation.…”

“…Finally, our study provides additional evidence concerning moderate to severe undernutrition, as it is significantly associated with poor postoperative outcomes, which is consistent with the results of previous studies identifying risk factors for recurrent HAEC and quality of life in patients with HSCR. 11 , 26 Ding et al reported the impact of preoperative nutrition support in patients with HSCR and refractory constipation. They demonstrated that at the 1‐month follow‐up, the incidence of postoperative complications was lower and nutrition status was significantly improved in the group of patients who received enteral nutrition (EN) for 2 weeks prior to surgery compared with those without EN support.…”

“…In addition, undernutrition was identified as an independent factor predicting poor postoperative outcomes in pediatric patients 8–10 . In patients with HSCR, studies identifying predictors of postoperative Hirschsprung‐associated enterocolitis (HAEC) reported that malnutrition was associated with the presence of postoperative recurrent HAEC and a high risk of mortality 11 . However, limited studies can be accessed on the nutrition screening and assessment for patients with HSCR pre‐operation or post‐operation.…”

“… 8 , 9 , 10 In patients with HSCR, studies identifying predictors of postoperative Hirschsprung‐associated enterocolitis (HAEC) reported that malnutrition was associated with the presence of postoperative recurrent HAEC and a high risk of mortality. 11 However, limited studies can be accessed on the nutrition screening and assessment for patients with HSCR pre‐operation or post‐operation. Thus, the present study aims to describe a preliminary result on screening patients with HSCR at nutrition risk prior to surgery using anthropometric measurements on admission for the first time and to explore the association between undernutrition and postoperative HAEC rates.…”

“…Comparison of undernutrition risk in each characteristic at admission Comparison of patient characteristics between moderate to severe nutrition risk and low risk at admission Characteristics associated with the occurrence of postoperative HAEC by univariable and multivariable logistics analysis with HSCR 11,26. Ding et al reported the impact of preoperative nutrition support in patients with HSCR and refractory constipation.…”