Colorectal 29

ASGBI: Colorectal 23–30

ASGBI: Colorectal 23–30

Friday, 24 May 08.30–10.00

Colorectal 23 Impact of surgery on growth and development in children with inflammatory bowel disease

by outpatient clinical examination with serum CEA measurement and 6-monthly abdominal ultrasound scanning. Results:

G. Singh-Ranger, M.J. Lamparelli, D. Kumar, S.K.F. Chong and S.G. Mitton Node status (n ¼ 128 patients)

Departments of Colorectal Surgery and Paediatrics at St. George’s Hospital NHS Trust, and Department of Paediatrics at Epsom and St. Helier Hospital NHS Trust, London, UK Aims: Inflammatory bowel disease (IBD) in children is associated with significant growth retardation. We have assessed the effects of surgery on height and weight velocity in children with IBD. Methods: We have prospectively collected data for nine children (2 F, 7 M) with a mean age of 13.25 years (range 6.9–15.3 years) refractory to medical management for IBD. This group (seven Crohn’s and two ulcerative colitis) had IBD for a mean duration of 43 months (range 4–72 months) prior to surgery. Height and weight velocity was calculated from measurements recorded at intervals 6 months prior to, at the time of and 6 months following surgery. All subjects were being treated with systemic/topical steroid or azathioprine/6MP or cyclosporine for at least 6 months before surgery. Results: There was a significant change in both height and weight velocities following surgical intervention (see Table).

n¼9

Height (cm month1)

Weight (kg month1)

Mean preop velocity Mean postop velocity Velocity change Confidence interval Significance

0.19 0.52 0.33 0.11–0.52