{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T11:36:53Z","timestamp":1790768213962,"version":"4.1.0"},"reference-count":27,"publisher":"Korean Pediatric Society","issue":"9","license":[{"start":{"date-parts":[[2020,11,16]],"date-time":"2020-11-16T00:00:00Z","timestamp":1605484800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["e-cep.org"],"crossmark-restriction":true},"short-container-title":["Clin Exp Pediatr"],"published-print":{"date-parts":[[2021,9,15]]},"abstract":"<jats:p>Background: Malnutrition has a high incidence among pediatric surgical patients and contributes to increased risks of postoperative complications and extended hospital stays.Purpose: The present study aimed to determine the influence of preoperative nutritional status on the postoperative outcomes of pediatric patients who underwent elective gastrointestinal (GI) surgery.Methods: This prospective observational study was conducted at Cairo University Specialized Pediatric Hospital. According to the designated inclusion criteria, 75 surgical cases of both sexes were included. A structured questionnaire was developed and administered. This questionnaire included 3 main sections: demographic data and nutritional status parameters at admission and discharge. Pre- and postoperative nutritional statuses were compared.Results: According to both the subjective global nutritional assessment and STRONGKIDS score Questioner, more than 60% of patients in the upper GI patient group were at risk of malnutrition. Wasting status was most common in the upper GI patient group (67%; vs. 39.1% in the lower GI group). Underweight status was more common in the hepatobiliary and upper GI patient groups (nearly 50% for each group) than in the lower GI group (30.4%). On the other hand, stunted patients had a higher incidence of complications and a prolonged hospital stay (P=0.003 and P=0.037, respectively), while underweight lower GI patients experienced a prolonged hospital stay (P=0.02). A higher proportion of patients with preoperative anemia than those without preoperative anemia required a blood transfusion (P=0.003).Conclusion: Nutritional assessment is a crucial component of pediatric surgical patient management. Both underweight and wasting statuses were more common among hepatobiliary and upper GI patients. Postoperative complications and a long hospital stay were more common among stunted patients.<\/jats:p>","DOI":"10.3345\/cep.2020.00458","type":"journal-article","created":{"date-parts":[[2020,11,16]],"date-time":"2020-11-16T02:37:36Z","timestamp":1605494256000},"page":"473-479","update-policy":"https:\/\/doi.org\/10.3345\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Impact of preoperative nutritional status on surgical outcomes in patients with pediatric gastrointestinal surgery"],"prefix":"10.3345","volume":"64","author":[{"given":"Nehal El","family":"Koofy","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hadeer Mohamed Nasr","family":"Eldin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wesam","family":"Mohamed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mostafa","family":"Gad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5132-4019","authenticated-orcid":true,"given":"Sara","family":"Tarek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gamal El","family":"Tagy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1897","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1590\/s0041-87812002000600010"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-007-0362-1"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1177\/03946320110240s302"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/s0899-9007(00)00368-3"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1080\/07315724.2004.10719365"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1053\/j.jrn.2010.10.016"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/s0022-3476(05)83390-6"},{"key":"ref8","first-page":"1083","volume-title":"Subjective Global Assessment for children","author":"Secker","year":"2007"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.nut.2013.05.008"},{"key":"ref10","first-page":"15","volume-title":"2000 CDC growth charts: background for clinical application","author":"Kuczmarski","year":"2002"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-008-0796-9"},{"key":"ref12","first-page":"205","volume-title":"Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey","author":"Dindo","year":"2004"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/s0899-9007(03)00170-9"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.3390\/nu9101127"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1016\/s0899-9007(01)00729-8"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2014.01.006"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.nut.2004.08.026"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.9861"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.21608\/ejcm.2017.4091"},{"key":"ref20","first-page":"S90","volume-title":"Onset and evolution of stunting in infants and children. 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