After stoma closure, the decline in Z-scores is reversed in most young children; 67% showed a positive trend on the growth chart within a year following stoma closure.
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Impact of Presence, Level, and Closure of a Stoma on Growth in Young Children: A Retrospective Cohort Study.
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The sentences
This could explain why we could not find a correlation between adequate supplementation and positive growth and why it seemed that adequately supplemented children showed a trend toward lower Z-scores at closure than nonadequately supplemented children, although other explanations, such as delayed growth, might apply.