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Copyright ©2009 The WJG Press and Baishideng.
World J Gastroenterol. Jun 7, 2009; 15(21): 2570-2578
Published online Jun 7, 2009. doi: 10.3748/wjg.15.2570
Table 4 Pathophysiology of growth failure in children with IBD
EthiopathogenesisMechanism
Energy and nutrient deficiencies[30]Deficits of energy, macronutrients and micronutrients
Inflammation/proinflammatory cytokines[31]Anorexigenic effect
GH-IGF1 axis effects
Bone metabolism disturbance
Hypermetabolic/catabolic effects
Disease severity and disease location[3233]Severe disease
Jejunal localization
Abnormal bone metabolism[34]Effect of pro-inflammatory cytokines
GH-IGF1 axis dysfunction
Calcium and vitamin D deficiency
Delayed sexual maturation
Corticosteroids
Delayed onset of sexual maturation[35]Hypogonadism
Abnormal IGF1 axis[36]Low IGF1 and IGF1-BP
Proinflammatory cytokines
Drugs[28]Corticosteroids