[Treatment of intestinal paresis in children]

Insights

This study details intestinal paresis treatment in 545 children, identifying three stages and treatment groups. Continuous peridural blockade is the preferred method for postoperative intestinal paresis.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Clinical Medicine

Context:

  • Intestinal paresis is a common complication in pediatric surgery, particularly after peritonitis treatment.
  • Effective management strategies are crucial for improving patient outcomes and reducing hospital stays.

Purpose:

  • To summarize clinical experience in treating intestinal paresis in 545 children (1 day to 13 years).
  • To classify treatment methods based on their effects and the stage of intestinal paresis.
  • To evaluate the efficacy of continuous peridural blockade for postoperative intestinal paresis.

Summary:

  • The study categorizes intestinal paresis into three stages based on systemic and local disturbances.
  • Treatment methods were classified into three groups according to their therapeutic effects.
  • Continuous peridural blockade emerged as the method of choice for managing postoperative intestinal paresis.

Impact:

  • The findings provide a staged approach to intestinal paresis management in children.
  • Highlights the effectiveness of continuous peridural blockade in postoperative settings.
  • Facilitates identification of complications like mechanical intestinal obstruction and anastomotic leakage.

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