儿童结直肠问题的最新肠道管理:功能性便秘
Elizaveta Bokova1, Wendy Jo Svetanoff1, John M Rosen2,3
1Comprehensive Colorectal Center, Department of Surgery, Children's Mercy Hospital, Kansas City, MO 64108, USA.
大多数儿科功能性便秘 (FC) 病例可以非手术治疗. 保守治疗是有效的,但对于耐火病例的手术策略需要进一步研究.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
背景情况:
- 功能性便秘 (FC) 影响高达32%的儿童,通常需要儿童手术干预便秘和便失禁.
- 本文回顾了当前对儿科FC的评估和管理策略,作为肠道管理系列的一部分.
研究的目的:
- 提供关于儿童功能性便秘的评估和管理的最新更新.
- 为儿科外科医生和胃肠科医生提供有关儿科肠道管理最佳实践的信息.
主要方法:
- 使用主要数据库 (Medline/PubMed,Google Scholar,Cochrane,EMBASE) 进行了全面的文献搜索.
- 专注于在过去5-10年内发表的研究,以确保相关性.
主要成果:
- 最初的管理包括通过对比研究,麻醉下检查和门计量 (AMAN) 排除希尔施普朗格病.
- 医疗选择包括药,阴道,过灌和前级冲洗;对于耐火病例,考虑进行手术切除.
- 特定的手术,如分总切除术或德洛耶手术,可以通过气球驱逐试验来指导.
结论:
- 大多数被转诊进行外科评估的儿科FC患者在保守的治疗中取得了成功.
- 对于对医疗不反应的儿童,最佳的手术策略需要进一步研究.
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