儿童结直肠问题的最新肠道管理:希尔施普朗格病
Elizaveta Bokova1, Ninad Prasade1, Sanjana Janumpally1
1Comprehensive Colorectal Center, Department of Surgery, Children's Mercy Kansas City, Kansas City, MO 64108, USA.
Children (Basel, Switzerland)
|August 26, 2023
概括
本综述概述了希尔施普朗格病 (HD) 并发症,如肠球炎和便秘的管理策略. 它详细介绍了治疗方法,包括药,肉毒素注射和手术重建,以改善受影响儿童的肠道管理.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 临床管理 临床管理
背景情况:
- 赫施普朗格病 (HD) 可以导致手术后的严重并发症.
- 常见的问题包括阻塞性症状,希尔施普朗相关肠球炎 (HAEC),不能生长,便污染等.
研究的目的:
- 审查目前用于评估和治疗患有赫施普朗格病的儿童的算法.
- 为HD患者提供肠道管理策略的最新信息.
主要方法:
- 审查现有的文学和临床指导方针关于希尔施普朗格病的管理.
- 专注于常见的HD并发症的诊断和治疗算法.
主要成果:
- 便秘管理包括排除解剖障碍,然后使用药,纤维或机械方法.
- 建议给五岁以下的儿童注射肉毒素,因为他们的关节不能放松.
- 脊髓重建是的门的一个选择,并通过抗腹和阴道注射来管理多动性.
结论:
- 综合管理算法对于解决希尔施普朗格病的各种并发症至关重要.
- 早期发现HAEC和对家庭护理的患者/家庭教育至关重要.
- 包括医疗和外科干预在内的多方面的方法是优化HD患者治疗结果的关键.
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