患有食道缩手术的患者的失症:使用功能尺度进行评估
P Salcedo Arroyo1, C Corona Bellostas1, P Vargova1
1Pediatric Surgery Department. Hospital Universitario Miguel Servet. Zaragoza (Spain).
概括
消化不良或吞困难在食道缩手术后非常常见,影响了74%的患者. 狭窄和反流是主要的原因,突出需要持续的,多学科的护理.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 吞障碍 吞障碍 吞障碍
背景情况:
- 消化不良,以吞困难为特征,是食道缩手术后的重大并发症.
- 高达84%的患者经历了新生儿期以外的持续性消化障碍.
研究的目的:
- 在接受食道缩手术的患者中调查食道乱的患病率和特征.
- 在不同年龄组中识别失调的常见原因和相关因素.
主要方法:
- 一项回顾性研究分析了在2005年至2021年期间接受食道缩手术的63名患者.
- 功能性口服摄入量表 (FOIS) 评估了四个年龄组的消化不良:<1,1-4,5-11岁和>11岁.
- 缺食症被定义为FOIS分数<7或症状如窒息,冲击或对食物的厌恶.
主要成果:
- 总体而言,74%的患者在随访期间表现出食障碍.
- 缺食症的患病率因年龄而异:50% (<1岁),77% (1-4岁),45% (5-11岁) 和38% (>11岁).
- 狭窄症 (38%) 和胃食道逆流 (28%) 是最常见的原因,在年轻患者中显著影响FOIS得分. 周围产生的因素,如通风时间和腹腔营养,也与失消相关.
结论:
- 缺食症是患有食道缩手术史的患者中非常普遍的疾病,在所有年龄组中都存在.
- 标准化,多学科的后续护理对于管理食障碍和提高这些患者的生活质量至关重要.
相关概念视频
Esophageal Strictures-II: Clinical Features and Management
84
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
84
Endoscopic Procedures I: Esophagogastroduodenoscopy
136
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
136
Esophageal Strictures-I: Introduction
115
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
115
Assessment of the Gastrointestinal System I: Subjective Data
203
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
203
Gastroesophageal Reflux Disease II: Clinical Features and Management
105
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
105
Enteral Nutrition I: Orogastric and Nasogastric Feeding
310
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
310


