在儿科性结肠炎中,阴囊-门解剖形成后的并发症
Preston H Palm1, Monique C Matos1, Cristine S Velazco1
1Division of Pediatric Surgery, Orlando Health Arnold Palmer Hospital for Children, Orlando, FL 32806, USA.
Seminars in pediatric surgery
|April 7, 2024
概括
在儿童性结肠炎患者中,30-60%的患者发生囊-门位 (IPAA) 并发症. 本综述详细介绍了IPAA常见问题,重点关注管理和预防,以获得更好的结果.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 炎症性肠道疾病 炎症性肠病
背景情况:
- 囊-门解剖 (IPAA) 是小儿性结肠炎的整体直肠切除术后的标准重建手术.
- 在IPAA之后的术后并发症显著影响患者的结果,影响30-60%的儿科病例.
研究的目的:
- 为儿童患者提供常见IPAA并发症的全面审查.
- 概述目前对呈现,风险因素,诊断工作和管理策略的理解.
- 为了改善生活质量,分享专家关于预防和首选治疗方法的见解.
主要方法:
- 文献审查侧重于儿科IPAA并发症.
- 综合当前关于临床表现和风险因素的证据.
- 讨论诊断方式和治疗干预措施.
主要成果:
- 常见的并发症包括囊炎, afferent 肢体阻塞和盆腔败血症.
- 风险因素各不相同,但包括手术技术和患者特定因素.
- 管理策略范围从抗生素治疗囊炎到手术修复机械问题.
结论:
- 对小儿性结肠炎患者来说,IPAA并发症的有效管理和预防至关重要.
- 涉及外科医生和胃肠科医生的多学科方法优化了患者的护理.
- 需要继续进行研究,以进一步完善外科手术技术和治疗方案.
相关概念视频
Inflammatory Bowel Disease V: Surgical Management
145
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
145
Inflammatory Bowel Disease I: Ulcerative Colitis
173
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
173
Chronic Bowel Disorders: Introduction
449
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
449
Inflammatory Bowel Disease II: Crohn's Disease
227
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
227
Assessment of the Rectum and Anus
205
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
205
Peptic Ulcer Disease V: Surgical Management and Nursing Care
299
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
299


