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儿科营养手术及其含义:单心回顾分析的结果
Girolamo Mattioli1,2, Maria Stella Cipriani3,4, Giulia Barone1,2
1Pediatric Surgery Department, IRCCS, Istituto Giannina Gaslini, Largo Gaslini 5, 16147, Genoa, Italy.
Pediatric surgery international
|May 2, 2024
概括
营养手术 (NS) 途径改善了神经功能障碍儿童的结果. 整体食管胃解离 (TEGD) 是有效的,有92.3%的患者不需要进一步的程序.
科学领域:
- 儿科手术 儿科手术
- 营养管理 营养管理
- 胃肠病学 胃肠病学
背景情况:
- 现有的指导方针对手术治疗儿科营养问题的建议有限.
- 神经功能障碍 (NI) 显著影响儿童的营养挑战.
研究的目的:
- 为选择最佳营养手术 (NS) 程序开发一个管理途径.
- 为指导患有复杂营养需求的儿科患者的手术决策.
主要方法:
- 对154名儿科患者 (2015-2019) 的回顾性分析.
- 根据神经功能障碍 (NI) 状态分类的患者和呈现症状的患者 (消化不良,GER,延迟胃空化).
主要成果:
- 111名患者有NI; 这一组的并发症和死亡率更高.
- 胃口是没有GER的消化不良的主要原因;对于GER而言,尼森基底复合是常见的.
- 全食道胃解离 (TEGD) 显示高效,其中92.3%避免重复手术.
结论:
- 营养手术的选择取决于症状和神经状态.
- 建议的管理流程图可以帮助优化儿童患者的NS程序.
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