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短肠综合征患者的肠延长手术的营养结果
Tena Niseteo1, Mia Šalamon Janečić1, Sara Sila1
1Referral Center for Pediatric Gastroenterology and Nutrition, Children's Hospital Zagreb, 10000 Zagreb, Croatia.
Nutrients
|May 25, 2024
概括
肠道延长手术 (BLP) 显著降低了儿科短肠综合征 (SBS) 患者对肠外营养 (PN) 的需求. 这些程序改善营养吸收,导致PN依赖性降低,随着时间的推移改善营养状况.
科学领域:
- 儿科外科手术 儿科外科手术
- 胃肠病学 胃肠病学
- 营养支持 营养支持
背景情况:
- 腹腔营养 (PN) 对短肠综合征 (SBS) 的生存至关重要,但具有长期风险.
- 长期的PN可能会导致并发症和生活质量下降.
- 肠道延长程序 (BLP) 的目的是提高营养吸收并减少PN的依赖.
研究的目的:
- 评估肠道延长手术 (BLP) 对儿科短肠综合征 (SBS) 患者的亲肠营养 (PN) 需求的影响.
- 评估BLP后营养状况和PN依赖性的变化.
主要方法:
- 在2016年1月至2022年1月期间接受BLP的儿科SBS患者的回顾性评估.
- 在BLP之前和之后分析PN体积和热量摄入量.
- 在随访期间评估营养状况.
主要成果:
- 显著降低PN总热量摄入量和BLP后PN总体体积的百分比.
- 在6个月观察到最大的益处,并持续到平均31个月的随访期.
- 两名患者完全停止了PN;所有患者都保持了足够的营养状况.
结论:
- 肠道延长程序 (BLPs) 有效地降低了儿科短肠综合征 (SBS) 中的亲肠营养 (PN) 需求.
- 在BLPs后观察到口服食物摄入量增加.
- 在PN降低和口服中显著改善,在手术后6个多月表现出来.
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