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在儿童中食乳:安全性,有效性和前景
Valentina Forlini1,2, Caterina Sacchetti1,2, Paolo Gandullia3
1Pediatric Surgery Department, IRCCS, Istituto Giannina Gaslini, Largo Gaslini 5, 16147, Genoa, Italy.
Pediatric surgery international
|November 28, 2024
概括
手术直肠切除术 (SJ) 对于需要长期直肠养 (JF) 的儿科患者,特别是那些神经障碍患者来说,是一种安全有效的选择,可能会延迟更具侵入性的程序.
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:
- 在儿童中,越来越多地显示Jejunal Feeding (JF).
- 据报道,手术性结肠切除术 (SJ) 的并发症率很高.
- 需要评估SJ的安全性,有效性和患者选择.
研究的目的:
- 评估小儿科患者手术结肠切除术 (SJ) 的安全性和有效性.
- 确定从SJ中受益最多的患者子组.
- 分析与SJ程序相关的并发症.
主要方法:
- 在吉安妮娜·加斯利尼 (Giannina Gaslini) 儿童医院 (2014-2022) 的SJ程序的回顾性分析.
- 收集的数据:人口统计数据,病史,适应症,手术技术 (Roux-en-Y凝造形术 - REYJ,欧米茄凝造形术 - OJ),并发症和营养结果.
- 营养结果的后续跟踪和凝肠切除术的停止/关闭.
主要成果:
- 包括14名儿科患者;64%患有严重的神经功能障碍.
- 胃食道逆流是SJ最常见的征兆.
- 在REYJ和OJ技术之间的结果没有显著差异.
- 一个主要的长期并发症发生了.
- 36%的患者在平均40个月的随访后停止了JF治疗.
结论:
- 手术直肠切除术 (SJ) 是为选定的儿科患者提供可行的选择.
- SJ可以作为临时或桥梁治疗.
- 它可能有助于预防或延迟需要更具侵入性的手术.
- 仔细的患者选择对于成功的结果至关重要.
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