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Vessel-sparing Excision and Primary Anastomosis
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简单与复杂的胃分裂结局:30年多中心审查
Andreina Giron1, Peter T Yu2, John Schomberg2
1Division of Pediatric General & Thoracic Surgery, Children's Hospital Orange County, Orange, CA, USA; Department of Surgery, Montefiore Medical Center, Bronx, NY, USA.
Journal of pediatric surgery
|June 5, 2025
概括
复杂胃 (CG) 与简单胃 (SG) 相比,与更高的早产率,死性肠球炎和更长的住院时间有关. 然而,对于这两种情况,存活到释放的时间仍然相似.
科学领域:
- 新生儿手术 新生儿手术
- 儿科胃肠病学 儿科胃肠病学
- 有先天性异常.
背景情况:
- 胃,一种先天性腹壁缺陷,在全球范围内越来越普遍.
- 了解长期的结果和区分简单 (SG) 和复杂的胃 (CG) 的因素仍然至关重要.
- 以前的研究表明,SG和CG之间的发病率和死亡率存在差异,但缺乏扩展数据.
研究的目的:
- 在30年的时间内评估胃病的临床结果.
- 为了比较简单的胃 (SG) 和复杂的胃 (CG) 之间的结果.
- 假设和测试SG和CG之间临床结果的差异.
主要方法:
- 对于Cerner 1998-2022年的真实世界数据进行了回顾.
- 根据手术程序和并发症,将胃症分为简单 (SG) 和复杂 (CG).
- 分析主要终点,包括死亡率,停留时间 (LOS),呼吸机使用,死角性肠球炎 (NEC),肠动性和胃食道逆流病 (GERD).
主要成果:
- 该队列包括331名新生儿:255名SG和76名CG.
- 复杂的胃 (CG) 显示出更高的早产率,死性肠球炎 (NEC) 和肠道不运动.
- CG与停留时间 (LOS) 的显著增加和例行出院率的降低有关,尽管存活到出院的时间与SG相似.
结论:
- 这项广泛的回顾性研究证实了简单 (SG) 和复杂的胃 (CG) 之间的显著结果差异.
- 调查结果强调了区分SG和CG对于患者管理和家庭咨询的重要性.
- 医疗保健提供者应该就潜在的结果向家庭提供建议,以确保为患有胃症的新生儿做好最佳准备.
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