评估先前胃口术的儿科患者的胃空化:一个回顾性队列研究
Ryan Shargo1, Morgan Ekblad2, Jerry M Brown3
1University of South Florida Morsani College of Medicine, Tampa, Florida, USA.
Journal of pediatric gastroenterology and nutrition
|June 10, 2025
概括
儿童胃口管没有改变胃排空率,尽管它们与更高的胃食道逆流有关. 需要进一步的研究,以探索胃口位置与改变胃排空之间的潜在因果关系.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 胃肠道运动障碍 胃肠道运动障碍
- 诊断成像 诊断成像 诊断成像
背景情况:
- 胃口管在儿科肠道养中很常见,但它们对胃空化的影响尚不清楚.
- 关于患有胃口管的儿童的临床特征和胃排空模式的数据有限.
研究的目的:
- 为了比较临床概况,胃空化和胃衰竭诊断率在儿童患者和没有先前的胃口术.
- 为了研究胃口状况和胃食道逆流 (GER) 之间的关系,在胃排空扫描 (GES) 上进行.
主要方法:
- 对238名儿科患者 (<18岁) 的回顾性分析,这些患者在2016-2020年间接受了GES.
- 胃半排空时间 (T1/2) 的比较,胃保留率和GER,基于之前的胃口术 (PEG或手术).
- 使用千平方,费舍尔精确和曼-惠特尼U测试进行统计分析.
主要成果:
- 在有或没有先前胃口术的患者之间,没有发现胃的诊断率或胃排空 (T1/2) 的显著差异.
- 以前经过胃口术的患者年轻,更常见的是男性,更有可能接受液体GES.
- 在胃口组中,在GES上观察到显著更高的GER率 (32.8%与16.7%相比).
结论:
- 在儿科患者中,先前的胃口位置似乎不会显著改变胃排空率.
- 儿童的胃口管与在GES期间检测到的GER的增加率有关.
- 需要进行前性研究,以确定胃口位置与改变的胃空化或GER之间的任何因果关系.
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