可吸收的打导致危及生命的营养不良:案例报告
Kinga Miaśkiewicz1, Maria Janiak2, Marcin Folwarski3,4
1Department of Paediatrics, Gastroenterology, Allergology and Nutrition, Medical University of Gdańsk, Gdańsk, Poland.
Frontiers in nutrition
|February 5, 2026
概括
吸收性打会导致严重的营养不良. 通过皮肤内镜胃口与骨延伸管 (PEG-PEJ) 的胃养改善了一个患者的情况.
科学领域:
- 胃肠病学和肝病学 胃肠学和肝病学
- 临床营养学 临床营养学
- 神经学 神经学
背景情况:
- 持续性 hiccups,定义为持续超过一个月的 hiccups,可以显著损害生活质量.
- 严重的病例可能导致严重的体重减轻,肌肉消耗和功能下降,原因是口服营养摄入不足.
- 营养不良是慢性打的一个未被认可的并发症,营养管理策略有限.
研究的目的:
- 报告严重营养不良的病例,其次是难以治愈的打.
- 描述通过皮肤内镜胃口与骨延伸 (PEG-PEJ) 进行肠道营养的成功使用,以进行营养康复.
- 评估胃食在患有难以治愈的打和完整的胃通道的患者的可行性.
主要方法:
- 一名63岁的男性有5年的难治性打病史,体重减轻了37%,通过PEG-PEJ接受了肠道营养.
- 在干预期间和之后,监测营养状况和功能能力.
- 在管脱离后,进行了胃食的过渡,而抽仍然存在.
主要成果:
- 通过PEG-PEJ进行肠道养,在6个月内体重增加15公斤,功能恢复显著.
- 胃食是耐受良好的,尽管持续的打.
- 患者的营养状况和功能持续改善.
结论:
- 可吸收的打会导致严重且未被认可的营养不良.
- 肠道营养,特别是通过PEG-PEJ,可以有效地管理与慢性打相关的营养不良.
- 胃食可能是这些患者营养支持的可行的替代方案,即使是持续的打.
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