胃口管管理在儿科肠道康复计划中的演变
Nzuekoh N Nchinda1,2, Danielle R Wendel3,4, Patrick J Javid1,2
1Seattle Children's Hospital, Division of Pediatric General and Thoracic Surgery, Seattle, WA, USA.
Intestinal Failure (New York, N.Y.)
|February 6, 2026
概括
儿科肠道衰竭患者越来越多的胃口管 (G管) 提前被切除,甚至在关节营养 (PN) 停止之前. 这种管理的转变使得更多的孩子能够实现肠道自主,同时优先考虑口服养.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 肠道康复 肠道康复
- 手术管理的手术管理.
背景情况:
- 许多患有肠衰竭 (IF) 的儿童需要胃口管 (G-管) 来提供营养支持.
- 在初次住院期间,G管通常被放置,只有在停止腹腔营养 (PN) 后才能被移除.
- 这项研究检查了在肠道康复计划中G管管理的变化,强调口服养.
研究的目的:
- 描述G管管理策略的演变.
- 评估优先口服养对G管使用和移除的影响.
- 为了比较早期和传统的G管闭合队伍之间的结果.
主要方法:
- 电子医疗记录的回顾性审查 (2008-2024年).
- 在多学科肠道康复计划中对儿科患者的分析.
- 早期G管闭合 (PN停止前) 和传统G管闭合 (PN停止后) 队列的比较.
主要成果:
- 在78%的患者中,G管安置发生,通常是在索引入院期间.
- 气管关闭率大幅增加,从28% (2008-2015年) 增加到70% (2016-2024年).
- 早期G管关闭 (n=23) 导致25%的患者获得了肠道自主性,并改善了口服摄入量和生长.
结论:
- 一个肠道康复计划的重点是口服养,导致在PN停止之前更多的G管关闭.
- 儿童可以通过更早的G管切除来实现肠道自主,即使在PN上.
- 应该在多学科肠道康复环境中评估G管的必要性.
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