一例新生儿患有全肠海尔施普朗格病的病例,通过近端结肠切除术进行管理
Farhana Ali-Geiger1, Michael Traynor2, Lauren Baumann2
1Department of Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, University of Utah, USA.
Intestinal Failure (New York, N.Y.)
|February 6, 2026
概括
整体肠道赫施普朗格病 (TIHD) 是一种罕见且具有挑战性的疾病. 在一个患有全肠腺炎的新生儿身上进行近端转向性结肠切除术提供了一个有益的外科治疗方法.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 遗传性疾病 遗传性疾病
背景情况:
- 赫施普隆病 (Hirschsprung disease,简称HD) 是肠道神经系统的一种先天性疾病.
- 全肠性HD (TIHD) 是一种罕见的变种 (<1%的病例),其特征是几乎整个肠道的角质结核病.
- 由于慢性肠衰竭的高风险,TIHD的管理具有挑战性.
研究的目的:
- 报告一个新生儿患有全肠腺炎的病例.
- 描述使用近距离转移性凝膜造影术进行的手术管理.
- 突出这种方法在TIHD管理中的潜在好处.
主要方法:
- 在新生儿中病理确认全肠腺炎.
- 手术干预涉及创建一个凝肠口术.
- 杰诺斯托米位于特雷茨带 (LOT) 距离40厘米的地方.
主要成果:
- 这名新生儿出现了全肠腺炎.
- 进行了靠近端转移性结肠切除术的手术管理.
- 这种方法对病人来说是有益的.
结论:
- 靠近转向凝肠切除术可以成为有效的手术策略,用于管理全肠赫斯普朗格病.
- 这一案例证明了TIHD在这种特定的手术干预中取得了成功的结果.
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