在儿童食道置换后的多维长期结果:一个比较研究两种技术
Michaël de Sousa Amaral1, Esperance Houmenou2, Natacha Nouwakpo3
1Department of Pediatric Surgery, CURCP, Centre Hospitalier Universitaire Vaudois, Lausanne University Hospital, Lausanne, VD, Switzerland.
World journal of pediatric surgery
|February 9, 2026
概括
结肠脚和胃管食道置换为患有腐蚀性损伤的儿童提供了类似的长期结果. 然而,结肠片显示出更好的心理社会福祉,突出了对量身定制的后续护理的需要.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 生活质量研究 研究 生命质量研究
背景情况:
- 在儿童中引起的食道损伤需要进行外科重建.
- 不同的食道置换技术的长期结果需要全面评估.
研究的目的:
- 为了比较多维的长期结局之间的结肠脚片和胃管食道置换在儿童后的伤害造成的伤害.
- 评估这些患者的胃肠道,心理社会和功能生活质量.
主要方法:
- 在1989-2022年间对26名 (6至22岁) 患者进行了截面观察研究.
- 使用PedsQL GI,KIDSCREEN-52,SF-36,IDDSI尺度和6分钟步行测试进行全面评估.
- 在17个结肠和9个胃管重建之间比较了结果.
主要成果:
- 两组之间胃肠道症状 (PedsQL GI) 或功能测试 (6MWT) 没有显著差异.
- 结肠脚片组报告了显著更高的心理社会福祉 (KIDSCREEN-52).
- 38%的患者需要改变饮食质地 (IDDSI 5-6级),均分布.
结论:
- 结肠和胃食道置换都产生了令人满意的长期结果和生活质量.
- 心理社会结果不同,有利于结肠重建.
- 持续的饮食调整需求强调了多学科后续监测的重要性.
相关概念视频
Esophageal Varices-I: Introduction
1.5K
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
1.5K
Predicting Reaction Outcomes
11.0K
Kinetics describes the rate and path by which a reaction occurs. In contrast, thermodynamics deals with state functions and describes the properties, behavior, and components of a system. It is not concerned with the path taken by the process and cannot address the rate at which a reaction occurs. Although it does provide information about what can happen during a reaction process, it does not describe the detailed steps of what appears on an atomic or a molecular level. On the other hand,...
11.0K
Outcomes of Glycolysis
107.6K
Nearly all the energy used by cells comes from the bonds that make up complex organic compounds. These organic compounds are broken down into simpler molecules, such as glucose. As a result, cells extract energy from glucose over many chemical reactions—a process called cellular respiration.
Cellular respiration can occur aerobically (with oxygen) or anaerobically (without oxygen). In the presence of oxygen, cellular respiration starts with glycolysis and continues with pyruvate...
Cellular respiration can occur aerobically (with oxygen) or anaerobically (without oxygen). In the presence of oxygen, cellular respiration starts with glycolysis and continues with pyruvate...
107.6K
Long-term Depression
33.3K
Long-term depression, or LTD, is one of the ways by which synaptic plasticity—changes in the strength of chemical synapses—can occur in the brain. LTD is the process of synaptic weakening that occurs over time between pre and postsynaptic neuronal connections. The synaptic weakening of LTD works in opposition to synaptic strengthening by long-term potentiation (LTP) and together are the main mechanisms that underlie learning and memory.
33.3K
Esophageal Perforation-I: Introduction
619
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
619
Esophageal Strictures-I: Introduction
904
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
904


