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严重小儿反刍综合征:成功的跨学科住院管理。

Severe pediatric rumination syndrome: successful interdisciplinary inpatient management.

机构信息

Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Nationwide Children's Hospital, 700 Children's Dr, Columbus, OH 43205, USA.

出版信息

J Pediatr Gastroenterol Nutr. 2011 Apr;52(4):414-8. doi: 10.1097/MPG.0b013e3181fa06f3.

DOI:10.1097/MPG.0b013e3181fa06f3
PMID:21407115
Abstract

BACKGROUND

Rumination syndrome is a condition that occurs when people constantly regurgitate and expel or reswallow food soon after they eat. The most severe cases of rumination syndrome can be debilitating, requiring total parenteral nutrition or enteral tube feedings. We report our experience with the treatment of children with severe rumination syndrome.

PATIENTS AND METHODS

Five patients with severe rumination syndrome received a novel inpatient interdisciplinary approach, which involved pediatric psychology, pediatric gastroenterology, clinical nutrition, child life, therapeutic recreation, and massage therapy.

RESULTS

Inpatient hospitalization lasted between 9 and 13 days. The treatment was successful in all 5 of the patients. They left with complete caloric intake orally.

CONCLUSIONS

This treatment protocol could benefit pediatric gastroenterologists, pediatricians, and child psychologists in managing both standard and severe cases of rumination syndrome.

摘要

背景

反刍综合征是一种在人们进食后不久经常反刍、吐出或再吞下食物的情况。反刍综合征最严重的病例可能会使人衰弱,需要全胃肠外营养或肠内管饲。我们报告了我们在治疗严重反刍综合征儿童方面的经验。

患者和方法

5 例严重反刍综合征患者接受了一种新的住院跨学科治疗方法,涉及儿科心理学、儿科胃肠病学、临床营养、儿童生活、治疗性娱乐和按摩疗法。

结果

住院时间为 9 至 13 天。5 例患者的治疗均取得成功。他们出院时能够完全经口摄入热量。

结论

这种治疗方案可能使儿科胃肠病学家、儿科医生和儿童心理学家受益,有助于治疗反刍综合征的标准和严重病例。

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