Sawaya David, Gearhart John P
Department of General Surgery, Division of Pediatric Surgery, University of Mississippi Medical Center, Jackson, MS 39216, USA.
Semin Pediatr Surg. 2011 May;20(2):123-5. doi: 10.1053/j.sempedsurg.2010.12.008.
The OEIS complex (ie, omphalocele-exstrophy-imperforate anus-spinal defects) is a rare and complex anomaly requiring collaboration among multiple pediatric surgical subspecialties throughout the early childhood period. Initial gastrointestinal management involves identification of all intestinal components with reconstruction of the entire length of intestines in-line leading to an end colostomy. Candidacy for an abdominoperineal intestinal pull-through procedure is dependent upon the patient's ability to form solid stools, degree of pelvic neuromuscular development, and ability to comply with a bowel management program.
OEIS综合征（即脐膨出-泄殖腔外翻-肛门闭锁-脊柱裂）是一种罕见且复杂的先天性畸形，在儿童早期需要多个小儿外科亚专业共同协作。最初的胃肠道处理包括识别所有肠道组件，并将整个肠道长度进行原位重建，最终进行末端结肠造口术。腹会阴经肛门拖出术的适应证取决于患者形成成形粪便的能力、盆腔神经肌肉发育程度以及遵守肠道管理计划的能力。
