Division of Paediatric Surgery, Department of Surgery, Queen Elizabeth Hospital, 30 Gascoigne Road, Hong Kong.
Hong Kong Med J. 2012 Feb;18(1):35-9.
To report our experience with the first series of serial transverse enteroplasty operations (a novel bowel-lengthening procedure for patients with short bowel syndrome). DESIGN. Case series.
A tertiary paediatric surgery referral centre in Hong Kong.
Four patients with short bowel syndrome aged 11 months to 14 years underwent serial transverse enteroplasty between November 2007 and June 2010.
A total of six such serial procedures were performed; two patients had repeated operations. Median pre-serial transverse enteroplasty small bowel length was 17.5 cm. The median increase in small bowel length was 90%. One patient experienced transient postoperative intestinal obstruction that resolved after conservative management. The median postoperative follow-up period was 31 months. The median enteral nutrition tolerance increased from 24% to 47%. The median weight-for-age z score increased by 0.55, and the median weight-for-height z score increased by 0.98. One patient had successfully weaned off parenteral nutrition.
Serial transverse enteroplasty is a feasible and safe treatment for short bowel syndrome patients, which helps to improve enteral nutrition and promote growth. Repeated serial transverse enteroplasty can be performed in patients with ultra-short bowel lengths. Follow-up is necessary to assess the long-term outcomes.
报告我们在一系列连续横向肠成形术（一种用于短肠综合征患者的新型肠延长手术）中的经验。
病例系列。
中国香港的一家三级儿科手术转诊中心。
2007 年 11 月至 2010 年 6 月期间，4 名年龄在 11 个月至 14 岁的短肠综合征患者接受了连续横向肠成形术。
共进行了 6 次这样的连续手术，其中 2 名患者进行了重复手术。术前连续横向肠成形术小肠长度的中位数为 17.5cm。小肠长度的中位数增加了 90%。1 名患者出现短暂性术后肠梗阻，经保守治疗后缓解。中位术后随访时间为 31 个月。肠内营养耐受的中位数从 24%增加到 47%。体重-年龄 z 评分的中位数增加了 0.55，体重-身高 z 评分的中位数增加了 0.98。1 名患者已成功停用肠外营养。
连续横向肠成形术是治疗短肠综合征患者的一种可行且安全的方法，有助于改善肠内营养和促进生长。对于超短肠长度的患者，可以重复进行连续横向肠成形术。需要进行随访以评估长期结果。
