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大麻素改善依赖肠外营养的慢性假性肠梗阻患者的胃肠道症状。

Cannabinoids Improve Gastrointestinal Symptoms in a Parenteral Nutrition-Dependent Patient With Chronic Intestinal Pseudo-Obstruction.

机构信息

Pediatric Gastroenterology-Hepatology-Nutrition Unit, Necker-Enfants-Malades Hospital, Paris, France.

Woman-Mother-Child Department, Lausanne University Hospital, Lausanne, Switzerland.

出版信息

JPEN J Parenter Enteral Nutr. 2021 Feb;45(2):427-429. doi: 10.1002/jpen.1821. Epub 2020 Mar 17.

Abstract

Chronic intestinal pseudo-obstruction (CIPO) is a rare and challenging cause of pediatric intestinal failure, requiring long-term parenteral nutrition in most cases. Despite optimal management, some patients experience chronic abdominal pain and recurrent obstructive episodes with a major impact on their quality of life. Cannabinoids have been successfully used in some conditions. However, their use in CIPO has never been reported in the literature. We report a case of successful use of medicinal cannabinoids in a patient with CIPO, resulting in a significant reduction of abdominal pain, vomiting, and subocclusive episodes and increased appetite and weight, without major adverse events. Although further observations are required to consolidate these findings, this case may be helpful for other patients suffering from the same condition.

摘要

慢性肠假性梗阻(CIPO)是一种罕见且具有挑战性的儿科肠衰竭病因,在大多数情况下需要长期肠外营养。尽管进行了最佳治疗,但一些患者仍会出现慢性腹痛和反复梗阻发作,对其生活质量有重大影响。大麻素在某些情况下已被成功使用。然而,它们在 CIPO 中的应用在文献中从未被报道过。我们报告了一例 CIPO 患者使用药用大麻素成功的案例,结果患者的腹痛、呕吐和闭襻性发作明显减少,食欲和体重增加,且没有出现重大不良事件。尽管需要进一步观察来巩固这些发现,但该病例可能对其他患有相同疾病的患者有所帮助。

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