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成人短肠综合征胰高血糖素样肽-2类似物营养疗法的最新综述

An updated overview of glucagon-like peptide-2 analog trophic therapy for short bowel syndrome in adults.

作者信息

Zhu Changzhen, Li Yuanxin

机构信息

Department of Gastrointestinal Surgery, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing 102218, China.

出版信息

J Int Med Res. 2022 Mar;50(3):3000605221086145. doi: 10.1177/03000605221086145.

Abstract

Short bowel syndrome (SBS) is a clinical condition characterized by a failure to achieve optimal intestinal adaptation, which is necessary to maintain oral/enteral autonomy. At present, the treatment options for SBS are primarily intestinal replacement and rehabilitation. Intestinal rehabilitation mainly includes non-transplantation surgery and intestinal rehabilitation measures. In recent years, intestinal rehabilitation in patients with SBS using nutritional intestinal hormones, especially glucagon-like peptide-2 analogs, has made great progress. Many high-quality studies have provided evidence-based medical findings to support the development of clinical guidelines. This article reviews the latest research advancements regarding the use of glucagon-like peptide-2 analogs (teduglutide, glepaglutide, and apraglutide) in the treatment of SBS.

摘要

短肠综合征(SBS)是一种临床病症,其特征是无法实现最佳肠道适应,而这对于维持经口/肠内自主功能是必要的。目前,SBS的治疗选择主要是肠道替代和康复。肠道康复主要包括非移植手术和肠道康复措施。近年来,使用营养性肠激素,尤其是胰高血糖素样肽-2类似物对SBS患者进行肠道康复取得了很大进展。许多高质量研究提供了循证医学结果以支持临床指南的制定。本文综述了关于使用胰高血糖素样肽-2类似物(替度鲁肽、格列帕鲁肽和阿普拉鲁肽)治疗SBS的最新研究进展。

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本文引用的文献

1
Teduglutide for pediatric short bowel syndrome patients.替度鲁肽用于小儿短肠综合征患者。
Expert Rev Gastroenterol Hepatol. 2021 Jul;15(7):727-733. doi: 10.1080/17474124.2021.1913052. Epub 2021 Apr 26.
5
Teduglutide for short bowel syndrome.替度鲁肽用于短肠综合征
Aust Prescr. 2020 Apr;43(2):72-73. doi: 10.18773/austprescr.2020.017. Epub 2020 Mar 3.

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