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小儿肠假性梗阻:进展与挑战

Pediatric Intestinal Pseudo-Obstruction: Progress and Challenges.

作者信息

Turcotte Marie-Catherine, Faure Christophe

机构信息

Division of Pediatric Gastroenterology, Hepatology and Nutrition, Sainte-Justine University Health Centre, Université de Montréal, Montreal, QC, Canada.

出版信息

Front Pediatr. 2022 Apr 13;10:837462. doi: 10.3389/fped.2022.837462. eCollection 2022.

DOI:10.3389/fped.2022.837462
PMID:35498768
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9045367/
Abstract

BACKGROUND

Chronic intestinal pseudo-obstruction is a rare disorder and represents the most severe form of gastrointestinal dysmotility with significant morbidity and mortality. Emerging research shows considerable differences between the adult and pediatric population with intestinal pseudo-obstruction and the term Pediatric Intestinal Pseudo-Obstruction (PIPO) was recently proposed.

PURPOSE

The aim of this article is to provide pediatric gastroenterologists and pediatricians with an up to date review of the etiology and underlining pathophysiology, clinical features, diagnostic and management approaches currently available for PIPO and to discuss future perspectives for the diagnosis and management of this rare disease.

摘要

背景

慢性肠道假性梗阻是一种罕见疾病,是胃肠动力障碍最严重的形式,具有较高的发病率和死亡率。新出现的研究表明,成人和儿童肠道假性梗阻患者之间存在显著差异,最近提出了“小儿肠道假性梗阻(PIPO)”这一术语。

目的

本文旨在为儿科胃肠病学家和儿科医生提供关于PIPO病因、潜在病理生理学、临床特征、当前可用的诊断和管理方法的最新综述,并讨论这种罕见疾病诊断和管理的未来前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d30/9045367/d6fc4b06bd9d/fped-10-837462-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d30/9045367/d6fc4b06bd9d/fped-10-837462-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d30/9045367/d6fc4b06bd9d/fped-10-837462-g001.jpg

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Sci Rep. 2021 Nov 26;11(1):22974. doi: 10.1038/s41598-021-02268-1.
2
Prucalopride in intestinal pseudo obstruction, paediatric experience and systematic review.普芦卡必利在小儿假性肠梗阻中的应用:儿科经验与系统评价。
Acta Gastroenterol Belg. 2021 Jul-Sep;84(3):429-434. doi: 10.51821/84.3.002.
3
Enhancing the utility of antroduodenal manometry in pediatric intestinal pseudo-obstruction.
使用X射线相衬断层扫描术测量生理和病理条件下肠神经系统的体积变化。
JGH Open. 2024 Sep 18;8(9):e70027. doi: 10.1002/jgh3.70027. eCollection 2024 Sep.
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A lmod1a mutation causes megacystis microcolon intestinal hypoperistalsis in a CRISPR/Cas9-modified zebrafish model.lmod1a 突变导致 CRISPR/Cas9 修饰斑马鱼模型中的巨膀胱-小结肠-肠蠕动不良。
Pediatr Surg Int. 2024 Aug 14;40(1):225. doi: 10.1007/s00383-024-05809-7.
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Megacystis microcolon intestinal hypoperistalsis syndrome (MMIHS): challenges in diagnosis and management.巨膀胱-小结肠-肠蠕动不良综合征(MMIHS):诊断和管理中的挑战。
BMJ Case Rep. 2024 Apr 16;17(4):e259983. doi: 10.1136/bcr-2024-259983.
6
Pediatric Intestinal Pseudo-Obstruction: An International Survey on Diagnostic and Management Strategies in the European Reference Network for Rare Inherited and Congenital Anomalies Intestinal Failure Teams.儿科假性肠梗阻:欧洲罕见遗传性和先天性畸形肠衰竭团队参考网络中用于诊断和管理策略的国际调查。
J Pediatr Gastroenterol Nutr. 2023 Jul 1;77(1):24-30. doi: 10.1097/MPG.0000000000003788. Epub 2023 Apr 7.
增强抗胰十二指肠测压术在小儿假性肠梗阻中的应用。
Neurogastroenterol Motil. 2022 May;34(5):e14259. doi: 10.1111/nmo.14259. Epub 2021 Sep 16.
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