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克罗恩病合并短肠综合征患者成功妊娠:停用全肠外营养并启用胰高血糖素样肽-2类似物替度鲁肽——病例报告

Successful Pregnancy in a Patient with Crohn's Disease and Short Bowel Syndrome: Off Total Parenteral Nutrition and On Teduglutide, a Glucagon-Like Peptide-2 Analog - A Case Report.

作者信息

Dahar Maria M, Both MacKenzie, Lord Linda M, Densmore Carly, Saubermann Lawrence J

机构信息

Carondelet St. Joseph's Hospital, Tucson, AZ, USA.

Division of Gastroenterology, Hepatology and Endoscopy, University of Rochester Medical Center, Rochester, NY, USA.

出版信息

Case Rep Gastroenterol. 2025 Feb 4;19(1):57-61. doi: 10.1159/000543291. eCollection 2025 Jan-Dec.

DOI:10.1159/000543291
PMID:39906192
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11793910/
Abstract

INTRODUCTION

Patients with short bowel syndrome (SBS) on conventional oral diets often face nutritional deficiencies and dehydration, a challenge further compounded during pregnancy. This case report describes the use of a glucagon-like peptide-2 (GLP-2) analog in the nutritional management of an SBS patient dependent on total parenteral nutrition (TPN).

CASE PRESENTATION

A 29-year-old woman with a significant medical history of Crohn's disease leading to SBS was traditionally dependent on TPN for sustenance. During her pregnancy, she was successfully managed with a GLP-2 analog, which enabled her to wean off TPN. This successful management underscores the therapeutic potential of GLP-2 analogs in effectively altering the nutritional landscape for SBS patients, including during the physiologically demanding period of pregnancy.

CONCLUSION

GLP-2 analogs helped with the nutritional management of patients with SBS during pregnancy and helped them wean off TPN. There is a need for further research and exploration into GLP-2 analogs as viable alternatives to conventional treatments such as TPN in the care and management of SBS patients during pregnancy.

摘要

引言

患有短肠综合征(SBS)的患者在采用传统口服饮食时常常面临营养缺乏和脱水问题,而在孕期这一挑战会更加复杂。本病例报告描述了一种胰高血糖素样肽-2(GLP-2)类似物在一名依赖全胃肠外营养(TPN)的SBS患者营养管理中的应用。

病例介绍

一名29岁女性,有因克罗恩病导致SBS的重大病史,传统上依赖TPN维持生命。在她怀孕期间,使用GLP-2类似物成功进行了管理,使其能够停用TPN。这一成功管理突出了GLP-2类似物在有效改变SBS患者营养状况方面的治疗潜力,包括在生理需求较高的孕期。

结论

GLP-2类似物有助于孕期SBS患者的营养管理,并帮助他们停用TPN。有必要进一步研究和探索GLP-2类似物,作为在孕期SBS患者护理和管理中替代TPN等传统治疗方法的可行选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb9e/11793910/b3da83a8b538/crg-2025-0019-0001-543291_F01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb9e/11793910/b3da83a8b538/crg-2025-0019-0001-543291_F01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb9e/11793910/b3da83a8b538/crg-2025-0019-0001-543291_F01.jpg

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Successful pregnancy in a patient with short bowel syndrome after surgical rehabilitation and sGLP-2 treatment: novel report on endogenous GLP-2 levels at delivery and during breastfeeding.手术康复及司美格鲁肽治疗后短肠综合征患者成功妊娠:分娩及哺乳期内源性胰高血糖素样肽-2水平的新报告
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