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11厘米空肠残端的极短肠综合征的治疗及代谢结果

Treatment and metabolic findings in extreme short-bowel syndrome with 11 cm jejunal remnant.

作者信息

Kurz R, Sauer H

出版信息

J Pediatr Surg. 1983 Jun;18(3):257-63. doi: 10.1016/s0022-3468(83)80095-5.

DOI:10.1016/s0022-3468(83)80095-5
PMID:6875772
Abstract

A full term girl survived nonresected, subtotal small-bowel gangrene. The length of the small-bowel remnant (only jejunum) measured 11 cm. Anastomosis was performed with insertion of a 3-cm-long antiperistaltic segment. The ileocecal valve remained intact. The jejunal remnant showed an increase in length of at least 1 m. The resorptive functions of the bowel residue recovered incompletely, particularly the ileal functions. Disturbances of calcium and phosphorus metabolism are now in the foreground; nevertheless, the child now manages to live without parenteral feeding.

摘要

一名足月儿在未进行小肠大部切除术的情况下,成功存活于小肠次全坏疽状态。小肠残余部分(仅为空肠)长度为11厘米。通过插入一段3厘米长的逆蠕动肠段进行了吻合术。回盲瓣保持完整。空肠残余部分长度至少增加了1米。肠残余部分的吸收功能未完全恢复,尤其是回肠功能。钙和磷代谢紊乱现已成为主要问题;尽管如此,该患儿现在已能够在无需肠外营养的情况下生活。

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Treatment and metabolic findings in extreme short-bowel syndrome with 11 cm jejunal remnant.11厘米空肠残端的极短肠综合征的治疗及代谢结果
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Children (Basel). 2022 Jul 10;9(7):1024. doi: 10.3390/children9071024.
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Pediatr Surg Int. 2021 Jan;37(1):1-15. doi: 10.1007/s00383-020-04781-2. Epub 2021 Jan 3.
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Surgical strategies in short bowel syndrome.短肠综合征的手术策略
Pediatr Surg Int. 2017 Apr;33(4):413-419. doi: 10.1007/s00383-016-4043-6. Epub 2016 Dec 30.
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Intestinal lengthening: an experimental and clinical review.肠道延长术:一项实验与临床综述。
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[Pathogenesis and therapy of ileus in childhood].[儿童肠梗阻的发病机制与治疗]
Langenbecks Arch Chir. 1985;366:303-11. doi: 10.1007/BF01836652.
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Massive small bowel resection in neonates--is weaning from parenteral nutrition the final goal?新生儿大量小肠切除——肠外营养脱机是最终目标吗?
Surg Today. 1992;22(1):40-5. doi: 10.1007/BF00326124.