The Outcomes of Treatment in Infants with Short Bowel Syndrome

IF 0.3 Q4 PEDIATRICS Journal of Child Science Pub Date : 2022-12-03 DOI:10.1055/s-0043-1764341
Q. Tran, T. T. Ngo, T. Nguyen, S. Le, Thanh Chi Ho, Thao Khac Thai, H. Tran
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Abstract

Abstract Objective  We reviewed 50 infant cases with short bowel syndrome (SBS) to examine the treatment outcome of SBS management in a tertiary hospital in Vietnam. Material and Methods  A case series was performed at the National Children's Hospital, Hanoi, Vietnam. A total of 50 cases with SBS were reviewed. Clinical and laboratory characteristics before and after treatment were collected. Results  The most common cause of SBS was necrotizing enterocolitis. Common clinical symptoms included watery stools, dehydration, and malnutrition. After treatment, the patient's weight, albumin, and prothrombin improved markedly. There are 72% of children with good or fair treatment results. The rate of sepsis was high (18%). There was one case with complications of catheter infection and one case of liver failure. Three children died during treatment, one died from septic shock and multiple organ failure, and two died from respiratory failure. Conclusion  This study showed promising treatment outcomes in pediatrics.
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婴儿短肠综合征的治疗结果
摘要目的回顾性分析越南某三级医院50例婴儿短肠综合征(SBS)的治疗效果。材料与方法在越南河内国立儿童医院进行了一系列病例研究。本文共回顾了50例SBS病例。收集治疗前后的临床和实验室特征。结果SBS最常见的病因是坏死性小肠结肠炎。常见的临床症状包括水样便、脱水和营养不良。治疗后,患者的体重、白蛋白和凝血酶原明显改善。有72%的儿童获得良好或公平的治疗结果。脓毒症发生率高(18%)。1例出现导管感染并发症,1例肝功能衰竭。三名儿童在治疗期间死亡,一名死于感染性休克和多器官衰竭,两名死于呼吸衰竭。结论本研究显示了良好的儿科治疗效果。
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19
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