13岁儿童短肠综合征的长期后果

E. Yablokova, S.A. Zyuzina, E. Borisova
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摘要

本文目的:观察1例13岁男孩术后短肠综合征的长期预后。关键Р关节。短肠综合征(SBS)的特点是由于广泛切除而导致小肠吸收能力低下,表现为吸收不良、营养不良和消化系统紊乱。对一名13岁儿童术后短肠综合征病史的观察表明,SBS的长期后果:巨幼细胞b12缺乏性贫血伴神经系统症状,身体发育迟缓,持续性吻合口炎。结论。在有短肠综合征病史的儿童中,在获得肠道自主性后,仍然存在一些严重破坏患者健康的风险。这些病人需要长期的食品保险和由多学科专家组成的团队的监督。关键词:短碗综合征,小肠切除术,吸收不良,肠外营养,慢性肠衰竭,肠道自主,b12缺乏性贫血
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Long-term Consequences Short Bowel Syndrome in a 13-year-old Child
Objective of the Paper: to demonstrate the observation of the long-term consequences of postresection short bowel syndrome in a 13-year- old boy. Key Рoints. Short bowel syndrome (SBS) is characterized by a low absorption capacity of the small intestine as a result of extensive resections, which is manifested by malabsorption, malnutrition and digestive disorders. Observation of a 13-year-old child with a history of postresection short bowel syndrome 10 years after acquiring intestinal autonomy (independence from parenteral nutrition) illustrates the long-term consequences SBS: megaloblastic B12-deficient anemia with neurological symptoms, delayed physical development, persistent anastomositis. Conclusion. In children with a history of short bowel syndrome, after acquiring intestinal autonomy, some risks remain that significantly disrupt the patient's health. Such patients need long-term food insurance and supervision by a multidisciplinary team of specialists. Keywords: short bowl syndrome, small intestine resection, malabsorption, parenteral nutrition, chronic intestinal failure, intestinal autonomy, B12-deficient anemia.
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