Longitudinal intestinal lengthening and tailoring: results in 20 children
Longitudinal intestinal lengthening and tailoring: results in 20 children
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DOI：
10.1177/014107689709000804
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发表时间：
1997-08-01
影响因子：
17.3
通讯作者：
Bianchi, A
中科院分区：
文献类型：
--
作者：
Bianchi, A
纵向肠延长和剪裁（LILT）作为治疗短肠综合征越来越受欢迎。1982 ~ 1997年，我院共收治20例患儿，无手术死亡，并发症发生率低（2例半袢吻合口狭窄）。平均随访6.4年，总生存率为45%，某些特征与结局明显相关。存活者有>40 cm的残留小肠（通常是空肠），尽管肠外营养的时间和性质与非存活者相似，但几乎没有肝功能障碍。那些没能活下来的孩子
Longitudinal intestinal lengthening and tailoring (LILT) is increasingly favoured as a treatment for short-bowel syndrome. In a personal series, 20 children underwent LILT between 1982 and 1997.There was negligible morbidity (hemiloop anastomotic stenosis in 2) and no operative mortality. At a mean follow-up of 6.4 years overall survival was 45%, and certain features were clearly related to outcome. Survivors had >40 cm of residual small bowel (commonly jejunum) and had little hepatic dysfunction despite parenteral nutrition of similar time and nature as non-survivors. Children who did not survive had