慢性肠道伪造|Diagnosis & Treatments
如何诊断慢性肠道伪腹结构?
因为慢性肠道伪腹结构(CIP)的症状类似于其他gastrointestinal conditions, your child's doctor may need to order several tests before making a formal diagnosis.
Your child's doctor may order one or more of the following tests and procedures:
- 成像研究, 如x-rays, can rule out an intestinal obstruction.
- anmeasure pressure in the bowel and can help diagnose CIP without more invasive testing. During anantroduodenal manometry测试,医生通过鼻子或现有的胃造口术(进食管)喂入胃和小肠以测量压力。对于结肠测压,医生做同样的事情,但通过结肠将管子喂入肠道。
- Laparotomyis a surgical procedure that is rarely necessary. A surgeon makes an abdominal incision so they can examine and biopsy the intestines.
如何处理肠道伪造?
虽然尚无伪造的已知治疗方法,但适当的治疗可以稳定病情,防止并发症并改善您的孩子的生活质量,因此他们可以参加典型的儿童活动。
Treatment may include:
- Nutritional support therapy:适当的营养是CIP儿童的重中之重。CIP的孩子应该在整天吃几顿小餐,易于消化的食物。甚至无法吃小饭的孩子可能需要肠内营养,该营养可通过喂食管将液体饮食供应到胃或肠道。在更严重的情况下,孩子的医生可能会建议肠胃外营养,通过导管直接向静脉提供营养。
- Surgical decompression:为了减轻肠中的压力,外科医生可以将喂食管直接插入胃中,或在腹部形成开口,肠道可以通过该开口释放气体和空凳子。
- Medications:Prokinetic drugs may improve motility, the ability to move food through the intestines, in some children by aiding contractions. Depending on the child's symptoms, the child's clinician may also prescribe antibiotics, anti-nausea medications, anti-diarrheal medications, or laxatives.
- 疼痛管理:有几种选择可以控制和缓解CIP相关的疼痛和不适,包括口服药物,甚至硬膜外麻醉。但是,止痛药也可以减慢消化,并应为CIP儿童提供少量使用。
- 小肠移植:在严重的情况下,可能需要用intestinal and multivisceral transplant。