短肠综合征的外科治疗  

Surgical treatment of short bowel syndrome

作　　者：李元新[1] Li Yuanxin(Department of Gastrointestinal Surgery,Beijing Tsinghua Changgung Hospital,School of Clinical Medicine,Tsinghua University,Beijing 102218,China)

机构地区：[1]清华大学附属北京清华长庚医院胃肠外科,北京102218

出　　处：《中华炎性肠病杂志（中英文）》2022年第1期31-35,共5页Chinese Journal of Inflammatory Bowel Diseases

摘　　要：短肠综合征的治疗形成了肠道康复和肠道替代为目的的两大治疗方向,具体包括营养支持、促进残存小肠适应性代偿的肠康复内科治疗、非移植外科手术和小肠移植4类措施,其中外科治疗包括非移植外科手术和小肠移植两大类技术。非移植外科手术措施是以肠道康复治疗为目的外科治疗技术,主要包括恢复肠道连续性的消化道重建手术、延长小肠长度为目的缩窄肠管直径类手术、延长食物转运时间的手术;小肠移植是不可逆肠功能衰竭的功能替代治疗技术。短肠综合征治疗应采用多学科团队管理模式,在外科治疗策略上恢复消化道连续性手术占有重要地位。The treatment of short bowel syndrome(SBS)has formed two directions of treatment as intestinal rehabilitation and replacement.It is mainly divided into four categories including clinical nutritional support,intestinal rehabilitation therapy to promote the adaptive compensation of the residual small intestine,non-transplant surgery and small bowel transplantation.Surgical treatment includes non-transplant surgery and small bowel transplantation.Non-transplant surgeries are some complex surgical techniques aimed at intestinal rehabilitation,mainly including the reconstruction of digestive tract to restore intestinal continuity,the stricture of intestinal diameter to prolong intestinal length,and the extension of food transport time to promote more absorption of nutrition.Small bowel transplantation is a functional replacement therapy for irreversible intestinal failure.The treatment of SBS should adopt the management mode of multidisciplinary team and the surgery to restore the continuity of digestive tract plays an important role in the surgical treatment strategy.

关 键 词：短肠综合征 非移植手术 小肠移植 

分 类 号：R656[医药卫生—外科学]