短肠综合征的营养康复治疗

短肠综合征的治疗主要为营养支持和小肠移植,但两种疗法都有其限制和不足之处。作者总结了３例短肠综合征患者联合应用重组人生长激素、谷氨酰胺、纤维素行营养康复治疗的经验,３例患者残存小肠的长度分别为６５、７５、３０ｃｍ,治疗后患者残存肠管的吸收功能和营养状况均有明显改善。作者认为营养康复疗法为短肠综合征提供了一个新的有效的治疗选择。

Nutritional rehabilitation for patients with extreme short bowel

The prolonged parenteral nutrition and intestinal transplantation is considered as useful therapeutics for patients with extreme short bowel. However, both of them are still limited. We report the results of nutritional rehabilitation for patients with extreme short bowel. Three patients whose residual intestines were 65 cm, 75 cm and 30 cm respectively were treated with growth hormone, glutamine and a fiber-containing diet for 2-3 weeks. The nutritional status of patients and the absorptive ability of residual intestine in these patients improved obviously after the treatment. This nutritional rehabilitation regime offers a new potential method for patients with short bowel syndrome.