短肠综合征的营养康复治疗(附3例报告)

Nutritional rehabilitation for patients with extreme short bowel

短肠综合征的治疗主要是营养支持和小肠移植 ,但两种疗法都有其限制和不足。本文报告对 3例短肠病人联合应用重组人生长激素、谷氨酰胺、纤维饮食行营养康复治疗 ,病人残存小肠的长度分别为 65cm、75cm、30 cm,治疗后病人残存肠管的吸收功能和营养状况均有明显改善。

Nowadays,the prolonged parenteral nutrition or intestinal transplantation are considered as useful therapeutics for pa- tients with extreme short bowel,however, both of them still are limited.We report the results of nutritional rehabilitation for patients with extreme short bowel.Three patients,whose residual intestines were 6 5 cm,75 cm and 30 cm respectively,were treated with growth hormone,glutamine and a fiber- containing diet for2～ 3weeks. 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.