短肠综合征的营养及相关治疗

Management of nutrition and contemporary treatment for short bowel syndrome

短肠综合征是因各种疾病广泛行肠道切除或旷置,患者出现不同程度吸收功能障碍的一组综合征,残存的肠管无法维持机体能量及营养需求是其共同特点。通过合理的营养与肠康复治疗帮助患者延长生命,提高生活质量,甚至完全康复回归社会是短肠综合征治疗的主要目标,本文就短肠综合征的营养及残余肠道代偿治疗进行探讨。

Short bowel syndrome is a severe metabolic disorder caused by multiple diseases.Surgical resection and exclusion of the small intestine leads to different degrees of nutrient malabsorption and energy insufficiency.Appropriate nutrition support and bowel rehabilitation are crucial to patients′recovery.Individualized therapy helps prolong lifespan and improve life quality,patients may even wean off parental nutrition and recover social function.For the purpose of expending therapeutic options,this review elaborated the latest nutrition therapy and medical management.