先天性腸閉鎖症術後補助栄養法の臨床的検討

概要

論文の詳細を見る
During the period from 1982 to 1988, twenty-five patients with intestinal atresia underwent surgery. Total parenteral nutrition (TPN) administered in 13 patients and enteral nutrition by a trans-anastomotic feeding tube (TAFT) was given in 8. Efficacy of supportive nutritional therapy (SNT) was evaluated by weight gain, status of oral feeding and complication of SNT. SNT was evaluated as efficient in 61.5% of TPN and 50.0% of TAFT, but weight gain with SNT was not good. Complication rate of SNT was 19.2% in TPN group and 18.8% in TAFT group. In low birth weight infants, complication rate was higher and efficacy rate was lower than normal infants. Indications of SNT were concluded as follows : (1) SNT was not necessary in membranous type atresia of any location and in any type of ileal atresia. (2) SNT was absolutely indicated in high jejunal atresia. (3) Indication of SNT could not be predicted in annular pancreas or type III (disconnecting type) atresia of the duodenum.
日本小児外科学会の論文
1989-12-20