Possible Effect of Probiotics and Breast Milk in Short Bowel Syndrome: Report of One Case

原發性中腸扭轉是指無任何相關因素之下而發生腸扭轉。目前發生原因不明，根據一些研究指出發生的機率在新生兒較高。常見的症狀有腹脹、膽汁性嘔吐。我們所報告的這位病人是一個89天大的早產兒，有嚴重腹脹膽汁性回流的現象伴隨著敗血症的相關症狀。想要早期診斷原發性腸扭轉並不容易，若病患有嚴重腸阻塞現象合併血液動力學狀態不穩定及代謝性酸中毒，此時儘快手術以確定診斷是必須的，由於此疾病不易在第一時間做出正確診斷，病患術後因切除小腸易有短腸症候群產生而併發腸炎或敗血症。但這位病患在母乳哺餵及益生菌的使用下，不僅少有短腸併發症的產生，而且縮短腸道飲食建立的時間。目前此為病患的身高及體重都在生長曲線的正常範圍之內。

關鍵字

腸扭轉；早産兒；短腸症候群；益生菌；母乳

並列摘要

Primary volvulus means idiopathic volvulus without predisposing factor and is rare in children. The etiology is unknown. The incidence is relatively higher in neonates. The most common symptoms are abdominal distension and bilious vomiting. Our patient was a preterm baby at age of 89 days. Acute onset of abdominal distension and sepsis-like symptoms were noted. After operation, no anatomical anomaly was noted. Probable primary midgut volvulus was diagnosed. Early diagnosis of primary volvulus of the small intestine is difficult. Operation should be performed as soon as possible in a neonate with quick progression toward unstable hemodynamics and acidosis with ileus. Postoperative short bowel syndrome was noted. There are often sepsis, enterocolitis, and poor body weight gain noted among short bowel patients. With breast milk feeding and probiotics usage, there were few complications of short bowel syndrome noted in our patient. The duration for establishing intestinal adaptation was shorter than for other patients. The patient's body weight, body length and development caught up gradually within 18 months.

並列關鍵字

midgut volvulus ； prematurity ； short bowel syndrome ； probiotics ； breast milk

國際替代計量

Possible Effect of Probiotics and Breast Milk in Short Bowel Syndrome: Report of One Case

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