ĐẶC ĐIỂM HỘI CHỨNG RUỘT NGẮN Ở TRẺ EM TẠI BỆNH VIỆN NHI ĐỒNG 2

Abstract

Background: Short bowel syndrome (SBS) is a congenital or acquired intestinal absorptive dysfunction after intestinal resection. It reduces the quality of life of children and prolonged treatment also creates a huge economic burden. The objective of the study was to describe the causes, clinical and paraclinical manifestations of SBS in children at Children's Hospital No.2. Subjects and methods: Describe a series of cases, all children diagnosed with SBS after small bowel resection at Children's Hospital No. 2 from July 2021 to July 2024. Results: The neonatal age group accounts for a high proportion of 91.4%, preterm age accounts for 51.4%; Necrotizing enterocolitis (NEC) accounted for a high rate of 19/35 cases (54.3%), followed by small intestinal atresia with 8/35 cases (22.9%). Clinical symptoms recorded: Diarrhea, fever, delayed bowel movements, abdominal distension accounted for percentages of 100%, 82.9%, 68.6% and 62.9%, respectively. In the ileocecal valve loss group, the rates of sepsis, biliary obstruction, and elevated liver enzymes were 90.9%, 36.4%, and 35.0% respectively; p>0.05. Conclusion: Catheter placement for parenteral nutrition (PN) in patients with SBS showed a high rate of sepsis (88.6%). Infection control measures need to be improved in the coming period.