“An An (pseudonym) is gaining 50 grams of weight every day, and the growth is gratifying!” On June 10, Yu Donghai, associate professor of pediatric surgery and deputy chief physician of Tongji Children’s Hospital, said to An An’s mother with a smile, “Today, An An can be I was discharged home.”
5-month-old daughter Bao Anan, who was because of “bloated abdomen, vomiting after drinking milk” shortly after birth, was treated at a local hospital, and it was considered that it might be a newborn Necrotizing enterocolitis, surgery was successfully performed at a local hospital, part of the necrotic bowel was removed, and an ileostomy was performed. ]
The post-operative recovery process was not smooth. An An could only drink 100~200 ml of milk a day, but she did not gain weight, and even needed nutritional support. Her parents had to take her to Wuhan to find a specialist hospital for treatment. After 2 months of treatment, the effect was not good. Not only did she get thinner with the treatment, but also the stoma tube became thinner. The narrower it is, the more difficult it is to defecate.
On the recommendation of a patient’s parent, I found Yu Donghai from the Department of Pediatrics of Tongji Children’s Hospital.
“Only 4.5 pounds in 5 months! I can’t open my eyes, and I am extremely weak.” Yu Donghai said, “Short bowel syndrome symptoms, severe malnutrition, severe dehydration, hypoglycemia, electrolyte imbalance, immediate rescue!” At 9 pm on May 3, An An was admitted to the pediatric surgery ward. The medical team immediately established an intravenous infusion channel for her, drew blood, monitored, rehydrated, nutritional support, and corrected water and electrolyte imbalances.
“I have urinated!” “An An will cry!” After more than a week of supportive treatment, An An’s condition has improved significantly. The team of Professor Feng Jiexiong and Professor Wei Mingfa of Pediatric Surgery have discussed collectively for many times and determined that An An has short bowel syndrome and requires surgical intervention. On May 12, Yu Donghai performed an end-to-side anastomosis of the small intestine and the ascending colon with Bishop ostomy for An An, and the operation went smoothly.
The recovery after surgery is also very encouraging. An An’s milk intake has greatly increased, abdominal distension has been significantly relieved, and her body weight has increased at a rate of 50 grams per day, and now it has grown to 6.5 pounds.
Yu Donghai introduced that in children like An’an, dysfunction after neonatal enterostomy is a difficult point in current clinical treatment, and the choice of surgical method is very critical. The Pediatric Surgery Department of Tongji Children’s Hospital has rich experience in the treatment of children with intestinal dysfunction, and has concluded that the “troika” that is, the effective measures that go hand in hand with accurate preoperative assessment, intraoperative accurate judgment, and postoperative fine management. Escort the health of children with intestinal dysfunction.
Correspondent Tian Juan, Tian Li, Jiupai News reporter Wang Jiaqing
[Source: Jiupai News]
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