文献综述

儿童短肠综合征肠道菌群研究进展

  • 刘释忆 ,
  • 王莹
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  • 上海交通大学医学院附属新华医院儿消化营养科 上海市小儿消化与营养重点实验室(上海 200092)
王莹 电子信箱:wangying02@xinhuamed.com.cn

收稿日期: 2025-04-11

  录用日期: 2025-09-02

  网络出版日期: 2026-03-31

Research advances on the intestinal microbiome in pediatric short bowel syndrome

  • LIU Shiyi ,
  • WANG Ying
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  • Division of Gastroenterology and Nutrition, Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai Key Laboratory of Pediatric Gastroenterology and Nutrition, Shanghai 200092, China

Received date: 2025-04-11

  Accepted date: 2025-09-02

  Online published: 2026-03-31

摘要

儿童短肠综合征(SBS)是指由于小肠大部分切除、旷置或先天性短肠等原因所致小肠吸收能力受限、无法满足患儿正常生长发育需求且需肠外营养支持42 d以上的一类疾病。由于小肠结构与功能显著异常,SBS 患儿存在肠道微生态失衡,表现为菌群多样性下降,代谢途径异常等。营养支持方式、预防性抗生素应用、解剖结构与生长发育情况为影响SBS患儿肠道菌群特征的主要因素。维持肠道菌群多样性和稳定性对增强SBS患儿肠道屏障、促进肠道适应和减少并发症至关重要。

本文引用格式

刘释忆 , 王莹 . 儿童短肠综合征肠道菌群研究进展[J]. 临床儿科杂志, 2026 , 44(4) : 348 -354 . DOI: 10.12372/jcp.2026.25e0381

Abstract

Pediatric short bowel syndrome (SBS) is defined as a clinical condition characterized by impaired intestinal absorptive capacity resulting from extensive small bowel resection, bypass, or congenital short bowel, which fails to meet the nutritional requirements for normal growth and development, necessitating parenteral nutrition (PN) support for a duration exceeding 42 days. Owing to significant structural and functional abnormalities of the small intestine, pediatric SBS patients exhibit intestinal microecological dysbiosis, as evidenced by reduced microbial diversity and aberrant metabolic pathways. Key factors influencing the intestinal microbiota profiles in these patients include nutritional support modalities, prophylactic antibiotic administration, anatomical configuration, and growth and developmental status. Maintenance of intestinal microbiota diversity and stability is of paramount importance for enhancing intestinal barrier function, facilitating intestinal adaptation, and mitigating complications in pediatric SBS patients.

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