eISSN 2097-6046
ISSN 2096-7446
CN 10-1655/R
Responsible Institution:China Association for Science and Technology
Sponsor:Chinese Nursing Association

Chinese Journal of Emergency and Critical Care Nursing ›› 2026, Vol. 7 ›› Issue (7): 849-851.doi: 10.3761/j.issn.2096-7446.2026.07.012

• Critical Care Research • Previous Articles     Next Articles

Nursing care for a patient with ultra-short bowel syndrome and multiple stomas after surgery for allied disorders of Hirschsprung’s disease

LIU Xiaoting1(), WANG Ping2, XU Yihong1, FAN Tingting1, FU Zhenzhen1, XIONG Zihan1, HE Beilei1, CHEN Xiaohui1, ZHANG Xiaoming1, SHU Yan1,*()   

  1. 1 Department of NursingSir Run Run Shaw Hospital,Zhejiang University School of MedicineHangzhou 310016, China
    2 Department of Neurosurgerythe First Affiliated Hospital,Zhejiang University School of MedicineHangzhou 310003, China
  • Received:2025-07-19 Online:2026-07-10 Published:2026-07-01
  • Contact: *SHU Yan,E-mail:shuy@srrsh.com
  • Supported by:
    Zhejiang Provincial Medical and Health Science and Technology Program(2023KY117)

Abstract:

This article summarized the nursing experience of a patient with congenital allied disorders of Hirschsprung’s disease(ADHD) who developed ultra-short bowel syndrome(USBS) with multiple stomas after surgery. In response to clinical challenges including a high risk of anastomotic leakage,severe malnutrition,high-output stoma,and transition to home care,the following nursing interventions were implemented,including tube-stoma linkage for dynamic monitoring,stepwise and sequential nutritional support,individualized management of high stoma output,coordinated care of multiple stomas,and a tripartite guidance model for home transition. After 49 days of tailored interventions,the patient was discharged successfully. During the one-year follow-up,the patient showed favorable recovery with weight gain and partial restoration of intestinal autonomous absorption function.

Key words: Megacolon, Hirschsprung Disease, Short Bowel Syndrome, Nutritional Support, High-Output Stoma, Critical Care Nursing