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 ›› 2024, Vol. 5 ›› Issue (4): 319-322.doi: 10.3761/j.issn.2096-7446.2024.04.005

• Special Planning-Critical Pediatric Care • Previous Articles     Next Articles

Nursing care of postoperative complications in patients with corrosive esophageal stenosis undergoing colon transplantation for esophageal replacement surgery

ZHU Jiaying, GU Ying, YANG Yuxia, HE Jun, SHEN Weijie, LIU Yuxin, HU Jing   

  • Received:2023-08-15 Published:2024-04-15

Abstract: To summarize the observation and nursing care of postoperative complication in 7 children with corrosive esophageal stenosis undergoing colon transplantation for esophageal replacement surgery. The nursing points included:Establishing an interdisciplinary collaborative team to provide targeted treatment and care based on the different characteristics of postoperative complications;Paying attention to assessment and intervention of postoperative reflux and aspiration;Early identification and rehabilitation care for dysphagia;Implementation and nursing of pulmonary infection and early respiratory function training;Assessment and prevention of cervical anastomotic stenosis and maintenance of the stoma;Personalized health education and follow up. Within two weeks after surgery,4 of the 7 patients experienced reflux,1 had aspiration,1 had dysphagia,and 5 had pulmonary infections. Within 2 months of postoperative follow-up,there were 2 cases of skin infection around the stoma of the gastric/jejunostomy. There were 2 cases of cervical anastomotic stenosis within one year of postoperative follow-up. After meticulous treatment,care,and follow-up,the esophageal function of 7 children with colon replacement esophagectomy recovered well. After(5.83±1.95) days of surgery,parenteral nutrition was stopped and oral feeding gradually resumed. After (43.00±7.51) days of surgery,gastric/jejunostomy was closed. Two children with cervical anastomotic stenosis underwent esophageal dilation surgery,and the postoperative recovery was good.

Key words: Colon, Esophageal Stenosis, Transplantation, Postoperative Complications, Critical Care Nursing