eISSN 2097-6046
ISSN 2096-7446
CN 10-1655/R
Responsible Institution：China Association for Science and Technology
Sponsor：Chinese Nursing Association
中华急危重症护理杂志

Chinese Journal of Emergency and Critical Care Nursing >

2026 , Vol. 7 >Issue 7: 849 - 851

DOI: https://doi.org/10.3761/j.issn.2096-7446.2026.07.012

Critical Care Research

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

  • LIU Xiaoting ,
  • WANG Ping ,
  • XU Yihong ,
  • FAN Tingting ,
  • FU Zhenzhen ,
  • XIONG Zihan ,
  • HE Beilei ,
  • CHEN Xiaohui ,
  • ZHANG Xiaoming ,
  • SHU Yan
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  • 1 Department of Nursing， Sir Run Run Shaw Hospital，Zhejiang University School of Medicine， Hangzhou 310016， China
    2 Department of Neurosurgery， the First Affiliated Hospital，Zhejiang University School of Medicine， Hangzhou 310003， China

Received date: 2025-07-19

  Online published: 2026-07-01

Supported by

Zhejiang Provincial Medical and Health Science and Technology Program(2023KY117)

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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

Cite this article

LIU Xiaoting , WANG Ping , XU Yihong , FAN Tingting , FU Zhenzhen , XIONG Zihan , HE Beilei , CHEN Xiaohui , ZHANG Xiaoming , SHU Yan . Nursing care for a patient with ultra-short bowel syndrome and multiple stomas after surgery for allied disorders of Hirschsprung’s disease[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026 , 7(7) : 849 -851 . DOI: 10.3761/j.issn.2096-7446.2026.07.012

References

[1] Muto M, Matsufuji H, Taguchi T, et al. Japanese clinical practice guidelines for allied disorders of Hirschsprung’s disease,2017[J]. Pediatr Int, 2018, 60(5):400-410.
[2] Pironi L. Definition,classification,and causes of short bowel syndrome[J]. Nutr Clin Pract, 2023, 38(Suppl 1):S9-S16.
[3] Belza C, Wales PW. Multidisciplinary management in pediatric ultrashort bowel syndrome[J]. J Multidiscip Healthc, 2020, 13:9-17.
[4] Neuvonen MI, Kyrklund K, Rintala RJ, et al. Bowel function and quality of life after transanal endorectal pull-through for hirschsprung disease:controlled outcomes up to adulthood[J]. Ann Surg, 2017, 265(3):622-629.
[5] 祝利红, 庄一渝. 血糖变异度在预测危重患者早期肠内喂养不耐受中的应用价值[J]. 中华急危重症护理杂志, 2025, 6(6):645-652.
  Zhu LH, Zhuang YY. Application value of blood glucose variability in predicting early enteral feeding intolerance in critically ill patients[J]. Chin J Emerg Crit Care Nurs, 2025, 6(6):645-652.
[6] 王革非. 肠瘘诊断和治疗进展[J]. 中国实用外科杂志, 2024, 44(1):115-119.
  Wang GF. Progress in diagnosis and treatment of intestinal fistula[J]. Chin J Pract Surg, 2024, 44(1):115-119.
[7] Compher C, Bingham AL, McCall M, et al. Guidelines for the provision of nutrition support therapy in the adult critically ill patient:The American Society for Parenteral and Enteral Nutrition[J]. JPEN J Parenter Enteral Nutr, 2022, 46(1):12-41.
[8] 罗雪莉, 庄一渝, 董莲莲. 1例糖尿病患者颈部慢性溃疡伴高渗高血糖综合征的护理[J]. 中华护理杂志, 2021, 56(11):1698-1702.
  Luo XL, Zhuang YY, Dong LL. Nursing care of a diabetic patient with chronic neck ulcer and hyperosmolar hyperglycemic syndrome:a case report[J]. Chin J Nurs, 2021, 56(11):1698-1702.
[9] 柯嘉, 康亮. 短肠综合征相关肠衰竭的营养支持治疗[J]. 中华胃肠外科杂志, 2024, 27(3):231-235.
  Ke J, Kang L. Nutritional support therapy for intestinal failure related to short bowel syndrome[J]. Chin J Gastrointest Surg, 2024, 27(3):231-235.
[10] Sobocki J, Zaczek Z, Jurczak P, et al. Restricted v. unrestricted oral intake in high output end-jejunostomy patients referred to reconstructive surgery[J]. Br J Nutr, 2021, 125(10):1125-1131.
[11] 罗娟, 马云丽, 赵允召, 等. 回肠造口术后切口裂开合并肠空气瘘患儿的护理[J]. 中华护理杂志, 2019, 54(5):727-729.
  Luo J, Ma YL, Zhao YZ, et al. Nursing care of a child with wound dehiscence and enteroatmospheric fistula after ileostomy[J]. Chin J Nurs, 2019, 54(5):727-729.
[12] Lederhuber H, Massey LH, Kantola VE, et al. Clinical management of high-output stoma:a systematic literature review and meta-analysis[J]. Tech Coloproctol, 2023, 27(12):1139-1154.
[13] 中国抗癌协会肿瘤营养专业委员会. 结直肠癌肠造口患者全程营养管理专家共识(2025版)[J]. 中华胃肠外科杂志, 2025, 28(6):599-608.
  Cancer Nutrition Professional Committee of China Anti-Cancer Association. Expert consensus on whole-process nutrition management for colorectal cancer patients with enterostomy(2025 edition)[J]. Chin J Gastrointest Surg, 2025, 28(6):599-608.
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