儿童主要外科疾病及其终身影响:全面回顾。

IF 3.5 3区 医学 Q1 SURGERY BJS Open Pub Date : 2024-05-08 DOI:10.1093/bjsopen/zrae028
Paul S Cullis, Dina Fouad, Allan M Goldstein, Kenneth K Y Wong, Ampaipan Boonthai, Pablo Lobos, Mikko P Pakarinen, Paul D Losty
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引用次数: 0

摘要

背景:近几十年来,先天性畸形和小儿癌症患儿的存活率有了显著提高,因此人们开始逐渐了解这些患儿的终生健康状况。儿科外科医生会在儿童和青少年时期积极处理这些疾病,但成年外科医生必须在成年后照顾这些 "大人"。本文旨在强调小儿外科医生遇到的一些需要长期随访的罕见疾病、这些疾病在儿童期的管理及其对存活的影响,以便成人专科医生更好地掌握管理这些成年患者的技能和知识:方法:进行了全面的文献综述,以确定相关出版物。方法: 我们对文献进行了全面的梳理,找出了相关的出版物,其中包括研究报告、综述文章和指南,重点关注儿童外科疾病的儿科管理和长期疗效。文章是为成年外科医生读者撰写的:本文介绍了上述疾病、其在儿童时期的治疗方法及其对儿童的终生影响,包括:食道闭锁、气管食道瘘、肠旋转不良、短肠综合征、十二指肠闭锁、胃裂、外翻、胆道畸形、胆道闭锁、赫氏肛门病、肛门直肠畸形、先天性膈疝、先天性肺部病变和小儿癌症:受外科疾病影响的儿童存活率越来越高,这将导致越来越多的成年人终生患病,并需要专科医疗服务。人们逐渐意识到从童年向成年过渡的重要性。希望这篇及时的综述能激励读者为这类易受伤害的患者提供护理,并与儿科外科医生合作,提供成功、无缝的过渡护理。
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Major surgical conditions of childhood and their lifelong implications: comprehensive review.

Background: In recent decades, the survival of children with congenital anomalies and paediatric cancer has improved dramatically such that there has been a steady shift towards understanding their lifelong health outcomes. Paediatric surgeons will actively manage such conditions in childhood and adolescence, however, adult surgeons must later care for these 'grown-ups' in adulthood. This article aims to highlight some of those rare disorders encountered by paediatric surgeons requiring long-term follow-up, their management in childhood and their survivorship impact, in order that the adult specialist may be better equipped with skills and knowledge to manage these patients into adulthood.

Methods: A comprehensive literature review was performed to identify relevant publications. Research studies, review articles and guidelines were sought, focusing on the paediatric management and long-term outcomes of surgical conditions of childhood. The article has been written for adult surgeon readership.

Results: This article describes the aforementioned conditions, their management in childhood and their lifelong implications, including: oesophageal atresia, tracheo-oesophageal fistula, malrotation, short bowel syndrome, duodenal atresia, gastroschisis, exomphalos, choledochal malformations, biliary atresia, Hirschsprung disease, anorectal malformations, congenital diaphragmatic hernia, congenital lung lesions and paediatric cancer.

Conclusion: The increasing survivorship of children affected by surgical conditions will translate into a growing population of adults with lifelong conditions and specialist healthcare needs. The importance of transition from childhood to adulthood is becoming realized. It is hoped that this timely review will enthuse the readership to offer care for such vulnerable patients, and to collaborate with paediatric surgeons in providing successful and seamless transitional care.

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来源期刊
BJS Open
BJS Open SURGERY-
CiteScore
6.00
自引率
3.20%
发文量
144
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