Surgical care of the pediatric crohn ′s disease patient
Despite the significant advances in the medical management of inflammatory bowel disease over the last decade, surgery continues to play a major role in the management of pediatric Crohn ′s disease (CD). While adult and pediatric Crohn′s disease may share many clinical characteristics, pediatric Crohn′s patients often have a more aggressive phenotype, and the operative care given by the pediatric surgeon to the newly diagnosed Crohn′s patient is very different in nature to t he surgical needs of adult patients after decades of disease progression. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - October 5, 2017 Category: Pediatrics Authors: Dylan Stewart Tags: SI: 26/6 Nov/Dec - Inflammatory Bowel Disease Source Type: research
Complications in children with ulcerative colitis undergoing ileal pouch-anal anastomosis
Total colectomy with ileal pouch-anal anastomosis (IPAA) is considered the standard procedure for the surgical management of ulcerative colitis. Despite the widespread utility of the procedure, as many as 75% of patients who undergo IPAA, experience at least 1 complication. This review highlights difficult intraoperative scenarios and complications of pouch surgery in children, including intra-operative, post-operative, and functional complications. Intra-operative scenarios include insufficient mesenteric length and positive leak tests. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - October 5, 2017 Category: Pediatrics Authors: Dani O. Gonzalez, Benedict C. Nwomeh Source Type: research
Long-term outcomes of pediatric inflammatory bowel disease
The incidence and prevalence of childhood-onset inflammatory bowel diseases (IBD), including subtypes Crohn ′s disease and ulcerative colitis, have risen dramatically in recent years, and have emerged globally as important pediatric chronic diseases. Therefore, health care providers are more frequently encountering very young children with IBD, a chronic and incurable condition requiring life-long thera py. These children are living long lives with IBD and therefore knowledge of long-term outcomes is increasingly important to better counsel families and determine the best course of treatment. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - October 5, 2017 Category: Pediatrics Authors: Soheila Nasiri, M. Ellen Kuenzig, Eric I. Benchimol Source Type: research
fm i -- Contents
(Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - October 1, 2017 Category: Pediatrics Source Type: research
fm ii -- Forthcoming topics
(Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - October 1, 2017 Category: Pediatrics Source Type: research
Long-term bowel function, quality of life and sexual function in patients with anorectal malformations treated during the PSARP era
Anorectal malformations are an important group of congenital anomalies that vary widely in their anatomical characteristics and complexity. Understanding the long-term functional outcomes after modern treatments, and how these compare to the general population, are essential for ensuring that patients receive optimal, evidence-based care. With increasing appreciation of the wider impact of the illness on patients and their families, minimizing social disability from fecal incontinence and enabling normal social integration from the outset are key management concerns. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - September 29, 2017 Category: Pediatrics Authors: Kristiina Kyrklund, Mikko P. Pakarinen, Risto J. Rintala Source Type: research
Preface
Pediatric surgery started to develop to an independent surgical specialty after World War II simultaneously in many Western countries. The first pediatric intensive care units and neonatal surgical units were opened in 1950 ’s. These factors lead to rapid change in the mortality of patients with congenital malformations. Specialized pediatric surgeons and, surgical wards and operation theatres dedicated to care for children enabled survival of increasing numbers of patients with severe congenital defects and other pe diatric surgical problems. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - September 25, 2017 Category: Pediatrics Authors: Risto J. Rintala, Mikko P. Pakarinen Source Type: research
Long-term morbidity of congenital diaphragmatic hernia: A plea for standardization
Congenital diaphragmatic hernia (CDH) survivors present long-term morbidities in several systems, including the neurodevelopmental, gastrointestinal, pulmonary, and musculoskeletal ones, and CDH long-term sequelae are increasingly being recognized. Due to high co-morbidity, health related quality of life in a significant proportion of CDH patients might be compromised. As a consequence of consciousness on the long-term sequelae of CDH survivors, and their consequences for life, several follow-up programs were brought to life worldwide. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - September 19, 2017 Category: Pediatrics Authors: Francesco Morini, Laura Valfr è, Pietro Bagolan Source Type: research
Long-term outcomes of congenital lung malformations
Congenital lung malformations comprise a group of anatomical abnormalities of the respiratory tree including congenital cystic malformations, bronchopulmonary sequestrations, bronchogenic cyst, bronchial atresia, and congenital lobar emphysema. These anomalies are detected with increasing frequency by pre-natal sonography, but may also present for the first time with symptoms in childhood or later life. When symptomatic, there is little controversy that resection is indicated, which is usually curative. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - September 9, 2017 Category: Pediatrics Authors: Nigel J. Hall, Michael P. Stanton Source Type: research
Late sequelae and long-term outcomes of vascular anomalies
Vascular anomalies are classified as tumors and malformations depending on their clinical characteristics, pathological diagnosis and recent genomic information. Diagnosis can still be challenging because of the heterogeneity of clinical presentation. Thus, the best care is provided by an interdisciplinary team of specialists. An updated classification system has helped provide more consistent terminology with the addition of new diagnoses and genomic discovery. Historically, treatment of vascular anomalies was primarily surgical and or interventional with limited medical therapies. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - September 9, 2017 Category: Pediatrics Authors: Denise M. Adams, Steven J. Fishman Source Type: research
Hirschsprung disease —Bowel function beyond childhood
Hirschsprung disease is a developmental defect of the enteric nervous system characterized by lack of enteric neurons in the distal hindgut. There are numerous reports on short-term outcomes indicating that impaired bowel function is common. Recently, several controlled studies show that bowel function outcomes are affected beyond childhood, in adolescents and adults, compared with healthy control subjects. Constipation and fecal incontinence are common. The impaired bowel function appears to have a negative impact on quality of life, although, a majority of patients have adapted to their symptoms. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - September 9, 2017 Category: Pediatrics Authors: Tomas Wester, Anna L öf Granström Source Type: research
Long term outcomes of congenital lung malformations
Congenital lung malformations comprise a group of anatomical abnormalities of the respiratory tree including congenital cystic malformations, bronchopulmonary sequestrations, bronchogenic cyst, bronchial atresia and congenital lobar emphysema. These anomalies are detected with increasing frequency by prenatal sonography, but may also present for the first time with symptoms in childhood or later life. When symptomatic, there is little controversy that resection is indicated, which is usually curative. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - September 9, 2017 Category: Pediatrics Authors: Nigel J. Hall, Michael P. Stanton Source Type: research
Assessment and significance of long-term outcomes in pediatric surgery
Treatment modalities for newborns with anatomical congenital anomalies have greatly improved over the past decades, with a concomitant increase in survival. This review will briefly discuss specific long-term outcomes to illustrate which domains deserve to be considered in long-term follow-up of patients with anatomical congenital anomalies. Apart from having disease-specific morbidities these children are at risk for impaired neurodevelopmental problems and school failure which may affect participation in society in later life. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - September 9, 2017 Category: Pediatrics Authors: Hanneke IJsselstijn, Saskia J. Gischler, Ren é M.H. Wijnen, Dick Tibboel Source Type: research
Long-term Outcomes of Pediatric Intestinal Failure
Management of pediatric intestinal failure has evolved in recent decades, with improved survival since the advent of specialized multidisciplinary intestinal failure centers. Though sepsis and intestinal failure associated liver disease still contribute to mortality, we now have growing data on the long-term outcomes for this population. While intestinal adaptation and parenteral nutrition weaning is most rapid during the first year on parenteral support, achievement of enteral autonomy is possible even after many years as energy and protein requirements decline dramatically with age. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - September 9, 2017 Category: Pediatrics Authors: Brenna S. Fullerton, Charles R. Hong, Tom Jaksic Source Type: research
Late Sequelae and Long Term Outcomes of Vascular Anomalies
Vascular anomalies are classified as tumors and malformations depending on their clinical characteristics, pathological diagnosis and recent genomic information. Diagnosis can still be challenging because of the heterogeneity of clinical presentation. Thus, the best care is provided by an interdisciplinary team of specialists. An updated classification system has helped provide more consistent terminology with the addition of new diagnoses and genomic discovery. Historically, treatment of vascular anomalies was primarily surgical and or interventional with limited medical therapies. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - September 9, 2017 Category: Pediatrics Authors: Denise M. Adams, Steven J. Fishman Source Type: research
