发布求助
文献互助 智能选刊 最新文献

Seminars in Pediatric Surgery最新文献

筛选
英文 中文
Medical management of pediatric inflammatory bowel disease 小儿炎症性肠病的药物治疗
IF 1.7 3区 医学
Seminars in Pediatric Surgery Pub Date : 2024-04-01 DOI: 10.1016/j.sempedsurg.2024.151398
Brad Pasternak
{"title":"Medical management of pediatric inflammatory bowel disease","authors":"Brad Pasternak","doi":"10.1016/j.sempedsurg.2024.151398","DOIUrl":"https://doi.org/10.1016/j.sempedsurg.2024.151398","url":null,"abstract":"<div><p>Management of inflammatory bowel disease, both Crohn's disease (CD) and ulcerative colitis (UC), has seen a seismic shift over the past decade. Over the past five years, there has been the introduction of many new therapies with differing mechanisms of action and a goal of achieving mucosal healing, as well as clinical and biochemical remission (1,2). In addition, management is aimed at restoring normal growth and normalizing quality of life. The ultimate goal is to individualize medical management and determine the right drug for the right patient by identifying which inflammatory pathway is predominant and avoiding unwarranted lack of efficacy or side effects through biomarkers and risk prognostication. Patient's age, location of disease, behavior (inflammatory vs. penetrating/structuring), severity and growth delay all play into deciding on the best treatment approach. Ultimately, early intervention is key in preventing complications. The therapeutic approaches to management can be broken down to nutritional therapy, biologic agents, immunomodulators (including corticosteroids), aminosalicylates and antibiotics. There are numerous other therapies, such as small molecule agents recently approved in adults, which are garnering a great deal of interest.</p></div>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"33 2","pages":"Article 151398"},"PeriodicalIF":1.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140351786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evolution of enhanced recovery for children undergoing elective intestinal surgery 为接受择期肠道手术的儿童加强康复的发展历程
IF 1.7 3区 医学
Seminars in Pediatric Surgery Pub Date : 2024-04-01 DOI: 10.1016/j.sempedsurg.2024.151400
Mallory N. Perez, Mehul V. Raval
{"title":"Evolution of enhanced recovery for children undergoing elective intestinal surgery","authors":"Mallory N. Perez,&nbsp;Mehul V. Raval","doi":"10.1016/j.sempedsurg.2024.151400","DOIUrl":"10.1016/j.sempedsurg.2024.151400","url":null,"abstract":"<div><p>Enhanced recovery protocols (ERP) have been widely adopted in adult populations, with over 30 years of experience demonstrating the effectiveness of these protocols in patients undergoing gastrointestinal (GI) surgery. In the last decade, ERPs have been applied to pediatric populations across multiple subspecialties. The objective of this manuscript is to explore the evolution of how ERPs have been implemented and adapted specifically for pediatric populations undergoing GI surgery, predominantly for inflammatory bowel disease. The reported findings reflect a thorough exploration of the literature, including initial surveys of practice/readiness assessments, consensus recommendations of expert panels, and data from a rapidly growing number of single center studies. These efforts have culminated in a national prospective, multicenter trial evaluating clinical and implementation outcomes for enhanced recovery in children undergoing GI surgery. In short, this historical and clinical review reflects on the evolution of ERPs in pediatric surgery and expounds upon the next steps needed to apply ERPs to future pediatric populations.</p></div>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"33 2","pages":"Article 151400"},"PeriodicalIF":1.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140399387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Surgical management of complicated Crohn's disease 并发克罗恩病的手术治疗
IF 1.7 3区 医学
Seminars in Pediatric Surgery Pub Date : 2024-04-01 DOI: 10.1016/j.sempedsurg.2024.151399
Sarah J. Ullrich, Jason S. Frischer
{"title":"Surgical management of complicated Crohn's disease","authors":"Sarah J. Ullrich,&nbsp;Jason S. Frischer","doi":"10.1016/j.sempedsurg.2024.151399","DOIUrl":"10.1016/j.sempedsurg.2024.151399","url":null,"abstract":"<div><p>Surgical management of pediatric Crohn's disease is fundamentally palliative, aiming to treat the sequalae of complicated disease while preserving intestinal length. Multidisciplinary discussion of risk factors and quality of life should take place prior to operative intervention. Though the surgical management of pediatric Crohn's disease is largely based on the adult literature, there are considerations specific to the pediatric population – notably disease and treatment effects on growth and development. Intrabdominal abscess is approached with percutaneous drainage when feasible, reserving surgical intervention for the patient who is unstable or failing medical therapy. Pediatric patients with fibrostenotic disease should be considered for strictureplasty when possible, for maximum preservation of bowel length. Patients with medically refractory Crohn's proctocolitis should be treated initially with fecal diversion without proctocolectomy.</p></div>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"33 2","pages":"Article 151399"},"PeriodicalIF":1.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140399546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Recurrent Crohn's disease 复发性克罗恩病
IF 1.7 3区 医学
Seminars in Pediatric Surgery Pub Date : 2024-04-01 DOI: 10.1016/j.sempedsurg.2024.151403
Mahmoud Shehada , Lisa E. McMahon
{"title":"Recurrent Crohn's disease","authors":"Mahmoud Shehada ,&nbsp;Lisa E. McMahon","doi":"10.1016/j.sempedsurg.2024.151403","DOIUrl":"10.1016/j.sempedsurg.2024.151403","url":null,"abstract":"<div><p>Although surgical management of the ileocolic segment in pediatric Crohn's disease is not curative, the main goal of therapy is to allow for growth, adequate nutrition, and age-appropriate development. Recurrent disease at the site of anastomosis presents as a major morbidity. Several factors have been implicated in the development of surgical recurrence though data in the literature is scarce. This review explores the epidemiology of recurrent ileocolic disease following primary surgery, indications for surgical intervention, and techniques reported in the literature. Pediatric data is scarce, and therefore, much of it is extrapolated from adult literature.</p></div>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"33 2","pages":"Article 151403"},"PeriodicalIF":1.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140401396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ouch, my pouch! a clinician's guide to pouchitis 哎哟，我的小袋小袋炎临床医师指南
IF 1.7 3区 医学
Seminars in Pediatric Surgery Pub Date : 2024-04-01 DOI: 10.1016/j.sempedsurg.2024.151406
Vincent P. Anto , Anna E. Ramos , Kevin P. Mollen
{"title":"Ouch, my pouch! a clinician's guide to pouchitis","authors":"Vincent P. Anto ,&nbsp;Anna E. Ramos ,&nbsp;Kevin P. Mollen","doi":"10.1016/j.sempedsurg.2024.151406","DOIUrl":"10.1016/j.sempedsurg.2024.151406","url":null,"abstract":"<div><p>Pouchitis is defined as inflammation of the ileal pouch created during a restorative proctocolectomy with ileal pouch-anal anastomosis. Although the incidence of this inflammatory condition is high, the exact etiology often remains unclear and the management challenging. In this review, we summarize the clinical presentation, pathogenesis, diagnosis, and management of this common complication.</p></div>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"33 2","pages":"Article 151406"},"PeriodicalIF":1.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140400974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Complications following ileal pouch-anal anastomosis in pediatric ulcerative colitis 小儿溃疡性结肠炎的回肠袋-肛门吻合术后并发症
IF 1.7 3区 医学
Seminars in Pediatric Surgery Pub Date : 2024-04-01 DOI: 10.1016/j.sempedsurg.2024.151405
Preston H. Palm, Monique C. Matos, Cristine S. Velazco
{"title":"Complications following ileal pouch-anal anastomosis in pediatric ulcerative colitis","authors":"Preston H. Palm,&nbsp;Monique C. Matos,&nbsp;Cristine S. Velazco","doi":"10.1016/j.sempedsurg.2024.151405","DOIUrl":"10.1016/j.sempedsurg.2024.151405","url":null,"abstract":"<div><p>Ileal pouch-anal anastomosis (IPAA) is the procedure of choice for reconstruction after total proctocolectomy in pediatric patients with ulcerative colitis. 30–60 % of patients undergoing IPAA will experience a postoperative complication. The primary objective of this article is to address the most common complications specific to IPAA in the pediatric population and provide an up-to-date review of their presentation, risk factors, workup, and management. We also share our preferred approaches to management and prevention of complications, where relevant. We intend to provide a concise review on the topic aimed at pediatric surgeons and healthcare providers involved in the care of this population with the goal of contributing to improved outcomes and patient quality of life.</p></div>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"33 2","pages":"Article 151405"},"PeriodicalIF":1.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140407407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Surgical management of pediatric Crohn's disease 小儿克罗恩病的外科治疗
IF 1.7 3区 医学
Seminars in Pediatric Surgery Pub Date : 2024-04-01 DOI: 10.1016/j.sempedsurg.2024.151401
Michela Carter , Irene Isabel P Lim
{"title":"Surgical management of pediatric Crohn's disease","authors":"Michela Carter ,&nbsp;Irene Isabel P Lim","doi":"10.1016/j.sempedsurg.2024.151401","DOIUrl":"10.1016/j.sempedsurg.2024.151401","url":null,"abstract":"<div><p>Management of pediatric-onset Crohn's disease uniquely necessitates consideration of growth, pubertal development, psychosocial function and an increased risk for multiple future surgical interventions. Both medical and surgical management are rapidly advancing; therefore, it is increasingly important to define the role of surgery and the breadth of surgical options available for this complex patient population. Particularly, the introduction of biologics has altered the disease course; however, the ultimate need for surgical intervention has remained unchanged. This review defines and evaluates the surgical techniques available for management of the most common phenotypes of pediatric-onset Crohn's disease as well as identifies critical perioperative considerations for optimizing post-surgical outcomes.</p></div>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"33 2","pages":"Article 151401"},"PeriodicalIF":1.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140398853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Surgery for ulcerative colitis 溃疡性结肠炎手术
IF 1.7 3区 医学
Seminars in Pediatric Surgery Pub Date : 2024-04-01 DOI: 10.1016/j.sempedsurg.2024.151404
Brielle Ochoa, Lisa McMahon
{"title":"Surgery for ulcerative colitis","authors":"Brielle Ochoa,&nbsp;Lisa McMahon","doi":"10.1016/j.sempedsurg.2024.151404","DOIUrl":"10.1016/j.sempedsurg.2024.151404","url":null,"abstract":"<div><p>Ulcerative colitis (UC) has a more severe presentation and rapid progression in pediatric patients, resulting in a greater need for surgical intervention compared to adults. Though medical management of UC has advanced with new biologic therapies, surgery continues to play an important role when disease progresses in the form of worsened or persistent symptoms, hemodynamic instability, or sepsis. The goals of surgical management are to restore intestinal continuity with a functional pouch when possible. While the literature has been growing regarding studies of pediatric patients with UC, high level of evidence studies are limited and most recommendations are based on adult studies. Similar to adults, pediatric patients who have ileal pouches created require surveillance for recurrent disease and cancer surveillance. Unique issues for pediatric patients include monitoring of growth and appropriate transition to adult care after adolescence. This review includes indications for surgical management, overview of staged surgical approaches, and the technical details of the three-stage approach.</p></div>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"33 2","pages":"Article 151404"},"PeriodicalIF":1.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140402149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
fm i -- Contents FM I -- 目录
IF 1.7 3区 医学
Seminars in Pediatric Surgery Pub Date : 2024-02-01 DOI: 10.1053/S1055-8586(24)00015-5
{"title":"fm i -- Contents","authors":"","doi":"10.1053/S1055-8586(24)00015-5","DOIUrl":"https://doi.org/10.1053/S1055-8586(24)00015-5","url":null,"abstract":"","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"33 1","pages":"Article 151394"},"PeriodicalIF":1.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139699593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Virtual reality applications in pediatric surgery 儿科手术中的虚拟现实应用
IF 1.7 3区 医学
Seminars in Pediatric Surgery Pub Date : 2024-01-12 DOI: 10.1016/j.sempedsurg.2024.151387
Daniel J. Robertson , Zachary T. Abramson , Andrew M. Davidoff , Matthew T. Bramlet
{"title":"Virtual reality applications in pediatric surgery","authors":"Daniel J. Robertson ,&nbsp;Zachary T. Abramson ,&nbsp;Andrew M. Davidoff ,&nbsp;Matthew T. Bramlet","doi":"10.1016/j.sempedsurg.2024.151387","DOIUrl":"10.1016/j.sempedsurg.2024.151387","url":null,"abstract":"<div><p>Virtual reality modeling (VRM) is a 3-dimensional (3D) simulation. It is a powerful tool and has multiple uses and applications in pediatric surgery. Patient-specific 2-dimensional imaging can be used to generate a virtual reality model, which can improve anatomical perception and understanding, and can aid in preoperative planning for complex operations. VRM can also be used for realistic training and simulation. It has also proven effective in distraction for pediatric patients experiencing pain and/or anxiety. We detail the technical requirements and process required for VRM generation, the applications, and future directions.</p></div>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"33 1","pages":"Article 151387"},"PeriodicalIF":1.7,"publicationDate":"2024-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1055858624000088/pdfft?md5=51f3f62224097175635f182d01c3e22f&pid=1-s2.0-S1055858624000088-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139459028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
首页 上一页 下一页 尾页
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们：info@booksci.cn Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号：481959085
Book学术官方微信