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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한소아소화기영양학회 Pediatric Gastroenterology, Hepatology & Nutrition Pediatric Gastroenterology, Hepatology & Nutrition 제20권 제1호
- 발행연도
- 2017.1
- 수록면
- 14 - 21 (8page)
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초록· 키워드
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Pediatric onset Crohn’s disease (CD) tends to have complicated behavior (stricture or penetration) than elderly onset CD at diagnosis. Considering the longer duration of the disease in pediatric patients, the accumulative chance of surgical treatment is higher than in adult onset CD patients. Possible operative indications include perianal CD, in-testinal stricture or obstruction, abdominal abscess or fistula, intestinal hemorrhage, neoplastic changes and medi-cally untreatable inflammation. Growth retardation is an operative indication only for pediatric patients. Surgery can affect a patient’s clinical course, especially for pediatric CD patient who are growing physically and mentally, so the decision should be made by careful consideration of several factors. The complex and diverse clinical conditions hinder development of a systemized treatment algorithm. Therefore, timing of surgery in pediatric CD patients should be determined with individualized approach by an experienced and well organized multidisciplinary inflammatory bowel disease team. Best long-term outcomes will require proactive post-operative monitoring and therapeutic mod-ifications according to the conditions.
목차
등록된 정보가 없습니다.
참고문헌 (24)
참고문헌 신청
Alos R / 2008 / Timing of surgery in Crohn's disease:a key issue in the management / World J Gastroenterol 14 : 5532 ~ 5539
Baillie CT / 2015 / Surgical strategies in paediatric inflammatory bowel disease / World J Gastroenterol 21 : 6101 ~ 6116
Bhakta A / 2016 / Increased incidence of surgical site infection in IBD patients / Dis Colon Rectum 59 : 316 ~ 322
Di Nardo G / 2010 / Intralesional steroid injection after endoscopic balloon dilation in pediatric Crohn's disease with stricture: a prospective, randomized, doubleblind, co
El-Asmar K / 2016 / Surgical aspects of inflammatory bowel diseases in pediatric and adolescent age groups / Int J Colorectal Dis 31 : 301 ~ 305
Baillie CT / 2015 / Surgical strategies in paediatric inflammatory bowel disease / World J Gastroenterol 21 : 6101 ~ 6116
Bhakta A / 2016 / Increased incidence of surgical site infection in IBD patients / Dis Colon Rectum 59 : 316 ~ 322
Di Nardo G / 2010 / Intralesional steroid injection after endoscopic balloon dilation in pediatric Crohn's disease with stricture: a prospective, randomized, doubleblind, co
El-Asmar K / 2016 / Surgical aspects of inflammatory bowel diseases in pediatric and adolescent age groups / Int J Colorectal Dis 31 : 301 ~ 305
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