Abstract：
:Disorders of sexual development (DSDs) are relatively rare congenital conditions in which the development of the chromosomal, gonadal, or anatomic sex is atypical. Some conditions may not manifest until puberty or adulthood. The examination and workup of either an infant or an older patient with suspected DSD should be directed and performed systematically by a multidisciplinary team. Ideally, the team will include those with not only an interest in DSD but also experience with this group of patients. This article will briefly orient the reader to the conditions and decisions that may have been made during infancy, childhood, and adolescence and then focus on the challenges that may accompany transitioning the care of DSD patients from pediatric to adult surgeons and specialists to enable appropriate decisions and care. The actual transition will optimally involve a well-developed action plan that will take place gradually over a number of years as the person becomes educated about their condition and empowered to participate knowingly and actively in their own care.
journal_name
Semin Pediatr Surgjournal_title
Seminars in pediatric surgeryauthors
McCracken KA,Fallat MEdoi
10.1053/j.sempedsurg.2015.01.009subject
Has Abstractpub_date
2015-04-01 00:00:00pages
88-92issue
2eissn
1055-8586issn
1532-9453pii
S1055-8586(15)00010-4journal_volume
24pub_type
杂志文章,评审abstract：:Traditionally, pediatric surgical education consisted of exposure to patients, textbooks, lectures, team-based education, congresses, and workshops. Over the last decades, however, new information technology (IT) and the internet revolutionized the sharing of information and communication. IT has become relevant in pa...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章,评审
doi：10.1053/j.sempedsurg.2015.02.012
更新日期：2015-06-01 00:00:00
abstract：:Congenital diaphragmatic hernia (CDH) is a congenital anomaly consisting of a posterolateral defect in the diaphragm also known as a Bochdalek hernia. It occurs in 1 in 2000 to 3000 newborns and is associated with a variable degree of pulmonary hypoplasia (PH) and persistent pulmonary hypertension (PPH). Despite remar...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章,评审
doi：10.1053/j.sempedsurg.2010.03.001
更新日期：2010-08-01 00:00:00
abstract：:This paper aims to provide an overview of islet cell transplantation in children, with specific attention to pediatric total pancreatectomy with islet autotransplantation (TPIAT). We will summarize the definition and causes of chronic pancreatitis in children, the TPIAT procedure and potential complications, the proce...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章
doi：10.1016/j.sempedsurg.2020.150925
更新日期：2020-06-01 00:00:00
abstract：:Congenital obstructive uropathy is a relatively common developmental malformation, and severely affected fetuses die soon after birth from oligohydramnios-induced pulmonary hypoplasia or renal failure. Prenatal ultrasonography can reliably diagnose the specific anatomic defect, and using fetal urine sampling we can de...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章,评审
doi：
更新日期：1993-05-01 00:00:00
abstract：:Hirschsprung disease affects many children every year around the world. Currently, there is an extensive menu of diagnostic methods, and surgical treatments. This situation compels the physicians to follow the rationale of these interventions. The comprehensive diagnosis and treatment of Hirschsprung disease need sing...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章,评审
doi：10.1053/j.sempedsurg.2019.04.013
更新日期：2019-06-01 00:00:00
abstract：:Neuroblastoma treatment remains challenging but has been advanced by the establishment of clinical and biological variables that determine prognostic risk. Risk-based therapy currently is the hallmark of neuroblastoma treatment. Initially, stage and age were the prime determinants of survival used in clinical practice...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章
doi：10.1053/spsu.2001.24889
更新日期：2001-08-01 00:00:00
abstract：:Congenital diaphragmatic hernia (CDH) is a common structural birth defect that affects approximately 1 in 2500 live births. Although the exact etiology of most cases of CDH remains unknown, it is becoming increasingly clear that genetic factors play an important role in many cases of CDH. In this paper, we review crit...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章,评审
doi：10.1053/j.sempedsurg.2007.01.003
更新日期：2007-05-01 00:00:00
abstract：:Omphalomesenteric duct malformations comprise a wide spectrum of anatomic structures and associated symptoms (or no symptoms). They may range from a completely patent omphalomesenteric duct at the umbilicus to a variety of lesser remnants including cysts, fibrous cords connecting the umbilicus to the distal ileum, gra...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章,评审
doi：
更新日期：1996-05-01 00:00:00
abstract：:Progressive familial intrahepatic cholestasis (PFIC) and Alagille syndrome (AS) are conditions caused by either an autosomal recessive or an autosomal dominant genetic defect, and they are both characterized by cholestasis, jaundice, and severe debilitating pruritus refractory to medical management. Before the advent ...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章
doi：10.1016/j.sempedsurg.2020.150946
更新日期：2020-08-01 00:00:00
abstract：:Management strategies for infants with very low birth weight (VLBW) who have abdominal wall defects essentially are the same as for those in larger infants. The authors favor primary closure in infants with gastroschisis, and have achieved this goal in 91% of infants since 1985. Treatment of infants with omphalocele i...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章
doi：10.1016/s1055-8586(00)70022-9
更新日期：2000-05-01 00:00:00
abstract：:The fallopian tubes are the essential genital ducts that convey the female sex cells for fertilization. They are differentiated and detectable early in fetal life. There are numerous paratubal and tubal abnormalities that can occur at any point in the female life. Some of these are rare but may initiate significant mo...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章,评审
doi：10.1053/j.sempedsurg.2005.01.009
更新日期：2005-05-01 00:00:00
abstract：:Pancreatic islet transplantation is a minimally invasive treatment that has the potential to prevent diabetes after total pancreatectomy for benign disease (islet autotransplantation) and to reverse diabetes in those with type 1 diabetes (islet allotransplantation). In both scenarios, the treatment involves extracting...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章,评审
doi：10.1053/j.sempedsurg.2012.05.012
更新日期：2012-08-01 00:00:00
abstract：:Neonatal surgery is recognized as an independent discipline in general surgery, requiring the expertise of pediatric surgeons to optimize outcomes in infants with surgical conditions. Survival following neonatal surgery has improved dramatically in the past 60 years. Improvements in pediatric surgical outcomes are in ...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章,评审
doi：10.1053/j.sempedsurg.2016.10.005
更新日期：2016-12-01 00:00:00
abstract：:Biliary atresia (BA) remains an enigmatic disease with a degree of etiologic heterogeneity. A number of variants can be defined clinically, and these include the syndromic group (typically BA splenic malformation), cystic BA, and cytomegalovirus (CMV) IgM +ve associated BA. The remainder, and still the largest group, ...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章,评审
doi：10.1053/j.sempedsurg.2012.05.010
更新日期：2012-08-01 00:00:00
abstract：:Crohn's disease is a chronic transmural inflammatory disease that may involve any portion of the gastrointestinal tract. It is being reported with increasing frequency in children of all ages. The diagnosis of Crohn's disease in children is dependent on the clinical, radiological, endoscopic, and pathological material...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章,评审
doi：
更新日期：1994-02-01 00:00:00
abstract：:Myelomeningocele (MMC) is a common birth defect that is associated with significant lifelong morbidity. Little progress has been made in the postnatal surgical management of the child with spina bifida. Postnatal surgery is aimed at covering the exposed spinal cord, preventing infection, and treating hydrocephalus wit...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章,评审
doi：10.1016/s1055-8586(03)00029-5
更新日期：2003-08-01 00:00:00
abstract：:The practice of pediatric surgery is at the crossroads of 2 specialties, pediatrics and surgery. At that vantage point, many ethical dilemmas can be seen. It is important for the pediatric surgeon to understand the special place of ethics in the care of children and how that care is influenced by society. The purpose ...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章,评审
doi：10.1053/spsu.2001.26837
更新日期：2001-11-01 00:00:00
abstract：:Burn injuries affect approximately a million children in the United States on an annual basis. Moderate to severe burns require hospitalization, usually under the direction of a Pediatric Surgical service. Despite advancements in burn treatment, pediatric burn injuries account for approximately 2500 deaths annually. T...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章,评审
doi：10.1053/j.sempedsurg.2014.11.008
更新日期：2015-02-01 00:00:00
abstract：: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 ...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章,评审
doi：10.1053/j.sempedsurg.2017.09.006
更新日期：2017-10-01 00:00:00
abstract：:Minimally invasive surgical approaches to various pediatric surgical disease processes are becoming the standard of care. Laparoscopic Nissen fundoplication is transitioning toward the preferred method for the surgical correction of gastroesophageal reflux (GER) disease in infants and children that do not respond to m...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章,评审
doi：10.1053/spsu.2002.35349
更新日期：2002-11-01 00:00:00
abstract：:Gastrointestinal motility disorders can develop in neurologically impaired children and those with congenital malformations of the gut. It is characterized by moderate to severe abdominal pain, vomiting, and failure to thrive. Antral dysmotility after fundoplication and increased sympathetic over activity are 2 factor...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章,评审
doi：10.1053/j.sempedsurg.2009.07.009
更新日期：2009-11-01 00:00:00
abstract：:When a female is born and has only a single perineal orifice on the newborn clinical examination, a diagnosis of cloaca type of anorectal malformation is made. Along with associated malformations which may initiate the ordering of radiologic imaging, there are a finite number of radiologic tests that are performed to ...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章,评审
doi：10.1053/j.sempedsurg.2015.11.007
更新日期：2016-04-01 00:00:00
abstract：:Traditional surgical attitude regarding error and complications has focused on individual failings. Human factors research has brought new and significant insights into the occurrence of error in healthcare, helping us identify systemic problems that injure patients while enhancing individual accountability and teamwo...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章
doi：10.1053/j.sempedsurg.2015.08.003
更新日期：2015-12-01 00:00:00
abstract：:This article is designed to help the nonradiologist to form a logical imaging plan when presented with a diagnostic dilemma involving the pelvis of a young female. Common presenting problems are grouped under the categories of fetus, neonate and infant, child, and adolescent. Ultrasound is frequently the initial, and ...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章,评审
doi：10.1016/s1055-8586(98)70008-3
更新日期：1998-02-01 00:00:00
abstract：: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 ver...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章,评审
doi：10.1053/j.sempedsurg.2017.10.010
更新日期：2017-12-01 00:00:00
abstract：:Management of overgrowth syndromes with complex vascular anomalies is challenging. Careful analysis of the various clinical features by an interdisciplinary team of physicians experienced in this field is paramount to proper diagnostic and therapeutic approaches. In this article, we focus on the spectrum of the clinic...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章,评审
doi：10.1053/j.sempedsurg.2014.06.013
更新日期：2014-08-01 00:00:00
abstract：:Pediatric heart transplantation has undergone major changes over the past two decades, marked by a substantial improvement in survival, reduction in posttransplant complications, and enhancement in quality of life for transplant recipients. Actuarial survival has improved substantially in the last decade. Indications ...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章,评审
doi：10.1053/j.sempedsurg.2006.03.011
更新日期：2006-08-01 00:00:00
abstract：:Children with anorectal malformations (ARMs) constitute a significant group within a pediatric surgery practice. In females, the most common ARM is an imperforate anus with a rectovestibular fistula, followed by an imperforate anus with a rectoperineal fistula and then cloacal anomalies. Some malformations, such as an...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章
doi：10.1053/j.sempedsurg.2009.11.019
更新日期：2010-05-01 00:00:00
abstract：:After surgery for Hirschsprungs disease, most children thrive, have few if any episodes of abdominal distention and enterocolitis, and are fecally continent. However, there exists a small group of patients who do not do well. Either they suffer from persistent distension and enterocolitis or they experience soiling af...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章,评审
doi：10.1053/j.sempedsurg.2012.07.009
更新日期：2012-11-01 00:00:00
abstract：OBJECTIVE:Exploring pros and cons of bridging long-gap esophageal atresia with an orthotopic jejunal pedicle graft. Retrospective series of 19 patients. METHODS:From 1988 through 2005, 19 patients with long-gap esophageal atresia received a jejunal graft. Median age at reconstruction was 76 days. The technique involve...
journal_title：Seminars in pediatric surgery
pub_type： 杂志文章
doi：10.1053/j.sempedsurg.2008.10.007
更新日期：2009-02-01 00:00:00
