COMPLICATED Crohn's disease IN ADOLESCENTS: FEATURES, INDICATIONS FOR SURGICAL TREATMENT, DIFFICULTY OF TRANSITION of care (review article)

Shcherbakova, O. V.; Poddubny, I. V.; Kozlov, M. Yu.

doi:10.33878/2073-7556-2017-0-4-88-98

Cited by 5 publications

(1 citation statement)

References 58 publications

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“…[5]. Хирургическое лечение при болезни Крона не является методом полного излечения, выполняется при осложненном или рефрактерном к терапии течении заболевания, при задержке физического развития ребенка, однако оно несет ряд положительных эффектов для пациента: значимое повышение качества жизни, нормализация темпов физического развития и раннюю социализация ребенка [6][7][8][9]. Современные хирургические вмешательства при БК нацелены на проведение малоинвазивных экономных резекций, органосохраняющих операций, чтобы обеспечить быструю реабилитацию ребенка и избежать формирования синдрома короткой кишки при протяженных резекциях [9][10].…”

Section: клинические наблюдения Clinical Casesunclassified

Predictors of surgical intervention in the onset of stenotic Crohn’s disease in a 15-year-old teenager

Yablokova

Хавкин²,

Лохматов

et al. 2022

jour

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Aim: to demonstrate a child with early ileocecal resection in stenosing Crohn’s disease, taking into account the risk factors of surgical intervention. Crohn’s disease (CD) is a chronic recurrent segmental granulomatous lesion of any part of the gastrointestinal tract, with a wide range of manifestations and various phenotypes of the disease. Despite the great diagnostic and therapeutic possibilities today, there is an increase in primary and secondary resistance to therapy, largely associated with an incorrect assessment of the CD phenotype, patient management strategy. In the above observation of CD in a teenager, clinical signs of ileocecal stenosis were observed 3 months after the supposed onset of the disease, which caused a planned laparoscopic ileocecal resection with the formation of a ileo-colon anastomosis. The start of CD in adolescence, positive ASCA-status are regarded as risk factors for surgical intervention in this child. Timely diagnosis did not allow to avoid surgery. It is necessary to make individual algorithms for the management of a child with CD, taking into account the predictors of surgical intervention, complications and unfavorable course of the disease already at the time of diagnosis.

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Section: клинические наблюдения Clinical Casesunclassified

Predictors of surgical intervention in the onset of stenotic Crohn’s disease in a 15-year-old teenager

Yablokova

Хавкин²,

Лохматов

et al. 2022

jour

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Transition of Adolescents with Chronic Kidney Disease to Adult Health Service: Scoping Review

Kulakova

Настаушева

Кондратьева

et al. 2021

Vopr. sovr. pediatr.

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Background. The transition of adolescents with chronic diseases from pediatric to adult health service is often accompanied by a decrease in adherence to the recommendations, non-regular scheduled medical consultations, disease course monitoring violation. All together it can lead to exacerbation and progression of the chronic disease and a decrease in quality of life. Programs for patients with nephrological diseases that optimize the process of their transition to adult service can improve the course of chronic kidney disease (according to international experts).Objective. The aim of the study was to systematize data from the published literature on the transition of adolescents with chronic kidney disease to adult health service; identify gaps in scientific knowledge; and determine areas for future research.Methods. Scoping review was performed by searching for articles in the databases: PubMed, eLIBRARY.RU, The Cochrane Library, via Google Scholar and in reference lists of selected articles. We have selected articles published in Russian or English with no publication date limitation and corresponding to inclusion criteria.Results. 185 (8.5%) out of 2,184 identified literature sources were included in the study. The results of 25 works were included in the analysis of transition programs efficacy. There were no Russian-language articles matching the inclusion criteria. The majority of publications types were original scientific studies (retrospective observational studies, questionnaire surveys, qualitative and mixed methods studies with interviewing) and narrative reviews. It was shown that both complex programs and narrow-focus interventions have been implemented to improve the transition process. It has been noted that the efficacy of such initiatives still remains insufficiently studied, including among experimental studies.Conclusion. Formation of the scientific knowledge system on the transition of patients with chronic kidney disease to adult health service requires high-level evidence. Further researches are needed in this field in the Russian health system as well.

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An aggressive variant of Crohn’s disease in a teenage girl. (Case report)

Skvortsova,

Kildiyarova,

Telikova

et al. 2024

Rus. J. Evid.-Bas. Gastro.

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COMPLICATED Crohn's disease IN ADOLESCENTS: FEATURES, INDICATIONS FOR SURGICAL TREATMENT, DIFFICULTY OF TRANSITION of care (review article)

Cited by 5 publications

References 58 publications

Predictors of surgical intervention in the onset of stenotic Crohn’s disease in a 15-year-old teenager

Predictors of surgical intervention in the onset of stenotic Crohn’s disease in a 15-year-old teenager

Transition of Adolescents with Chronic Kidney Disease to Adult Health Service: Scoping Review

An aggressive variant of Crohn’s disease in a teenage girl. (Case report)

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