Kim Mi Jin, Hong Sung Noh, Kim Young-Ho, Choe Yon Ho
Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Korean J Gastroenterol. 2021 May 25;77(5):227-230. doi: 10.4166/kjg.2021.065.
With the increasing incidence of pediatric inflammatory bowel disease (IBD) in children and its impact throughout life, transition care has become an important issue. In Korea, no guidelines have been proposed to support the transition from the pediatric clinic to the adult IBD clinic. This paper reviews the current issues related to IBD patient care during the transition from pediatrics to adults to identify the barriers and critical elements for a successful transition. Thus far, a multi-disciplinary pediatric/adult clinic or alternate visits between pediatric and adult health care providers is the best model for pediatric to adult IBD clinics. Self-reliance and independence of patients with pediatric IBD are also essential for a successful transition. In addition, the timing of the transition from a pediatric clinic to an adult IBD clinic should not be determined because the issue is not the chronological age but rather the individual maturity.
随着儿童期小儿炎症性肠病（IBD）发病率的不断上升及其对一生的影响，过渡性照护已成为一个重要问题。在韩国，尚未提出支持从儿科诊所向成人IBD诊所过渡的指南。本文回顾了从儿科向成人过渡期间与IBD患者照护相关的当前问题，以确定成功过渡的障碍和关键因素。到目前为止，多学科儿科/成人诊所或儿科与成人医疗服务提供者之间的交替就诊是小儿至成人IBD诊所的最佳模式。小儿IBD患者的自力更生和独立性对于成功过渡也至关重要。此外，不应确定从儿科诊所向成人IBD诊所过渡的时机，因为问题不在于实际年龄，而在于个体成熟度。
