Kim Seung, Park Mireu, Kim Eunyoung, Kim Ga Eun, Jung Jae Hwa, Kim Soo Yeon, Kim Min Jung, Kim Da Hee, Park Sowon, Koh Hong, Ho In Geol, Kim Seung Ki, Hwang Sangwon, Shin Kyeong Hun, Lee Hosun, Lee Bobae, Lee Hyeyeon, Park Minhwa, Sohn Myung Hyun, Rha Dong-Wook, Kim Kyung Won
Division of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Yonsei University College of Medicine, Severance Children's Hospital, Seoul 03722, Korea.
Department of Pediatrics, Severance Hospital, Institute of Allergy, Institute for Immunology and Immunological Diseases, Severance Biomedical Science Institute, Brain Korea 21 PLUS Project for Medical Science, Yonsei University College of Medicine, Seoul 03722, Korea.
Children (Basel). 2021 Jun 23;8(7):535. doi: 10.3390/children8070535.
We share our experience on the implementation of a multidisciplinary aerodigestive program comprising an aerodigestive team (ADT) so as to evaluate its feasibility. We performed a retrospective chart review of the patients discussed at the monthly ADT meetings and analyzed the data. A total of 98 children were referred to the ADT during the study period. The number of cases increased steadily from 3.5 cases per month in 2019 to 8.5 cases per month in 2020. The median age of patients was 34.5 months, and 55% were male. Among the chronic comorbidities, neurologic disease was the most common (85%), followed by respiratory (36%) and cardiac (13%) disorders. The common reasons for consultation were suspected aspiration (56%), respiratory difficulty (44%), drooling/stertor (30%), regurgitation/vomiting (18%), and feeding/swallowing difficulty (17%). Following discussions, 58 patients received active interventions, including fundoplication, gastrostomy, laryngomicrosurgery, tracheostomy, and primary dilatation of the airway. According to the questionnaire of the caregiver, the majority agreed that the main symptoms and quality of life of patients had improved (88%), reducing the burden on caregivers (77%). Aerodigestive programs may provide comprehensive and multidisciplinary management for children with complex airway and digestive tract disorders.
我们分享了关于实施一个包含气道消化道团队（ADT）的多学科气道消化道项目的经验，以评估其可行性。我们对每月ADT会议上讨论的患者进行了回顾性病历审查并分析了数据。在研究期间，共有98名儿童被转诊至ADT。病例数从2019年的每月3.5例稳步增加至2020年的每月8.5例。患者的中位年龄为34.5个月，55%为男性。在慢性合并症中，神经系统疾病最为常见（85%），其次是呼吸系统疾病（36%）和心脏疾病（13%）。会诊的常见原因包括疑似误吸（56%）、呼吸困难（44%）、流口水/鼾症（30%）、反流/呕吐（18%）以及喂养/吞咽困难（17%）。经过讨论，58名患者接受了积极干预，包括胃底折叠术、胃造口术、喉显微手术、气管切开术以及气道初次扩张。根据照顾者的问卷，大多数人同意患者的主要症状和生活质量有所改善（88%），减轻了照顾者的负担（77%）。气道消化道项目可为患有复杂气道和消化道疾病的儿童提供全面的多学科管理。
