From the Division of Pediatric Gastroenterology, Hepatology and Nutrition, Children's Mercy Kansas City, Kansas City, MO.
the Aerodigestive Center, Division of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Harvard Medical School, Boston, MA.
J Pediatr Gastroenterol Nutr. 2023 Oct 1;77(4):460-467. doi: 10.1097/MPG.0000000000003882. Epub 2023 Jul 13.
OBJECTIVES: Aerodigestive disorders encompass various pathological conditions affecting the lungs, upper airway, and gastrointestinal tract in children. While advanced care has primarily occurred in specialty centers, many children first present to general pediatric gastroenterologists with aerodigestive symptoms necessitating awareness of these conditions. At the 2021 Annual North American Society for Pediatric Gastroenterology, Hepatology and Nutrition meeting, the aerodigestive Special Interest Group held a full-day symposium entitled, Pediatric Aerodigestive Medicine: Advancing Collaborative Care of Children with Aerodigestive Disorders. The symposium aimed to underline the significance of a multidisciplinary approach to achieve better outcomes for these complex patients. METHODS: The symposium brought together leading experts to highlight the growing aerodigestive field, promote new scientific and therapeutic strategies, share the structure and benefits of a multidisciplinary approach in diagnosing common and rare aerodigestive disorders, and foster multidisciplinary discussion of complex cases while highlighting the range of therapeutic and diagnostic options. In this article, we showcase the diagnostic and therapeutic approach to oropharyngeal dysphagia (OPD), one of the most common aerodigestive conditions, emphasizing the role of a collaborative model. CONCLUSIONS: The aerodigestive field has made significant progress and continues to grow due to a unique multidisciplinary, collaborative model of care for these conditions. Despite diagnostic and therapeutic challenges, the multidisciplinary approach has enabled and greatly improved efficient, high-quality, and evidence-based care for patients, including those with OPD.
目的:气消化道疾病包括各种影响儿童肺部、上呼吸道和胃肠道的病理状况。虽然高级护理主要发生在专科中心,但许多儿童首先向普通儿科胃肠病学家就诊,出现气消化道症状,需要了解这些情况。在 2021 年北美儿科学会胃肠病学、肝病学和营养学会年会上,气消化道特别兴趣小组举行了为期一天的专题研讨会,题为“儿科气消化道医学:推进气消化道疾病儿童的协作护理”。该研讨会旨在强调多学科方法对于这些复杂患者获得更好结果的重要性。
方法:该研讨会汇集了领先的专家,强调了不断发展的气消化道领域,促进了新的科学和治疗策略,分享了在诊断常见和罕见气消化道疾病方面采用多学科方法的结构和益处,并促进了对复杂病例的多学科讨论,同时突出了治疗和诊断选择的范围。在本文中,我们展示了口咽吞咽困难(OPD)的诊断和治疗方法,这是最常见的气消化道疾病之一,强调了协作模式的作用。
结论:由于这些疾病独特的多学科、协作护理模式,气消化道领域取得了重大进展并持续发展。尽管存在诊断和治疗挑战,但多学科方法为患者,包括 OPD 患者,提供了高效、高质量、基于证据的护理,并大大改善了这种护理。
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