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炎症性肠病儿科患者的转诊:成人胃肠病学家的关键考量因素

Transitioning Pediatric Patients with Inflammatory Bowel Disease: Key Considerations for Adult Gastroenterologists.

作者信息

Alwassief Ahmed, Abbas Qasim L, Al Busafi Said, Al Lawati Tawfiq T, Al Shmusi Khalid

机构信息

Department of Medicine, Sultan Qaboos University Hospital, University Medical City, Muscat, Oman.

Department of Child Health, Al Rustaq Hospital, Al Rustaq, Oman.

出版信息

Pediatr Gastroenterol Hepatol Nutr. 2025 May;28(3):141-147. doi: 10.5223/pghn.2025.28.3.141. Epub 2025 May 8.

Abstract

The transition of young patients with inflammatory bowel disease (IBD) from pediatric to adult-centered healthcare presents a significant challenge, particularly in regions like Oman, where transfer occurs as early as 14 years old. Although both pediatric and adult patients require multidisciplinary management, key differences in disease characteristics, vaccination needs, growth considerations, and treatment approaches necessitate a carefully structured transition process. Effective communication between pediatric and adult gastroenterologists is crucial for ensuring optimal management for these young patients. This mini-review explores the complexities involved in transitioning young patients with IBD to adult healthcare services.

摘要

患有炎症性肠病(IBD)的年轻患者从儿科医疗过渡到以成人为主的医疗保健面临着重大挑战,特别是在阿曼这样的地区,患者早在14岁就开始转诊。尽管儿科和成年患者都需要多学科管理,但疾病特征、疫苗接种需求、生长发育考量以及治疗方法等方面的关键差异使得必须要有一个精心构建的过渡过程。儿科和成人胃肠病学家之间的有效沟通对于确保这些年轻患者获得最佳管理至关重要。本综述探讨了将患有IBD的年轻患者过渡到成人医疗服务所涉及的复杂性。

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Pediatric Inflammatory Bowel Disease in Asia: Epidemiology and natural history.亚洲儿童炎症性肠病:流行病学和自然病史。
Pediatr Neonatol. 2020 Jun;61(3):263-271. doi: 10.1016/j.pedneo.2019.12.008. Epub 2019 Dec 27.

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