Zusammenfassung
Die Diagnostik und Behandlung von Fehlbildungen von Früh- und Neugeborenen ist ein Schwerpunkt vieler großer kinderchirurgischer Kliniken. Häufig lassen sich die Krankheitsbilder bereits in utero diagnostizieren und werden daher schon während der Schwangerschaft zwischen Kinderchirurgen, Pränatalmedizinern, Neonatologen und den werdenden Eltern besprochen. Ihre Behandlung wird interdisziplinär geplant. In den letzten beiden Dekaden sind auch bei Neugeborenen modernste Operationsverfahren mittels minimalinvasiver Chirurgie etabliert worden. Durch die großen Fortschritte in der Betreuung von Frühgeborenen und Neugeborenen mit komplexen operationsbedürftigen Fehlbildungen überleben heute sehr viele dieser Patienten und können später häufig ein ganz normales Leben führen. Um das zu erreichen, wird nicht nur eine optimale Diagnostik und Therapie benötigt, sondern auch eine gute Nachsorge. Das folgende Kapitel adressiert alle diese Aspekte mit besonderem Fokus auf das, was für den Pädiater wichtig ist.
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Weiterführende Literatur
Adams SD, Stanton MP (2014) Malrotation and intestinal atresias. Early Hum Dev 90:921–925. https://doi.org/10.1016/j.earlhumdev.2014.09.017
Aguayo P, Ostlie DJ (2010) Duodenal and intestinal atresia and stenosis. Ashcraft’s Pediatric Surgery. Elsevier, S 400–415
Anderson N, Malpas T, Robertson R (1993) Prenatal diagnosis of colon atresia. Pediatr Radiol 23:63–64. https://doi.org/10.1007/BF02020229
Burgos CM, Frenckner BP, Luco M et al (2019) Prenatally versus postnatally diagnosed congenital diaphragmatic hernia – side, stage, and outcome. J Pediatr Surg 54:651–655. https://doi.org/10.1016/j.jpedsurg.2018.04.008
Casagrande A, Pederiva F (2016) Association between congenital lung malformations and lung tumors in children and adults: a systematic review. J Thorac Oncol 11:1837–1845. https://doi.org/10.1016/j.jtho.2016.06.023
Chan E, Wayne C, Nasr A (2014) Minimally invasive versus open repair of Bochdalek hernia: a meta-analysis. J Pediatr Surg 49:694–699. https://doi.org/10.1016/j.jpedsurg.2014.02.049
Christison-Lagay ER, Kelleher CM, Langer JC (2011) Neonatal abdominal wall defects. Semin Fetal Neonatal Med 16:164–172. https://doi.org/10.1016/j.siny.2011.02.003
Cooke CR (2006) Bronchopulmonary sequestration. Respir Care. 51(6):661-664
Dingemann C, Dietrich J, Zeidler J et al (2015) Early complications after esophageal atresia repair: analysis of a German health insurance database covering a population of 8 million. Dis Esophagus 29:780–786. https://doi.org/10.1111/dote.12369
Dingemann C, Dietrich J, Zeidler J et al (2017) Surgical management of congenital abdominal wall defects in Germany: a population-based study and comparison with literature reports. Eur J Pediatr 27:516–525. https://doi.org/10.1055/s-0037-1598250
Downard CD, Calkins CM, Williams RF et al (2017) Treatment of congenital pulmonary airway malformations: a systematic review from the APSA outcomes and evidence based practice committee. Pediatr Surg Int 33:939–953. https://doi.org/10.1007/s00383-017-4098-z
El-Asmar KM, Abdel-Latif M, El-Kassaby A-HA et al (2016) Colonic atresia: association with other anomalies. J Neonat Surg 5:47. https://doi.org/10.21699/jns.v5i4.422
Escobar MA, Ladd AP, Grosfeld JL et al (2004) Duodenal atresia and stenosis: long-term follow-up over 30 years. J Pediatr Surg 39:867–871. https://doi.org/10.1016/j.jpedsurg.2004.02.025
Grosfeld JL, Rescorla FJ (1993) Duodenal atresia and stenosis: reassessment of treatment and outcome based on antenatal diagnosis, pathologic variance, and long-term follow-up. World J Surg 17:301–309. https://doi.org/10.1007/bf01658696
Kantor N, Wayne C, Nasr A (2018) Symptom development in originally asymptomatic CPAM diagnosed prenatally: a systematic review. Pediatr Surg Int 34:613–620. https://doi.org/10.1007/s00383-018-4264-y
Kapralik J, Wayne C, Chan E, Nasr A (2016) Surgical versus conservative management of congenital pulmonary airway malformation in children: a systematic review and meta-analysis. J Pediatr Surg 51:508–512. https://doi.org/10.1016/j.jpedsurg.2015.11.022
Kardon G, Ackerman KG, McCulley DJ et al (2017) Congenital diaphragmatic hernias: from genes to mechanisms to therapies. Dis Model Mech 10:955–970. https://doi.org/10.1242/dmm.028365
Kay S, Yoder S, Rothenberg S (2009) Laparoscopic duodenoduodenostomy in the neonate. J Pediatr Surg 44:906–908. https://doi.org/10.1016/j.jpedsurg.2009.01.025
Keijzer R, Puri P (2010) Congenital diaphragmatic hernia. Semin Pediatr Surg 19:180–185. https://doi.org/10.1053/j.sempedsurg.2010.03.001
Kirmani B, Kirmani B, Sogliani F (2010) Should asymptomatic bronchogenic cysts in adults be treated conservatively or with surgery? Interact Cardiovasc Thorac Surg 11:649–659. https://doi.org/10.1510/icvts.2010.233114
Kirtschig G (2018) Lichen sclerosus: symptoms, diagnosis, therapeutic procedures. Hautarzt 69:127–133. https://doi.org/10.1007/s00105-017-4121-2
Kroll P (2017) Pharmacotherapy for pediatric neurogenic bladder. Pediatric Drugs 19:463–478. https://doi.org/10.1007/s40272-017-0249-x
Lacher M, Froehlich S, von Schweinitz D, Dietz H-G (2010) Early and long term outcome in children with esophageal atresia treated over the last 22 years. Klin Padiatr 222:296–301. https://doi.org/10.1055/s-0030-1249610
Lally KP, Lasky RE, Lally PA et al (2013) Standardized reporting for congenital diaphragmatic hernia – an international consensus. J Pediatr Surg 48:2408–2415. https://doi.org/10.1016/j.jpedsurg.2013.08.014
Langer S, Radtke C, Györi E et al (2018) Bladder augmentation in children: current problems and experimental strategies for reconstruction. Wiener Medizinische Wochenschrift 169:61–70. https://doi.org/10.1007/s10354-018-0645-z
Ludwikowski BM, Bieda J-C, Lingnau A, González R (2019) Surgical management of neurogenic sphincter incompetence in children. Front Pediatr. https://doi.org/10.3389/fped.2019.00097
Malhotra S, Kumta S, Bhutada A et al (2016) Topical iodine-induced thyrotoxicosis in a newborn with a giant omphalocele. Am J Perinatol Reports 06:e243–e245. https://doi.org/10.1055/s-0036-1584879
Mayer S, Gitter H, Göbel P, et al (2020) Behandlung der Ösophagusatresie mit unterer tracheoösophagealer Fistel – Zusammenfassung der aktuellen S2K-Leitlinie der DGKCH [Current Treatment of Esophageal Atresia with Tracheoesophageal Fistula - Updated Guidelines of the German Society of Pediatric Surgery]. Klin Padiatr 232(4):178-186.
Morris G, Kennedy A, Cochran W (2016) Small bowel congenital anomalies: a review and update. Curr Gastroenterol Rep 18:197–212. https://doi.org/10.1007/s11894-016-0490-4
Papile LA (2009) Routine use of a SILASTIC spring-loaded silo for infants with gastroschisis: a multicenter randomized controlled trial. Yearbook of Neonatal and Perinatal Medicine 2009:132–133. https://doi.org/10.1016/s8756-5005(09)79007-9
Russo FM, Cordier A-G, de Catte L et al (2018) Proposal for standardized prenatal ultrasound assessment of the fetus with congenital diaphragmatic hernia by the European reference network on rare inherited and congenital anomalies (ERNICA). Prenat Diagn 38:629–637. https://doi.org/10.1002/pd.5297
Singh R, Davenport M (2015) The argument for operative approach to asymptomatic lung lesions. Semin Pediatr Surg 24(4):187-195.
Snoek KG, Reiss IKM, Greenough A et al (2016) Standardized postnatal management of infants with congenital diaphragmatic hernia in Europe: The CDH EURO consortium consensus – 2015 update. Neonatol 110:66–74. https://doi.org/10.1159/000444210
Stein R, Bogaert G, Dogan HS et al (2019) EAU/ESPU guidelines on the management of neurogenic bladder in children and adolescent part I diagnostics and conservative treatment. Neurourol Urodyn 39:45–57. https://doi.org/10.1002/nau.24211
Tsao K, Lally KP (2008) The Congenital Diaphragmatic Hernia Study Group: a voluntary international registry. Semin Pediatr Surg 17(2):90-97. https://doi.org/10.1053/j.sempedsurg.2008.02.004
Vecchia LKD, Grosfeld JL, West KW et al (1998) Intestinal atresia and stenosis. Arch Surg. https://doi.org/10.1001/archsurg.133.5.490
Virgone C, D’Antonio F, Khalil A et al (2015) Accuracy of prenatal ultrasound in detecting jejunal and ileal atresia: systematic review and meta-analysis. Ultrasound Obstet Gynecol 45:523–529. https://doi.org/10.1002/uog.14651
Wagner R, Lacher M, Merkenschlager A et al (2019) Harlequin Syndrome after Thoracoscopic Repair of a Child with Tracheoesophageal Fistula (TEF). European J Pediatr Surg Rep 7:e63-e65. https://doi.org/10.1055/s-0039-1697667
Weichert J, Kahl FO, Schröer A et al (2010) Congenital gastroschisis–prenatal diagnosis and perinatal management. Z Geburtshilfe Neonatol 214:135–144. https://doi.org/10.1055/s-0030-1255101
Wu CQ, Franco I (2017) Management of vesicoureteral reflux in neurogenic bladder. Investig Clin Urol 58:S54. https://doi.org/10.4111/icu.2017.58.s1.s54
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Lacher, M., Wagner, R., Mayer, S., Schäfer, FM., Stehr, M. (2020). Angeborene Fehlbildungen: Diagnose, Therapie und Langzeitbetreuung. In: Lacher, M., Hoffmann, F., Mayer, S. (eds) Kinderchirurgie für Pädiater. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-61405-1_10
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