Follow up of infants with congenital diaphragmatic hernia

Sonlee D West1, Jay M Wilson

  • 1Department of Surgery, The University of Texas Houston Medical School, Houston, TX 77030, USA. Sonlee.D.West@uth.tmc.edu

Insights

Survival rates for congenital diaphragmatic hernia have improved, but long-term follow-up reveals significant pulmonary and extrapulmonary morbidities in survivors. This review identifies these associated health issues and their predictors.

Area of Science:

  • Pediatric Surgery
  • Neonatal Medicine
  • Pulmonology

Background:

  • Congenital diaphragmatic hernia (CDH) survival has increased due to advanced treatments.
  • Long-term follow-up is crucial for understanding the full spectrum of CDH sequelae.
  • Previously unrecognized pulmonary and extrapulmonary morbidities are emerging in CDH survivors.

Purpose of the Study:

  • To review the associated morbidities in congenital diaphragmatic hernia survivors.
  • To identify predictors of these long-term health issues in high-risk infants.

Main Methods:

  • Literature review of studies on congenital diaphragmatic hernia survivors.
  • Analysis of long-term outcomes, including pulmonary and extrapulmonary complications.
  • Identification of risk factors and predictive markers for morbidities.

Main Results:

  • CDH survivors face significant pulmonary challenges, including chronic lung disease.
  • Extrapulmonary complications such as gastrointestinal, neurological, and cardiac issues are increasingly recognized.
  • Predictors for these morbidities are being identified, aiding in risk stratification.

Conclusions:

  • Improved survival in CDH necessitates a focus on managing long-term morbidities.
  • Comprehensive, long-term follow-up is essential for early detection and management of pulmonary and extrapulmonary complications.
  • Understanding predictors can guide personalized care and improve quality of life for CDH survivors.