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Published on: February 5, 2021
Congenital diaphragmatic hernia
Lisette Leeuwen1, Dominic A Fitzgerald
1Department of Respiratory Medicine, The Children's Hospital at Westmead, Sydney, New South Wales, Australia; Medical School, University of Groningen, Groningen, The Netherlands.
Insights
Congenital diaphragmatic hernia (CDH) is a complex condition with serious consequences. Improved survival highlights the need to address long-term outcomes and quality of life for CDH patients.
Area of Science:
- Pediatric Surgery
- Neonatology
- Developmental Biology
Background:
- Congenital diaphragmatic hernia (CDH) is a rare diaphragm anomaly.
- It leads to pulmonary hypoplasia and persistent pulmonary hypertension.
- CDH presents significant therapeutic challenges and treatment variability.
Purpose of the Study:
- To review current knowledge on congenital diaphragmatic hernia.
- To highlight challenges in clinical trials due to rarity.
- To emphasize the growing importance of long-term prognosis and quality of life.
Main Methods:
- Literature review of congenital diaphragmatic hernia.
- Analysis of current therapeutic strategies and outcomes.
- Discussion of long-term morbidities and follow-up.
Main Results:
- Survival rates for CDH patients have improved.
- Long-term prognosis and quality of life are increasingly critical issues.
- CDH survivors face significant risks for long-term morbidities.
Conclusions:
- Congenital diaphragmatic hernia remains a challenging condition despite advances.
- Long-term follow-up is essential for managing survivors' health.
- Further research is needed to optimize CDH management and improve patient outcomes.
Abstract:
Congenital diaphragmatic hernia is an uncommon congenital anomaly of the diaphragm with pulmonary hypoplasia and persistent pulmonary hypertension as serious consequences. Despite recent advances in therapy, congenital diaphragmatic hernia remains a challenging condition. Best treatment strategies are still largely unknown, and practice strategies vary widely among different centres. Additionally, as congenital diaphragmatic hernia is a relatively uncommon condition, it is difficult to recruit sufficient numbers of patients for clinical trials. In recent years, survival rates of congenital diaphragmatic hernia patients appear to have increased. With the progressively improved survival rates, the long-term prognosis and quality of life of patients have become an increasingly important issue. Survivors have been shown to be at risk for many long-term morbidities, which highlights the importance of long-term follow-up of these children. The aim of this review is to give an overview of the current knowledge regarding congenital diaphragmatic hernia.
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