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| Verfasst von: | Schrottenberg, Christoph von [VerfasserIn]  |
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| | Lindacker, Maren [VerfasserIn] |
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| | Weis, Meike [VerfasserIn] |
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| | Büttner, Sylvia [VerfasserIn] |
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| | Schaible, Thomas [VerfasserIn] |
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| | Boettcher, Michael [VerfasserIn] |
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| | Wessel, Lucas [VerfasserIn] |
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| | Zahn, Katrin [VerfasserIn] |
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| Titel: | Long-term evaluation of the sape of the rconstructed daphragm in ptients with left-sided congenital diaphragmatic Hernia using serial chest radiographs and correlation to further complications |
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| Verf.angabe: | Christoph von Schrottenberg, Maren Lindacker, Meike Weis, Sylvia Büttner, Thomas Schaible, Michael Boettcher, Lucas M. Wessel and Katrin B. Zahn |
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| E-Jahr: | 2024 |
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| Jahr: | 22 January 2024 |
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| Umfang: | 16 S. |
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| Fussnoten: | Gesehen am 10.10.2024 |
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| Titel Quelle: | Enthalten in: Journal of Clinical Medicine |
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| Ort Quelle: | Basel : MDPI, 2012 |
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| Jahr Quelle: | 2024 |
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| Band/Heft Quelle: | 13(2024), 2, Artikel-ID 620, Seite 1-16 |
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| ISSN Quelle: | 2077-0383 |
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| Abstract: | Background: Defining risk factors for long-term comorbidities in patients after neonatal repair of congenital diaphragmatic hernia (CDH) is an important cornerstone of the implementation of targeted longitudinal follow-up programs. Methods: This study systematically assessed serial chest radiographs of 89 patients with left-sided CDH throughout a mean follow-up of 8.2 years. These geometrical variables for the left and right side were recorded: diaphragmatic angle (LDA, RDA), diaphragmatic diameter (LDD, RDD), diaphragmatic height (LDH, RDH), diaphragmatic curvature index (LDCI, RDCI), lower lung diameter (LLLD, RLLD) and thoracic area (LTA, RTA). Results: It was demonstrated that the shape of the diaphragm in patients with large defects systematically differs from that of patients with small defects. Characteristically, patients with large defects present with a smaller LDCI (5.1 vs. 8.4, p < 0.001) at 6 months of age, which increases over time (11.4 vs. 7.0 at the age of 15.5 years, p = 0.727), representing a flattening of the patch and the attached rudimentary diaphragm as the child grows. Conclusions: Multiple variables during early follow-up were significantly associated with comorbidities such as recurrence, scoliotic curves of the spine and a reduced thoracic area. Some geometrical variables may serve as surrogate parameters for disease severity, which is associated with long-term comorbidities. |
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| DOI: | doi:10.3390/jcm13020620 |
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| URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.
kostenfrei: Volltext: https://doi.org/10.3390/jcm13020620 |
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| | kostenfrei: Volltext: https://www.mdpi.com/2077-0383/13/2/620 |
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| | DOI: https://doi.org/10.3390/jcm13020620 |
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| Datenträger: | Online-Ressource |
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| Sprache: | eng |
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| Sach-SW: | CDH |
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| | chest radiographs |
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| | comorbidities |
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| | congenital diaphragmatic hernia |
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| | long-term follow-up |
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| | reconstructed diaphragm |
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| | recurrence |
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| K10plus-PPN: | 1905369301 |
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| Verknüpfungen: | → Zeitschrift |
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Long-term evaluation of the sape of the rconstructed daphragm in ptients with left-sided congenital diaphragmatic Hernia using serial chest radiographs and correlation to further complications / Schrottenberg, Christoph von [VerfasserIn]; 22 January 2024 (Online-Ressource)
