© 2002 Archives of Disease in Childhood
PAEDIATRIC ORIGIN OF ADULT LUNG DISEASE
Adult outcome of congenital lower respiratory tract malformations
Edited by Series editors: P Sly, S Stick
Respiratory and Allergic Diseases Division, Paediatric Department, University of Graz, Austria
Correspondence to:
Correspondence to:
Prof Dr M Zach, Klinische Abteilung für Paed. Pulmonologie/Allergologie, Univ Klinik für Kinder- und Jugendheilkunde, Auenbruggerplatz 30, A-8036 Graz, Austria;
maximilian.zach@kfunigraz.ac.at
Accepted 19 March 2002
Keywords: congenital malformations; tracheo-oesophageal fistula; cystic malformations; congenital diaphragmatic hernia
| The first 150 words of the full text of this article appear below. |
Congenital malformations of the lower respiratory tract are usually diagnosed and managed in the newborn period, in infancy, or in childhood. To what extent should the adult pulmonologist be experienced in this predominantly paediatric field?
There are three ways in which an adult physician may be confronted with this spectrum of disorders. The most frequent type of encounter will be a former paediatric patient, now reaching adulthood, with the history of a surgically treated respiratory malformation; in some of these patients the early loss of lung tissue raises questions of residual damage and compensatory growth. Secondly, there is an increasing number of children in whom paediatric pulmonologists treat respiratory malformations expectantly; these patients eventually become adults with their malformation still in place. Thirdly, there is a small group of patients in whom the malformation goes unrecognised throughout childhood; in these a late complication or the coincidental discovery of a radiographic
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