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In: Political science quarterly: a nonpartisan journal devoted to the study and analysis of government, politics and international affairs ; PSQ, Band 123, Heft 3, S. 547-549
ISSN: 1538-165X
In: Political science quarterly: a nonpartisan journal devoted to the study and analysis of government, politics and international affairs ; PSQ, Band 121, Heft 4, S. 745-747
ISSN: 1538-165X
In: Political science quarterly: a nonpartisan journal devoted to the study and analysis of government, politics and international affairs ; PSQ, Band 120, Heft 1, S. 144-145
ISSN: 1538-165X
In: Political science quarterly: a nonpartisan journal devoted to the study and analysis of government, politics and international affairs ; PSQ, Band 114, Heft 2, S. 342-343
ISSN: 1538-165X
In: Political science quarterly: a nonpartisan journal devoted to the study and analysis of government, politics and international affairs ; PSQ, Band 113, Heft 3, S. 514-516
ISSN: 1538-165X
In: Political science quarterly: a nonpartisan journal devoted to the study and analysis of government, politics and international affairs ; PSQ, Band 113, Heft 1, S. 43-62
ISSN: 1538-165X
In: Political science quarterly: a nonpartisan journal devoted to the study and analysis of government, politics and international affairs ; PSQ, Band 112, Heft 3, S. 509-510
ISSN: 1538-165X
In: Political science quarterly: a nonpartisan journal devoted to the study and analysis of government, politics and international affairs ; PSQ, Band 98, Heft 1, S. 59-78
ISSN: 1538-165X
In: Political science quarterly: a nonpartisan journal devoted to the study and analysis of government, politics and international affairs ; PSQ, Band 95, Heft 3, S. 524-525
ISSN: 1538-165X
In: Political science quarterly: a nonpartisan journal devoted to the study and analysis of government, politics and international affairs ; PSQ, Band 86, Heft 3, S. 537-538
ISSN: 1538-165X
In: Political science quarterly: a nonpartisan journal devoted to the study and analysis of government, politics and international affairs ; PSQ, Band 47, Heft 1, S. 122-123
ISSN: 1538-165X
In: Political science quarterly: a nonpartisan journal devoted to the study and analysis of government, politics and international affairs ; PSQ, Band 39, Heft 4, S. 624-649
ISSN: 1538-165X
In: Political science quarterly: a nonpartisan journal devoted to the study and analysis of government, politics and international affairs ; PSQ, Band 39, Heft 3, S. 373-413
ISSN: 1538-165X
In: International interactions: empirical and theoretical research in international relations, Band 9, Heft 2, S. 103-123
ISSN: 0305-0629
World Affairs Online
In: Hulscher , J B F , Kuebler , J F , Bruggink , J M , Davenport , M , Scholz , S , Petersen , C , Madadi-Sanjani , O & Schukfeh , N 2022 , ' Controversies in Choledochal Malformation in Children : An International Survey among Pediatric Hepatobiliary Surgeons and Gastroenterologists ' , Journal of Clinical Medicine , vol. 11 , no. 4 , 1148 . https://doi.org/10.3390/jcm11041148 ; ISSN:2077-0383
Background: While congenital choledochal malformation (CCM) is relatively well known within the pediatric surgical and pediatric gastroenterological communities, many controversies and questions remain. Methods: In this paper, we will discuss the results of an international Delphi survey among members of the European Reference Network RARE-LIVER and of the faculty of the Biliary Atresia and Related Diseases (BARD) network to identify the most common practices as well as controversies regarding diagnosis, treatment and follow-up of this still enigmatic disease. Results: Twenty-two individual respondents completed the survey. While there seems to be agreement on the definitions of CCM, preoperative workup, surgical approach and follow-up still vary considerably. The mainstay of treatment remains the removal of the entire extrahepatic biliary tract, clearance of debris both proximally and distally, followed by reconstruction with (according to 86% of respondents) a Roux-en-Y hepaticojejunostomy. Nonetheless, both laparoscopic and robotic-assisted resections are gaining ground with the suggestion that this might be facilitated by concentration of care and resources in specialized centers. However, long-term outcomes are still lacking. Conclusions: As even post-surgical CCM has to be considered as having premalignant potential, follow-up should be well-organized and continued into adulthood. This seems to be lacking in many centers. International cooperation for both benchmarking and research is paramount to improving care for this rare disease.
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