{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T20:04:20Z","timestamp":1770149060301,"version":"3.49.0"},"reference-count":59,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2019,1,4]],"date-time":"2019-01-04T00:00:00Z","timestamp":1546560000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Gastro and Hepatol"],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Choledochal cysts (CDCs) and biliary atresia (BA) are rare pediatric hepatobiliary anomalies that require surgical intervention due to increased risk of malignancy and liver failure, respectively. The underlying disease and operative procedures place patients at risk for long\u2010term complications, which may continue to affect them into adulthood. Lack of a transitional care model in the health\u2010care system potentiates the challenges they will face following aging out of their pediatric providers' care. We sought to elucidate the long\u2010term complications and challenges patients with CDCs and BA face, review the current literature regarding transitioning care, and propose guidelines aiding adult providers in continued care and surveillance of these patients. A literature review was performed to assess short\u2010term and long\u2010term complications after surgery and the current standards for transitioning care in patients with a history of CDCs and BA. While transitional programs exist for patients with other gastrointestinal diseases, there are few that focus on CDCs or BA. Generally, authors encourage medical record transmission from pediatric to adult providers, ensuring accuracy of information and compliance with treatment plans. Patients with CDCs are at risk for developing biliary malignancies, cholangitis, and anastomotic strictures after resection. Patients with BA develop progressive liver failure, necessitating transplantation. There are no consensus guidelines regarding timing of follow up for these patients. Based on the best available evidence, we propose a schema for long\u2010term surveillance.<\/jats:p>","DOI":"10.1111\/jgh.14575","type":"journal-article","created":{"date-parts":[[2018,12,15]],"date-time":"2018-12-15T16:39:57Z","timestamp":1544891997000},"page":"966-974","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Transitional care for patients with surgical pediatric hepatobiliary disease: Choledochal cysts and biliary atresia"],"prefix":"10.1111","volume":"34","author":[{"given":"Gudrun","family":"Aspelund","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery Maria Fareri Children's Hospital  Valhalla New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elaa M","family":"Mahdi","sequence":"additional","affiliation":[{"name":"Department of Surgery, School of Medicine and Dentistry University of Rochester  Rochester New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David H","family":"Rothstein","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, School of Medicine and Biomedical Sciences State University of New York at Buffalo  Buffalo New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Derek S","family":"Wakeman","sequence":"additional","affiliation":[{"name":"Department of Surgery, School of Medicine and Dentistry University of Rochester  Rochester New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"on behalf of the American Academy of Pediatrics Section on Surgery's Delivery of Surgical Care Committee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,1,4]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"crossref","first-page":"1304","DOI":"10.1542\/peds.110.S3.1304","article-title":"A consensus statement on health care transitions for young adults with special health care needs","volume":"110","year":"2002","journal-title":"Pediatrics"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2014.301"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2016-1303"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011-0969"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2017.09.021"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000001033"},{"key":"e_1_2_5_8_1","article-title":"Challenges in transition of care for pediatric patients after weight\u2010reduction surgery: a systematic review and recommendations for comprehensive care","author":"Cairo SB","year":"2018","journal-title":"Obes. 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