Search Results
Results 451 - 500 of 1164
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Amole A O D - - 2003
Proximal jejunal atresia (PJA) is a common cause of intestinal obstruction in the newborn. Despite the need for an early surgical intervention to minimize morbidity and mortality, a timely identification is frequently precluded by the absence of specific clinical and investigative clues. Against the background of the limitations in making ...
Spinelli C - - 2003
Hypertrophic pyloric stenosis (IHPS) is the most common abdominal abnormality requiring surgery in infants. It occurs due to the hypertrophic and hyperplasia of the muscular layers of the pyloric. The usual age of clinical presentation is about three weeks of life. The most important symptom is non bilious emesis, intermittent ...
Chen John J - - 2003
OBJECTIVES: To evaluate the severity, laterality, and gender distribution of infant vesicoureteral reflux (VUR) and its potential impact on renal outcome, we compared patients presenting fetally (FDR group) and those presenting with a urinary tract infection (INF group). METHODS: A retrospective review of 202 patients with the diagnosis of VUR ...
Seoud Muhieddine - - 2003
We report two infants with gastrointestinal anomalies: one with esophageal atresia and tracheo-esophageal fistula and the other with biliary tree atresia, born to hyperthyroid women diagnosed and treated with methimazole after 14 weeks' gestation. Euthyroidism was documented in both infants. These cases raise the issue of whether untreated hyperthyroidism and ...
Koral Korgün - - 2003
Percutaneous nephrostomy (PN) in newborns and young infants presents unique challenges. Twenty-six consecutive PN procedures in 18 patients were retrospectively reviewed. Fifteen procedures were performed with the conventional micropuncture technique. The modified technique describe herein was used in 11 procedures. Depending on whether there is obstruction and whether the obstruction ...
González Ferreiro María - - 2003
Presystemic degradation in the gastrointestinal tract is one of the major problems contributing to the poor oral absorption of antisense oligonucleotides. Complexes between the antisense phosphorothioate oligodeoxynucleotide ISIS 2302 and the polycationic carriers protamine sulfate grade X, protamine chloride grade V, protamine phosphate grade X, poly-L-lysine hydrobromide (PLL), spermidine phosphate ...
Ismaili Khalid - - 2003
OBJECTIVE: The purpose of this study was to determine the incidence of minor degrees of renal pelvis dilatation that is detected by antenatal ultrasound scanning in an unselected population and its value in the prediction of significant uropathies. STUDY DESIGN: This prospective study was conducted over a 24-month period. Infants ...
Hadfield Pandora J - - 2003
OBJECTIVE: to investigate whether relief of airway obstruction in laryngomalacia by aryepiglottoplasty affects gastro-oesophageal reflux. METHODS: a prospective study of consecutive infants and children with suspected laryngomalacia. Gastro-oesophageal reflux was measured before and after diagnostic microlaryngobronchoscopy and aryepiglottoplasty. RESULTS: of the six cases who underwent aryepiglottoplasty and completed the study, ...
Infosino Andrew - - 2002
Understanding the differences between the infant upper airway and the adult upper airway is important in properly managing the infant and pediatric airway. Proper history and physical examination and selection of the appropriate endotracheal tubes, LMAs, and laryngoscopes are key to managing the normal infant and pediatric airway. The difficult ...
Gawrieh Samer - - 2002
LES tone is influenced by central and peripheral mechanisms. Peripheral factors influencing the LES tone include inhibitory reflexes originating from the stomach, esophagus, pharynx, and larynx. Although the role of LES relaxation and its associated reflux events induced by gastric distention has been extensively studied, the LES relaxations triggered by ...
Watanabe Toru - - 2003
Pneumothorax and transient pseudohypoaldosteronism have been noted as complications of obstructive uropathy in infancy. However, they are rare complications, and there have been no reports of a patient with both pneumothorax and pseudohypoaldosteronism in obstructive uropathy. Here we describe a case of pneumothorax and transient pseudohypoaldosteronism in an infant with ...
Brantberg A - - 2002
OBJECTIVES: The aim of this study was to describe the outcome of fetuses with duodenal obstruction diagnosed prenatally and to compare the outcome with the results of studies of newborns. METHODS: All fetuses with a prenatal diagnosis of duodenal obstruction were registered and evaluated prospectively from January 1985 to December ...
Chen Chien-Yi - - 2002
Unilateral pulmonary agenesis with esophageal atresia is a rare condition. Patients with this condition almost die of respiratory failure during early infancy. We describe a case of a premature female infant who has tracheal stenosis, right lung agenesis and esophageal atresia at the same time. Because of respiratory failure, this ...
Ankermann T - - 2002
The authors report on a male infant aged 4(1/2) weeks who underwent a pyloromyotomy for hypertrophic pyloric stenosis. After an uncomplicated postoperative course with normal feeding and weight gain, projectile vomiting reoccurred. The boy underwent a repyloromyotomy for recurrent hypertrophic pyloric stenosis. The underlying cause of a recurrent hypertrophic pyloric ...
Collins D W - - 2002
Neonatal airway obstruction has been reported to have a high mortality. Antenatal diagnosis of this condition is now possible. Anaesthetic and surgical techniques have been developed that allow neonatal airway obstruction to be managed at delivery, while the fetus remains oxygenated via the placental circulation. Three case studies are presented, ...
Kara Cüneyt Orhan - - 2002
OBJECTIVE: The purpose of this study was to develop an experimental rhinosinusitis model by using bacteria-added absorbable material for temporary ostial obstruction. METHOD: Absorbable gelatin sponge was inserted between the endoturbinals and the ostium of the sinus. In the first group, the effects of surgical procedure and Gelfoam on ostial ...
Kung S-P - - 2002
Patients with longer duration of huge gastroduodenal perforation are known to be difficult to tolerate major surgery. Primary closure of the perforation will result in suture tension with high risk of dehiscence, gastric outlet obstruction, and even mortality. Teflon-Felt is a bioinert, polytetrafluoroethylene, flexible material used on patients with vascular ...
Omari T I - - 2002
Transient lower oesophageal sphincter relaxation (TLOSR) is the predominant mechanism of gastro-oesophageal reflux (GOR) in healthy infants but the mechanisms of GOR in infants with GOR disease (GORD) are poorly understood. To measure the occurrence of TLOSR, GOR, and gastric emptying (GE) rate in preterm and term infants with GORD. ...
Tuncer Ulkü - - 2002
Congenital vallecular cyst is fairly uncommon in neonates and infants. Although benign in nature, it may cause stridor and even life-threatening airway obstruction in early infancy. A 3-month-old male baby presented with failure to thrive and respiratory distress was found to have a vallecular cyst. Marsupialization with CO(2) laser was ...
Gloor J M - - 2002
OBJECTIVE: We evaluated the incidence of vesicoureteral reflux in fetuses with prenatally detected isolated mild fetal hydronephrosis. METHODS: Fetuses with isolated mild fetal hydronephrosis (defined as a fetal renal pelvis anteroposterior diameter of > or = 4 and < 10 mm before 24 weeks' gestational age) were prospectively evaluated with ...
Singh Utpal Kant - - 2002
Congenital hypertrophic pyloric stenosis, an important cause of intractable vomiting in infants is diagnosed clinically and confirmed ultrasonographically. Other useful interventions are plain radiography and barium study. Differential diagnosis includes pylorospasm and gastroesophageal reflux. Management protocol includes correction of dehydration and electrolyte imbalance and either Fredet Ramstedt pyloromyotomy or medical ...
Darge Kassa - - 2002
INTRODUCTION AND OBJECTIVE: The sonographic diagnosis of vesicoureteral reflux (VUR) with contrast-enhanced voiding urosonography (VUS) is gradually increasing. With the introduction of VUS as part of the routine diagnostic imaging modalities for reflux significant reduction in the number of voiding cystourethrographies (VCUG) was possible. Like in VCUG grading of reflux ...
Christensen Anne Estmann - - 2002
INTRODUCTION: Long-term treatment with parenteral nutrition (PN) may be essential for survival in infants after neonatal gastrointestinal surgery. It seemed well indicated in a population-based study to estimate the need for long-term PN and to characterize the infants that received TPN with regard to diagnosis and clinical course. METHODOLOGY: This ...
Peter Corinna S - - 2002
To investigate whether a nasogastric tube predisposes to gastroesophageal reflux, 16 preterm infants underwent 48-hour recordings of multiple intraluminal impedance with the catheter tip in the lower esophagus or stomach for 24 hours each. There were 72 (range, 40-145) reflux episodes with the esophageal placement and 122 (range, 60-147) during ...
Cooper William O - - 2002
OBJECTIVE: To assess the association between prenatal antibiotics, including erythromycin, and infantile hypertrophic pyloric stenosis in a large cohort of infants. METHODS: This was a retrospective cohort study of births to women enrolled in Tennessee Medicaid/TennCare, 1985-1997. Prescriptions for erythromycin, nonerythromycin macrolides, and other antibiotics were identified from pharmacy files ...
Cooper William O - - 2002
OBJECTIVE: To assess the link between very early erythromycin exposure and pyloric stenosis in young infants. DESIGN: Retrospective cohort study. PARTICIPANTS AND METHODS: Medicaid or TennCare (Tennessee's program for Medicaid enrollees and uninsured individuals) births in Tennessee from 1985 to 1997. Cases of infants with a hospital discharge diagnosis of ...
Ismaili Khalid - - 2002
OBJECTIVES: To assess the yield of neonatal renal ultrasonography as a predictor of abnormalities on voiding cystourethrography (VCUG). STUDY DESIGN: We prospectively followed 264 infants with antenatal renal pelvis dilation. Two successive neonatal renal ultrasound examinations were performed at day 5 and 1 month after birth. VCUG was performed in ...
Hotta Yukako - - 2002
A 4-month-old-infant was presented with a presumptive diagnosis of a recurrent tracheo-oesophageal fistula. Preoperative bronchoscopy failed to reveal any defects on the tracheal lumen; however, combined oesophagoscopy and bronchoscopy successfully identified the tracheal orifice of the fistula, which facilitated surgical identification of the recurrent fistula and proper placement of the ...
Simanovsky Natalia - - 2002
BACKGROUND: Vomiting is very common in infants. It is usually attributed to gastroesophageal reflux and no radiological evaluation is performed. Pediatric radiologists, however, still perform many upper GI series in these infants to exclude an underlying anatomic abnormality as a cause for vomiting. OBJECTIVE: To evaluate the yield of upper ...
Tashjian David B - - 2002
Hypertrophic pyloric stenosis (HPS) is the most common surgical condition producing vomiting in infants. It has been reported as early as the 1st week of life. We report an infant with HPS seen on prenatal ultrasound. Although infants with HPS usually present between 3 and 5 weeks of life, HPS ...
Sencan Ayd?n - - 2002
BACKGROUND: The pancreas exhibits various types of anomalies, including aplasia, dysplasia, pancreatic cysts, duplication, and ectopia, of which the most common is annular pancreas. This study describes the characteristic features of 7 cases of annular pancreas diagnosed during exploration.MATERIAL/METHODS: Seven newborns undergoing surgery for annular pancreas from 1990 to 1998 ...
Strouse P J - - 2002
Midgut malrotation with volvulus is a life-threatening surgical emergency. Prompt diagnosis and treatment is paramount to good outcome. Imaging plays a key role in confirming the diagnosis. A two-day-old male infant presented with bilious vomiting and was diagnosed by upper GI examination to have midgut malrotation and volvulus. The gut ...
Godbole Prasad - - 2002
BACKGROUND/PURPOSE: Intestinal obstruction is one of the most common reasons for admission to a neonatal surgical unit and frequently is manifest by bilious vomiting. Not all cases of neonatal bilious vomiting are caused by intestinal obstruction. This study aimed to investigate the outcome of neonates with bilious vomiting. METHODS: A ...
Hoeve L J Hans - - 2002
Most acquired laryngeal stenoses in infants and children can be treated surgically with successful outcome. We describe two patient cases in which removal of such a stenosis did not result in decanulation, because another, hidden obstruction was present. This demonstrates the importance of preoperative assessment to indicate factors that influence ...
Jutti Ramesh C - - 2002
A 2-month-old male infant with a prenatally diagnosed obstruction of the ureteropelvic junction underwent a dismembered Anderson-Hynes pyeloplasty. A transanastomotic double J ureteral stent was placed between the renal pelvis and the urinary bladder. This report describes the subsequent removal of the double J ureteral stent from the patient's urinary ...
Chou Min-Min - - 2002
Hereditary multiple intestinal atresia is a rare syndrome with an autosomal recessive pattern of inheritance. We described the antenatal sonographic appearance of a case of hereditary multiple intestinal atresia. A markedly dilated cystic mass noncommunicating with the stomach was observed in the right upper quadrant of the fetal abdomen by ...
Zupancic Bozidar - - 2002
BACKGROUND: Early pyeloplasty for the treatment of congenital ureteropelvic junction obstruction to maximize nephron salvage is justified only if potential hazards of operating on small infants are avoided. METHODS: The records were analyzed of all infants who underwent pyeloplasty over a 5-year period. Open pyeloplasty was performed if collecting systems ...
Pehl Christian - - 2002
OBJECTIVES: White wine has been demonstrated to induce gastroesophageal reflux (GER) in healthy people and GER patients. This GER is characterized by reflux episodes of prolonged duration. Our aim was to explore the pathogenesis of the prolonged reflux duration. METHODS: Twelve healthy volunteers received in a randomized order 300 ml ...
Carroll Aaron E - - 2002
BACKGROUND: Nonpharmacological and nonsurgical measures are often recommended for gastroesophageal reflux disease (GERD) in infants, despite ambiguous supporting evidence. OBJECTIVE: To conduct a systematic review of rigorously evaluated nonpharmacological and nonsurgical therapies for GERD in infants. DESIGN/METHODS: We searched online bibliographic databases, including MEDLINE, EMBASE, the Cochrane Collaboration and Clinical ...
Cozzi Francesco - - 2002
BACKGROUND/PURPOSE: Clinical manifestations of airway obstruction in infants with repaired esophageal atresia or tracheoesophageal fistula (EA/TEF) are attributed conventionally to tracheomalacia. In the current study, the authors tested the hypothesis that a retrodisplacement of the tongue (glossoptosis), by causing a functional upper airway obstruction (obstructive apnea/hypopnea), may play a role ...
Heine Ralf G - - 2002
OBJECTIVES: Our purpose was to study the relation between gastroesophageal reflux (GER) and esophagitis in infants with persistent distress. STUDY DESIGN: Infants (n = 125, 79 boys; median age, 4.2 months) with persistent distress and clinical symptoms suggestive of GER and esophagitis were retrospectively studied. All had undergone esophageal 24-hour ...
Liang Ching-Chung - - 2002
OBJECTIVE: To demonstrate the postnatal investigation, treatment and outcome of infants with hydronephrosis prenatally diagnosed by ultrasound between 1994 and 1996. STUDY DESIGN: In a two-year period we studied 20 infants who presented with hydronephrosis diagnosed by prenatal ultrasound and confirmed by postnatal ultrasound. Unilateral hydronephrosis was diagnosed in 17 ...
Thomson Mike - - 2002
Although gastro-oesophageal reflux (GOR) symptoms diminish in 80% of babies by their first birthday, this common problem causes parents and babies much distress. In extreme cases, GOR is linked to oesophageal ulceration and faltering growth. But most infants have uncomplicated GOR without a definitive cause. GOR symptoms can resolve using ...
Osatakul Seksit - - 2002
BACKGROUND: Epidemiologic studies in adults suggest that the nature of gastroesophageal reflux may differ among various ethnic groups. Until recently, there has been limited information concerning the epidemiology of gastroesophageal reflux in non-Western children. The objectives of this cohort study were to investigate the prevalence of symptoms related to gastroesophageal ...
Ozcan Co┼čkun - - 2002
An infant with esophageal atresia (EA) and absence of gas on abdominal radiographs was found to have an obliterated distal tracheoesophageal fistula (TEF). Preoperative bronchoscopy and surgical exploration found that the reason for gasless abdomen was the atresia of the distal portion of lower esophagus, which also contained heterotopic pancreatic ...
Rouwet Ellen V - - 2002
Immaturity of intestinal epithelial barrier function and absorptive capacity may play a role in the pathophysiology of intestinal complications in preterm neonates during the early postnatal period. We determined the intestinal permeability and carrier-mediated absorption of monosaccharides in preterm neonates during the first 2 wk after birth. Fifty-nine preterm neonates ...
Shimoyama T - - 2002
A palatal appliance with oropharyngeal tube that reduces the upper airway obstructions of an eleven-month-old male infant with severe cerebral palsy is presented. The palatal appliance was composed of the base plate, the outer guide tube that held the oropharyngeal tube inside it, and the extra outer guide tube for ...
Orenstein S R - - 2001
Problematic airway responses in infants are common. Reflux-induced apnea affects nearly 1% of infants and involves airway closure or laryngospasm. Recurrent or chronic stridor, caused by dynamic or structural airway abnormalities, occurs in up to 1 in 100 babies. It can be difficult to distinguish microaspiration, which may represent inadequate ...
Jadcherla S R - - 2001
The incidence of concomitant feeding and airway-related disorders is high among premature infants and babies with congenital anomalies. The cause of these disorders is commonly attributed to foregut dysfunction, and the approach to diagnosis and management is largely empiric. Management strategies usually are based on the failure to improve feeding ...
Jung A D - - 2001
Gastroesophageal reflux is a common, self-limited process in infants that usually resolves by six to 12 months of age. Effective, conservative management involves thickened feedings, positional treatment, and parental reassurance. Gastroesophageal reflux disease (GERD) is a less common, more serious pathologic process that usually warrants medical management and diagnostic evaluation. ...
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