Pyloric Stenosis

Jul 18, 2017 by in PEDIATRICS Comments Off on Pyloric Stenosis

Fig. 14.1 Drawing of the hypertrophic pylorus showing the dangerous place where the mucosa comes up as the muscular wall becomes suddenly thinner 14.7.1 Open Surgery If EMP has not…

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Congenital Duodenal Stenosis

Jul 18, 2017 by in PEDIATRICS Comments Off on Congenital Duodenal Stenosis

Fig. 15.1 Transverse incision in the bulbus duodeni Fig. 15.2 First suture through the distal duodenum Fig. 15.3 Approximation of first suture from midway bulbus to superior edge of distal…

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Intensive Care in Digestive Surgery

Jul 18, 2017 by in PEDIATRICS Comments Off on Intensive Care in Digestive Surgery

Support or manipulate pulmonary gas exchange  Normalize alveolar ventilation (PaO2, PaCO2, and pH)  Achieve and maintain PaO2 > 90 mmHg and peripheral Sat O2 > 95 % Increase lung volume…

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Congenital Hyperinsulinism

Jul 18, 2017 by in PEDIATRICS Comments Off on Congenital Hyperinsulinism

Fig. 25.1 Genetic mechanisms of congenital hyperinsulinism (see text for details) Molecular genetic abnormalities have been identified in nine different genes which cause CHI: these include inactivating mutation of the…

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Meckel’s Diverticulum

Jul 18, 2017 by in PEDIATRICS Comments Off on Meckel’s Diverticulum

Fig. 19.1 Embryo day 13 Fig. 19.2 Embryo day 28 The middle part of the primitive gut, or midgut, remains temporally connected to the yolk sac by the vitelline duct…

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Gastrointestinal Tumors in Children and Adolescents

Jul 18, 2017 by in PEDIATRICS Comments Off on Gastrointestinal Tumors in Children and Adolescents

Fig. 30.1 Mucocutaneous pigmentation representative of Peutz–Jeghers syndrome (PJS) (Reproduced from Alawi 2013 [15]) Adenomas This type of polyps is usually associated with polyposis syndromes such as familial adenomatous polyposis…

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Clinical Nutrition

Jul 18, 2017 by in PEDIATRICS Comments Off on Clinical Nutrition

Fig. 6.1 Summary of clinical nutrition management in pediatric digestive diseases. PN parenteral nutrition, * paralytic or mechanical ileus, ° obstruction, NEC necrotizing enterocolitis, EN enteral nutrition, ONS oral nutritional…

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Congenital Esophageal Stenosis

Jul 18, 2017 by in PEDIATRICS Comments Off on Congenital Esophageal Stenosis

Fig. 8.1 Congenital stenosis of the distal third of the esophagus The radiologic appearance is morphologically similar in all cases of esophageal stenosis: an important esophageal dilation followed by a…

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Hiatal Hernia and Gastroesophageal Reflux

Jul 18, 2017 by in PEDIATRICS Comments Off on Hiatal Hernia and Gastroesophageal Reflux

Fig. 12.1 Laparoscopic Nissen Rossetti fundoplication. Creation of the retroesophageal window (a), suture of the diaphragmatic crura (b), the fundus is brought around behind the esophagus to create a wrap…

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Caustic Ingestion and Foreign Bodies

Jul 18, 2017 by in PEDIATRICS Comments Off on Caustic Ingestion and Foreign Bodies

Grade Endoscopic features Extent of lesions 0 No lesion  1 Erythema of the mucosa  2a Pseudomembranes Partial/noncircumferential 2b Ulcer/necrosis Partial/noncircumferential 3a Pseudomembranes Circumferential 3b Ulcer/necrosis Circumferential 4 Full-thickness changes/perforations  Patients…

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