Urgent/Emergent indications Intractable bleeding Unrelenting pain Unremitting sepsis Complications Colonic perforation Colonic stricture Elective indications Refractory to or complications of medical management Chronic malnutrition Poor growth Delayed sexual maturation Steroid…
Diarrhea-predominant IBS • GI infections • Inflammatory bowel disease • Celiac disease • Carbohydrate malabsorption (lactose, sucrose, fructose, sorbitol) • Lymphocytic and collagenous colitis • Food intolerance Constipation-predominant IBS • Celiac disease • Hypothyroidism • Anal sphincter/pelvic floor abnormality…
Obstruction Bleeding Perforation Fistula Phlegmon Abscess Drug allergies Drug resistance Perineal disease Urologic complications Progression Growth failure The indications for surgery have evolved somewhat as medical treatments have improved. A…
Abbott Kimberly Clark CORPAK (Viasys) AMT Bard Percutaneous endoscopic gastrostomy (PEG) tubes Flex-Flo® Introducer Gastrostomy Kit with Brown/Mueller T-Fastener™ Set 18 FR MIC* percutaneous endoscopic gastrostomy feeding tube 14…
Fig. 22.1 Normal mucosal findings (a) in the mid small bowel as seen by wireless capsule endoscopy in a child suspected of Crohn disease. The astonishing resolution of the capsule’s…
To compare children of different ages and gender, the height velocity is converted to a z-score: The z-score corresponds to the standard deviation (SD) of the child’s height velocity. Points…
Fig. 23.1 Bone formation (+) and resorption (−) during growth. (From Baron [12]. This material is reproduced with permission of John Wiley & Sons, Inc.) Changes in Cortical and Trabecular…
Fig. 25.1 Frequency distribution histogram of level of RBC TPMT enzyme activity in blood samples from 298 randomly selected Caucasian blood donors Fig. 25.2 Common TPMT mutant alleles. Wild type…
Fig. 45.1 Conceptual scheme of the domains and variables involved in a quality-of-life assessment. The x axis represents subjective perceptions of health, the y axis objective health status, the coordinates…
•S upervise : all aspects of the trial are ultimately the responsible of the investigator •M aintain Records : meticulous record keeping is critically important •A dhere to the protocol…
