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Pyloric stenosis

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https://www.readbyqxmd.com/read/29167219/ingestion-of-nine-metallic-nails-with-corrosive-what-happened-next
#1
Manu Vats, Sadhasivam Ramasamy, Sushanto Neogi, Sanjeev Kumar Tudu
A 20-year-old woman was brought to the surgery emergency department with the complaint of epigastric pain since 1 day following ingestion of multiple metallic nails with a cup full of toilet cleaner (corrosive acid) with a suicidal intention. Physical examination was essentially unremarkable, and the abdomen showed no signs of perforation peritonitis. X-rays of the abdomen showed multiple 'nail'-like radiopaque shadows in the abdominal cavity with no evidence of free gas under the domes of the diaphragm. A non-operative expectant management was pursued...
November 21, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/29157882/current-perioperative-care-of-infants-with-pyloric-stenosis-comparison-of-survey-results
#2
Richard S Cartabuke, Joseph D Tobias, Julie Rice, Dmitry Tumin
BACKGROUND: Considerable variation in the perioperative management of infants with pyloric stenosis (PS) led the authors to undertake a survey of pediatric anesthesiologists to determine if consensus-based guidelines could be developed. MATERIALS AND METHODS: Physicians who are members of the Society for Pediatric Anesthesia or the Association of Pediatric Anaesthetists of Great Britain and Ireland completed an online questionnaire through SurveyMonkey regarding current management of patients with PS...
November 17, 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/29148193/the-treatment-of-pyloric-stenosis-evolution-in-practice
#3
REVIEW
Kiarash Taghavi, Emma Powell, Bhaveshkumar Patel, Craig A McBride
Over the last hundred years, idiopathic hypertrophic pyloric stenosis has undergone an evolution in treatment, with subsequent improvements in outcome. Initially, it was treated by physicians with antispasmodics and various alternative feeding and resuscitation modalities. The evolution of surgical approaches led to a revolution in outcome, from almost certain death to complete cure. The progression of surgical and medical treatments is reviewed in this article until, ultimately, Ramstedt's pyloromyotomy is reached...
November 2017: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/29124120/potential-of-colonoscopy-as-a-treatment-for-intussusception-in-children
#4
Edmar Tafner, Philipe Tafner, Cornelius Mittledorf, Jose Pinhata, Ana Luisa Silva, Simone Pilli, José Guilherme da Silva, Renato T Hassegawa, Luis Maruta, Celso Christiano, Lincoln Andrada
Background and study aims:  Invagination, which can occur in any part of the intestine, usually affects children and is the second most common cause of intestinal obstruction after pyloric stenosis. The cause of these intussusceptions in children is usually unknown and they typically occur within the ileocolic region. Management of pediatric patients with the condition often consists of surgical intervention. However, this retrospective study from the University Hospital of the University of São Paulo, Brazil, reports a series of cases of intussusception in children in whom a colonoscopy was used to reverse the intussusception...
November 2017: Endoscopy International Open
https://www.readbyqxmd.com/read/29099348/transient-neonatal-myasthenia-gravis-with-infantile-hypertrophic-pyloric-stenosis-coincidence-or-causation
#5
Aakash Pandita, Deepak Sharma, Srinivas Murki, Tejo Pratap Oleti, Vallamsetty Leelakumar
No abstract text is available yet for this article.
January 1, 2017: Tropical Doctor
https://www.readbyqxmd.com/read/29043691/-analysis-of-hypertrophic-pyloric-stenosis-size-does-matter
#6
Y González Ruiz, A Siles Hinojosa, N Álvarez García, R Fernández Atuán, P Bragagnini Rodríguez, J Elías Pollina
OBJECTIVES: To analyze the correlation between pyloric size and evolution of patients surgically treated for infantile hypertrophic pyloric stenosis (IHPS). PATIENTS AND METHODS: We realized a retrospective study of 109 patients undergoing IHPS in 5 years. We analyzed by χ2 test if a correlation between evolution time, age and postoperative vomiting and gastroesophageal reflux disease (GERD), and pyloric muscle thickness (group A > 4.5 mm and group B ≤ 4...
July 20, 2017: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
https://www.readbyqxmd.com/read/29033814/a-case-of-aplasia-cutis-congenita-type-vi-bart-syndrome
#7
Yasmin Alfayez, Sahar Alsharif, Adel Santli
Aplasia cutis congenita type VI, also known as Bart syndrome, is a rare genetic mechanobullous disorder characterized by congenital localized absence of skin, mucocutaneous blistering lesions, and nail abnormalities. We present the case of a 4-h-old male newborn who presented with complete absence of skin over the anteromedial aspect of both lower legs associated with nail dystrophy since birth. After a few days, he developed blisters that were consistent with epidermolysis bullosa in histopathological examination...
May 2017: Case Reports in Dermatology
https://www.readbyqxmd.com/read/29030700/pyloric-stenosis-an-enigma-more-than-a-century-after-the-first-successful-treatment
#8
REVIEW
Yousef El-Gohary, Abdelhafeez Abdelhafeez, Elizabeth Paton, Ankush Gosain, Andrew J Murphy
Despite hypertrophic pyloric stenosis (HPS) being one of the most frequently treated pediatric surgical conditions, its etiology remains incompletely understood. We review the diagnosis and treatment of this condition with an emphasis on the evolution of surgical techniques that led to laparoscopic pyloromyotomy, the most frequently performed technique for HPS today. In addition, we review key developments in the understanding of HPS etiology and treatment, including the postulated etiology of work-induced hypertrophy of the pylorus, its association with prokinetic macrolide antibiotics, and the emerging role of atropine sulfate as a medical treatment for HPS or a rescue treatment for incomplete myotomy...
October 13, 2017: Pediatric Surgery International
https://www.readbyqxmd.com/read/28984645/advances-in-the-endoscopic-management-of-gastric-outflow-disorders
#9
Andrew C Storm, Marvin Ryou
PURPOSE OF REVIEW: Disorders of gastric outflow and outlet obstruction include a variety of benign and malignant disorders such as peptic strictures, foreign bodies, gastroparesis, and cancers of the stomach, duodenum, and pancreas. Historically, a majority of patients presenting with gastric outlet obstruction (GOO) were to the result of peptic ulcers and surgical management of peptic ulcer complications was a mainstay of general surgical training. Invasive surgery is being performed less frequently today due to realization of the role of Helicobacter pylori in peptic ulcer disease and the introduction of novel endoscopic techniques for management of GOO...
November 2017: Current Opinion in Gastroenterology
https://www.readbyqxmd.com/read/28963386/possible-congenital-dilatation-of-the-pancreatic-duct
#10
Abhijeet Tavare, Alex N Gordon-Weeks, Helen Bungay, Michael Silva
The main pancreatic duct can become dilated in a number of conditions. We describe a patient with gross dilatation of the main pancreatic duct without evidence of causative underlying pathology suggesting congenital dilatation of the pancreatic duct. A 36-year-old man presented with signs of intestinal obstruction and a history of surgery for congenital pyloric stenosis. Incidental findings on CT showed a massively dilated main pancreatic duct. On MRI there was no duct irregularity or solid mural nodule, making a main duct intraductal papillary mucinous neoplasm unlikely...
September 28, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28928620/consideration-of-pyloric-stenosis-as-a-cause-of-feeding-dysfunction-in-children-with-cyanotic-heart-disease
#11
Nayan T Srivastava, John J Parent, Marcus S Schamberger
Feeding difficulty has been reported at a higher incidence in infants with cyanotic heart disease and single ventricle physiology necessitating specialized feeding strategies. However, structural causes of feed intolerance in this subset of patients should not be ignored. This case series highlights three recent cases of pyloric stenosis in infants with left-sided obstructive lesions at our institution. In all three cases, the initial presumed diagnosis was feeding intolerance related to heart disease, and there was significant clinical improvement following identification and correction of pyloric stenosis...
September 2017: Annals of Pediatric Cardiology
https://www.readbyqxmd.com/read/28927980/william-ladd-before-the-halifax-explosion
#12
REVIEW
Don K Nakayama
Legend holds that treating the hundreds of children injured in the Halifax explosion of December 6, 1917, compelled Dr. William E. Ladd (1880-1967) to dedicate his career to the surgical care of infants and children. However, he had made the commitment to be a pediatric surgeon several years before when he joined the voluntary staff of the Children's Hospital of Boston in 1910. In the years before Halifax, he was among the vanguard of American surgeons who brought the mortality of intussusception to 45% from 90%, and of pyloric stenosis to 15% from 60%...
September 5, 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/28901937/advances-in-paediatric-gastroenterology
#13
REVIEW
Paul K H Tam, Patrick H Y Chung, Shawn D St Peter, Christopher P Gayer, Henri R Ford, Greta C H Tam, Kenneth K Y Wong, Mikko P Pakarinen, Mark Davenport
Recent developments in paediatric gastrointestinal surgery have focused on minimally invasive surgery, the accumulation of high-quality clinical evidence, and scientific research. The benefits of minimally invasive surgery for common disorders like appendicitis and hypertrophic pyloric stenosis are all supported by good clinical evidence. Although minimally invasive surgery has been extended to neonatal surgery, it is difficult to establish its role for neonatal disorders such as oesophageal atresia and biliary atresia through clinical trials because of the rarity of these disorders...
September 9, 2017: Lancet
https://www.readbyqxmd.com/read/28868226/recurrent-gastric-ulcer-and-cholangitis-caused-by-ectopic-drainage-of-the-bile-duct-into-the-stomach
#14
Katrin Bauer, Christof Keller
We report a case of recurrent gastritis with pyloric stenosis and cholangitis due to a rare variation in bile duct anatomy. A 72-year-old female patient showed recurrent gastral ulcers and biliary colic with cholangitis caused by gallstones in the main bile duct with an ectopic orifice in the prepyloric region and concurrent inflammatory pyloric stenosis. After temporarily successful endoscopic treatment with stenting and pyloric dilatation, the patient suffered from recurrent cholangitis. Finally, the abnormal biliary anatomy required surgical treatment with biliodigestive anastomosis...
2017: GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW
https://www.readbyqxmd.com/read/28842652/application-of-color-doppler-ultrasound-combined-with-doppler-imaging-artifacts-in-the-diagnosis-and-estimate-of-congenital-hypertrophic-pyloric-stenosis
#15
Suihong Ma, Jianhua Liu, Youxiang Zhang, Yuwen Yang, Hai Jin, Xiaomei Ma, Hongqin Wei
Congenital Hypertrophic Pyloric Stenosis (CHPS) is a disease condition that is caused as a result of pylorus wall hypertrophy and hyperplasia. In this study, we used color Doppler flow imaging (CDFI) and Doppler artifacts technique to observe the blood flow of hypertrophic pylorus tissue and the dynamic imaging of liquid passing through the pyloric canal in CHPS infants. 65 cases of CHPS infants and 50 infants without CHPS served as control group. We found that there were statistically significant differences between the blood flow grade of muscular layer and mucosal layer between CHPS and control infants, but no significant differences were observed in the same group...
August 25, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28770145/a-difficult-recurrent-hypertrophic-pyloric-stenosis
#16
Hamdi Louati, Hayet Zitouni, Manel Belhajmansour, Mahdi Ben Dhaou, Mohamed Jalouli, Riadh Mhiri, Rim Kallel, Tahya Boudawara
No abstract text is available yet for this article.
April 2017: Journal of Neonatal Surgery
https://www.readbyqxmd.com/read/28733736/effects-of-steroid-use-for-stenosis-prevention-after-wide-endoscopic-submucosal-dissection-for-gastric-neoplasm
#17
Yoshihiro Kishida, Naomi Kakushima, Kohei Takizawa, Masaki Tanaka, Noboru Kawata, Masao Yoshida, Sayo Ito, Kenichiro Imai, Hirotoshi Ishiwatari, Kinichi Hotta, Hiroyuki Matsubayashi, Hiroyuki Ono
BACKGROUND: Stenosis is a troublesome complication after wide endoscopic submucosal dissection (ESD). As steroids are known to prevent post-ESD esophageal stenosis, this study aimed to clarify the gastric effects. METHODS: This was a retrospective single-institution study. Between September 2002 and June 2015, 132 patients with a post-ESD mucosal defect exceeding three-fourths of the circumference were identified. Among them, 107 patients who did not undergo additional surgery for non-curative resection were reviewed...
July 21, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28701060/epidemiological-and-clinical-characteristics-of-304-patients-with-infantile-hypertrophic-pyloric-stenosis-in-anhui-province-of-east-china-2012-2015
#18
Jing Li, Wei Gao, Ji-Min Zhu, Wei Zuo, Xiang Liu
OBJECTIVE: To analyze the clinical and epidemiological features of patients with infantile hypertrophic pyloric stenosis (IHPS) so as to provide scientific evidence for diagnosis and prevention of IHPS. METHODS: We performed a retrospective study of infants with IHPS diagnosed from 2012 to 2015 at Anhui Provincial Children's Hospital. Demographic characteristics and clinical data were collected. RESULTS: Three hundred four patients (264 males and 40 females) were studied, of which 94...
July 27, 2017: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/28701002/atropine-treatment-for-hypertrophic-pyloric-stenosis-a-systematic-review-and-meta-analysis
#19
Giuseppe Lauriti, Valentina Cascini, Pierluigi Lelli Chiesa, Agostino Pierro, Augusto Zani
No abstract text is available yet for this article.
July 12, 2017: European Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/28691986/the-role-of-sugammadex-in-symptomatic-transient-neonatal-myasthenia-gravis-a-case-report
#20
Jamie E Rubin, Radhamangalam J Ramamurthi
We describe the case of a 3-week-old boy with pyloric stenosis who presented for laparoscopic pyloromyotomy in the setting of symptomatic transient neonatal myasthenia gravis. The patient received muscle relaxation with rocuronium, and neuromuscular blockade was successfully reversed with sugammadex with recovery guided by train-of-four monitoring. He was extubated uneventfully without complications. Because sugammadex binds directly to rocuronium rather than interfering with acetylcholine metabolism, it might provide a good option for reversal of neuromuscular blockade in transient neonatal myasthenia gravis...
November 1, 2017: A & A Case Reports
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