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endoscopic ultrasound in children

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https://www.readbyqxmd.com/read/27889221/the-swedish-infant-high-grade-reflux-trial-study-presentation-and-vesicoureteral-reflux-outcome
#1
Josefin Nordenström, Gundela Holmdahl, Per Brandström, Rune Sixt, Eira Stokland, Ulla Sillén, Sofia Sjöström
INTRODUCTION: High-grade vesicoureteral reflux (VUR) in infants is associated with congenital renal abnormalities, recurrent UTI, and bladder dysfunction. Endoscopic treatment (ET) is a well-established method in children with low to moderate reflux grades, but there is a lack of randomised controlled trials regarding the use of ET versus continuous antibiotic prophylaxis in infants with high-grade VUR. OBJECTIVE: This study aimed to determine whether high-grade VUR in infants can be treated with endoscopic injection and whether ET is superior to antibiotic prophylaxis in the treatment of VUR...
October 24, 2016: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/27789217/reoperative-laparoscopic-ureteropelvic-junction-obstruction-repair-in-children-safety-and-efficacy-of-the-technique
#2
Paulo Renato Marcelo Moscardi, João Arthur Brunhara Alves Barbosa, Hiury Silva Andrade, Marcos Figueiredo Mello, Bruno Nicolino Cezarino, Lorena Marçalo Oliveira, Miguel Srougi, Francisco Tibor Dénes, Roberto Iglesias Lopes
INTRODUCTION: Failure after pyeloplasty for Ureteropelvic Junction Obstruction (UPJO) in children may occur in up to 10% of cases. Treatment options include double-J stent placement, endoscopic treatment and reoperation. Laparoscopic and robotic reoperative modalities seem safe and efficacious, although pediatric series are limited in the literature. We here report on the largest series of reoperative laparoscopic UPJO repair in children and compared it to primary laparoscopic pyeloplasty...
October 24, 2016: Journal of Urology
https://www.readbyqxmd.com/read/27775289/-anterior-urethral-valves-and-anterior-urethral-diverticulum-are-they-same-entity
#3
E Calleja Aguayo, A E Hernández Calvarro, J Bregante Ucedo, C Marhuenda Irastorza
OBJECTIVE: We present our experience in the diagnosis and management of anterior urethral valves (AUV) and anterior urethral diverticula (AUD) as well as review of the bibliography. MATERIALS AND METHODS: We retrospectively evaluated all the cases of the AUV and AUD treated in our hospital during the last 10 years. The clinical exploration, renal function study and renal and bladder ultrasound were evaluated in all the children. The diagnosis was completed with voiding cystography (VCUG) and cystoscopy as well as nuclear study in the relevant patients...
April 15, 2015: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
https://www.readbyqxmd.com/read/27746247/cowper-s-syringocele-a-rare-differential-diagnosis-of-infravesical-obstruction-in-boys-and-young-adults
#4
Felix Blasl, Wolfgang H Rösch, Mark Koen, Mircia-Aurel Ardelean, Anne-Karoline Ebert
OBJECTIVE AND INTRODUCTION: Cowper's syringocele is a cystic dilation of the bulbourethral gland duct, initially defined by Maizels et al. in 1983. Although obstructive and non-obstructive types of this rare anomaly are described, clinical symptoms are highly unspecific. Therefore, we report 12 cases of children and young adults diagnosed with Cowper's syringocele to further clarify clinical course, comorbidity and treatment strategies. STUDY DESIGN: We retrospectively collected clinical data of 12 children and young adults from birth to 18...
October 8, 2016: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/27687769/ultrasound-and-mri-predictors-of-surgical-bowel-resection-in-pediatric-crohn-disease
#5
Daniel G Rosenbaum, Maire A Conrad, David M Biko, Eduardo D Ruchelli, Judith R Kelsen, Sudha A Anupindi
BACKGROUND: Imaging predictors for surgery in children with Crohn disease are lacking. OBJECTIVE: To identify imaging features of the terminal ileum on short-interval bowel ultrasound (US) and MR enterography (MRE) in children with Crohn disease requiring surgical bowel resection and those managed by medical therapy alone. MATERIALS AND METHODS: This retrospective study evaluated patients 18 years and younger with Crohn disease undergoing short-interval bowel US and MRE (within 2 months of one another), as well as subsequent ileocecectomy or endoscopy within 3 months of imaging...
September 29, 2016: Pediatric Radiology
https://www.readbyqxmd.com/read/27637141/ureterocele-in-newborns-infants-and-children-ten-year-prospective-study-with-primary-endoscopic-deroofing-and-double-j-dj-stenting
#6
Sujit K Chowdhary, Deepak K Kandpal, Anupam Sibal, Rajendra N Srivastava, Anand S Vasudev
AIM: To evaluate the success of endoscopic deroofing with double J (DJ) stenting as a primary treatment modality of uncomplicated ureterocele. PATIENTS AND METHODS: All babies with uncomplicated ureterocele referred to us between 2005 and 2015 were to be prospectively recruited into the study without any exception. The preoperative management would include ultrasound KUB on a fixed protocol, micturating cystourethrogram, DTPA scan and MRU (magnetic resonance urography) or IVP (intravenous pyelography)...
September 2, 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27548251/endoscopic-treatment-of-walled-off-necrosis-in-children-clinical-experience-and-treatment-outcomes
#7
Ji Young Bang, Shyam Varadarajulu
OBJECTIVES: Data on the endoscopic treatment outcomes for walled-off necrosis (WON) in children are limited. The aim of the present study was to evaluate the efficacy and safety of endoscopic approach for the treatment of WON in children. METHODS: A retrospective study was conducted of all children with symptomatic WON treated endoscopically over 6 years. Treatment consisted of endoscopic ultrasound-guided transmural drainage using either a lumen-apposing metal stent or multiple 7Fr double pigtail plastic stents with or without percutaneous drainage...
September 2016: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/27478444/vague-neuroglycopenic-complaints-camouflage-diagnosis-of-adolescent-insulinoma-a-case-report
#8
Kelsee Halpin, Ryan McDonough, Patria Alba, Jared Halpin, Vivekanand Singh, Yun Yan
BACKGROUND: Insulinoma is a rare diagnosis in the general population with estimates of 1 in 250,000 people per year. Reports of these pancreatic islet cell tumors are even more unusual in children and adolescents. Chronic hypoglycemia due to an insulinoma often presents with neuroglycopenic symptoms that can easily be overlooked, especially in adolescents where nonspecific complaints are common. This may result in delayed diagnosis with prolonged periods of untreated hypoglycemia and associated complications...
2016: International Journal of Pediatric Endocrinology
https://www.readbyqxmd.com/read/27298714/endoscopic-retrograde-cholangiography-for-pediatric-choledocholithiasis-assessing-the-need-for-endoscopic-intervention
#9
Douglas S Fishman, Bruno P Chumpitazi, Isaac Raijman, Cynthia Man-Wai Tsai, E O'Brian Smith, Mark V Mazziotti, Mark A Gilger
AIM: To assess pediatric patients for choledocholithiasis. We applied current adult guidelines to identify predictive factors in children. METHODS: A single-center retrospective analysis was performed at a tertiary children's hospital. We evaluated 44 consecutive pediatric patients who underwent endoscopic retrograde cholangiography (ERCP) for suspected choledocholithiasis. Patients were stratified into those with common bile duct stones (CBDS) at ERCP vs those that did not using the American Society of Gastrointestinal Endoscopy (ASGE) guidelines (Very Strong and Strong criteria) for suspected CBDS...
June 10, 2016: World Journal of Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/27279495/robot-assisted-laparoscopic-excision-of-ureteral-and-ureteropelvic-junction-fibroepithelial-polyps-in-children
#10
Nathan Osbun, Jonathan S Ellison, Thomas S Lendvay
INTRODUCTION: Fibroepithelial polyps of the ureter are a rare cause of asymptomatic and symptomatic upper urinary tract obstruction in children. While these lesions can often be managed endoscopically, large or multifocal polyps may preclude such an approach. OBJECTIVE: We aim to describe our institutional experience with robot-assisted laparoscopic treatment of ureteral polyps and show that a robotic approach is an effective alternative for large or multifocal polyps...
August 2016: Journal of Endourology
https://www.readbyqxmd.com/read/27142997/a-multicenter-study-on-the-utility-and-safety-of-ebus-tbna-and-eus-b-fna-in-children
#11
Sahajal Dhooria, Karan Madan, Vallandramam Pattabhiraman, Inderpaul Singh Sehgal, Ravindra Mehta, Gella Vishwanath, Arjun Srinivasan, Mahadevan Sivaramakrishnan, Anant Mohan, Joseph L Mathew, Sushil K Kabra, Randeep Guleria, Digambar Behera, Ritesh Agarwal
BACKGROUND AND AIM: Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) and endoscopic ultrasound with an echobronchoscope-guided fine needle aspiration (EUS-B-FNA) are useful modalities in the evaluation of mediastinal lymphadenopathy in adults; however, there is sparse data in children. The aim of this multicenter study is to describe the efficacy and safety of EBUS-TBNA and EUS-B-FNA in children with mediastinal lymphadenopathy of undefined etiology. METHODS: Retrospective analysis of consecutive pediatric (<18 years) subjects who underwent EBUS-TBNA or EUS-B-FNA for the evaluation of mediastinal lymphadenopathy...
May 3, 2016: Pediatric Pulmonology
https://www.readbyqxmd.com/read/27073298/combination-of-laparoscopy-and-endoscopy-for-fusiform-choledochal-cysts
#12
Zhang Jun, Liu Shuli, Chen Zhen, Zhang Zhen, Li Long, Cheng Wei
OBJECTIVE: The purpose of the study was to elucidate the efficacy of laparoscopy and endoscopy in the treatment of fusiform choledochal cysts (CDC). MATERIALS AND METHODS: Between June 2006 and June 2012, 18 patients with fusiform CDC were treated in our hospital. All the 18 patients presented abdominal pain, and 13 presented jaundice. 18 patients presented elevated serum and urinary amylase, when abdominal pain appeared. All the patients underwent laparoscopic and endoscopic surgery successfully...
April 2016: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/26946134/endoscopic-ultrasonography-in-pediatric-patients-experience-from-a-tertiary-care-center-in-india
#13
Ramit Mahajan, Ebby George Simon, Ashok Chacko, D Viswanath Reddy, P Rupesh Kalyan, A J Joseph, Amit Kumar Dutta, Sudipta Dhar Chowdhury, Reuben Thomas Kurien
BACKGROUND AND AIMS: Although endoscopic ultrasound (EUS) is used in the management of various gastrointestinal (GI) diseases in adults, data on its role in children is limited. This study evaluated the indications, safety, and impact of EUS in children. METHODS: Records of children (<18 years age) who underwent EUS between January 2006 and September 2014 were reviewed retrospectively and analyzed. RESULTS: One hundred and twenty-one children (70 males, 51 females) aged 15...
January 2016: Indian Journal of Gastroenterology: Official Journal of the Indian Society of Gastroenterology
https://www.readbyqxmd.com/read/26882868/ultrasonographic-mound-height-as-predictor-of-vesicoureteral-reflux-resolution-after-endoscopic-treatment-in-children
#14
Elisa Zambaiti, Marco Pensabene, Valentina Montano, Alessandra Casuccio, Maria Sergio, Marcello Cimador
PURPOSE: Endoscopic dextranomer/hyaluronic acid copolymer (Dx/HA) injection is a safe and efficacious treatment option for vesicoureteral reflux (VUR) in children. Endoscopic appearance, hydrodistention and amount of injected Dx/HA have been demonstrated not to be reliable predictors of outcome. Aim of this study was to evaluate Dx/HA mounds on ultrasound scans (US) and find out any eventual correlation with reflux resolution. METHODS: We selected patients treated with endoscopic injection for moderate to high VUR, renal scaring or repeated infections under antibiotic prophylaxis...
August 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/26839650/endoscopic-ultrasound-guided-interventions-in-special-situations
#15
REVIEW
Varayu Prachayakul, Pitulak Aswakul
Endoscopic ultrasound (EUS) was introduced in 1982 and has since become a popular advanced procedure for diagnosis and therapeutic intervention. Initially, EUS was most commonly used for the diagnosis of pancreatobiliary diseases and tissue acquisition. EUS was first used for guided cholangiography in 1996, followed by EUS-guided biliary drainage in 2001. Advancements in equipment and endoscopic accessories have led to an expansion of EUS-guided procedures, which now include EUS-guided drainage of intra-abdominal abscesses or collections, intra-vascular treatment of refractory variceal and nonvariceal bleeding, transmural pancreatic drainage, common bile duct stone clearance, enteral feeding tube placement and entero-enteric anastomosis...
January 25, 2016: World Journal of Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/26720768/eus-and-eus-guided-interventions-alter-clinical-management-in-children-with-digestive-diseases
#16
Kevin Gordon, Jason Conway, Jerry Evans, John Petty, John E Fortunato, Girish Mishra
OBJECTIVES: Endoscopic ultrasound (EUS) ± fine needle aspiration (FNA) is a useful tool to evaluate gastrointestinal tract disorders in adults because of its established feasibility and safety. Its role in children has not been well established and continues to evolve. Our objective was to evaluate the utility and impact on clinical management of EUS and EUS-guided interventions in the pediatric population at our institution. METHODS: Retrospective, single-center study including 43 patients undergoing EUS and EUS-FNA between August 2005 and January 2012...
August 2016: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/26701845/how-to-treat-a-neonate-with-duodenal-atresia-and-intrapancreatic-choledochocele-causing-persistent-hyperbilirubinemia-a-case-report
#17
Silvia Zoetsch, Georg Singer, Erich Sorantin, Alan W Flake, Holger Till
INTRODUCTION: The congenital combination of duodenal atresia and choledochal cyst has only been reported in a few children. None of these patients had an intrapancreatic choledochocele causing persistent hyperbilirubinemia in the newborn period. PRESENTATION OF CASE: A female newborn presented with duodenal atresia and received a duodeno-duodenostomy on day two of life. The postoperative course was uneventful except for progressive hyperbilirubinemia and elevation of liver enzymes...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/26675710/ultrasonography-in-the-diagnosis-of-hemorrhagic-cystitis-a-complication-of-bone-marrow-transplantation-in-pediatric-oncology-patients
#18
Urszula Zaleska-Dorobisz, Anna Biel, Dąbrówka Sokołowska-Dąbek, Cyprian Olchowy, Mateusz Łasecki
OBJECTIVE: The aim of this study was to evaluate the usefulness of ultrasonography in the diagnosis of hemorrhagic cystitis following bone marrow transplantation in children. MATERIAL AND METHODS: The study involved an analysis of clinical material and the results of imaging tests performed in 334 patients who underwent hematopoietic cell transplantation. Ultrasonographic findings in 42 patients with hemorrhagic cystitis were analyzed in detail. The ultrasound images served to assess the severity of hemorrhagic cystitis and the results were compared with the clinical assessment of the disease on the Droller scale, as well as the laboratory and endoscopic tests...
September 2014: Journal of Ultrasonography
https://www.readbyqxmd.com/read/26655135/the-therapeutic-use-of-endoscopic-ultrasonography-in-pediatric-patients-is-safe-a-case-series
#19
Yi Jia, Aldo Maspons, Mohammed O Othman
BACKGROUND/AIM: Despite the safety and high diagnostic yield of endoscopic ultrasound guided fine needle aspiration (EUS FNA) for the evaluation of gastrointestinal diseases in adults, literature discussing the therapeutic use of EUS FNA in pediatrics remains limited. This study reports our experience with the use of EUS in children with pancreaticobiliary disorders. PATIENTS AND METHODS: A retrospective study was conducted to evaluate safety, clinical utility, and impact of therapeutic EUS on the management of children (<18 years) at a tertiary referral center...
November 2015: Saudi Journal of Gastroenterology: Official Journal of the Saudi Gastroenterology Association
https://www.readbyqxmd.com/read/26636251/risk-factors-for-shunt-malfunction-in-pediatric-hydrocephalus-a-multicenter-prospective-cohort-study
#20
MULTICENTER STUDY
Jay Riva-Cambrin, John R W Kestle, Richard Holubkov, Jerry Butler, Abhaya V Kulkarni, James Drake, William E Whitehead, John C Wellons, Chevis N Shannon, Mandeep S Tamber, David D Limbrick, Curtis Rozzelle, Samuel R Browd, Tamara D Simon
OBJECT The rate of CSF shunt failure remains unacceptably high. The Hydrocephalus Clinical Research Network (HCRN) conducted a comprehensive prospective observational study of hydrocephalus management, the aim of which was to isolate specific risk factors for shunt failure. METHODS The study followed all first-time shunt insertions in children younger than 19 years at 6 HCRN centers. The HCRN Investigator Committee selected, a priori, 21 variables to be examined, including clinical, radiographic, and shunt design variables...
April 2016: Journal of Neurosurgery. Pediatrics
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