Treating pediatric colorectal patients in low and middle income settings: Creative adaptation to the resources available.

abstract：:Gene transfer to the tracheobronchial tree has been an active area of investigation since the discovery of the genetic defect in the cystic fibrosis transmembrane conductance regulator over two decades ago. Cystic fibrosis (CF) is the most common lethal monogeneic disorder for which there is no cure short of lung tran...

journal_title：Seminars in pediatric surgery

authors： Keswani SG,Crombleholme TM

更新日期：2004-02-01 00:00:00

abstract：:Blunt cerebrovascular injury in children is an uncommon occurrence that if missed and left untreated can result in devastating long-term neurologic consequences. Diagnosis can be readily obtained by a computed tomographic angiogram of the head and neck. If confirmed, treatment with antithrombotic therapy dramatically ...

journal_title：Seminars in pediatric surgery

authors： Fenton SJ,Bollo RJ

更新日期：2017-02-01 00:00:00

abstract：:Conventional treatment of respiratory failure involves positive pressure ventilation with high concentrations of inspired oxygen. If adequate gas exchange still cannot be achieved extracorporeal membrane oxygenation (ECMO) may be an option. The general indication for ECMO for respiratory insufficiency is a reversible ...

journal_title：Seminars in pediatric surgery

authors： Frenckner B,Radell P

更新日期：2008-02-01 00:00:00

abstract：:Gastrointestinal motility disorders can develop in neurologically impaired children and those with congenital malformations of the gut. It is characterized by moderate to severe abdominal pain, vomiting, and failure to thrive. Antral dysmotility after fundoplication and increased sympathetic over activity are 2 factor...

journal_title：Seminars in pediatric surgery

authors： Carachi R,Currie JM,Steven M

更新日期：2009-11-01 00:00:00

abstract：:In dealing with conjoined twins, we have adopted a pragmatic approach in balancing what is possible, parental wishes and the likely outcome for the children. We believe that separation where feasible should be undertaken but appreciate that a few parents may wish their children to remain joined. The advice that we giv...

journal_title：Seminars in pediatric surgery

authors： Spitz L

更新日期：2015-10-01 00:00:00

abstract：:The importance of having a reproducible scoring system to objectively assess the severity of fecal incontinence and its response to treatment is stressed, and a number of methods are described. The approach to conservative treatment and investigation is outlined. Recent advances in the surgical management of fecal inc...

journal_title：Seminars in pediatric surgery

authors： Darakhshan AA,Williams NS

更新日期：2002-05-01 00:00:00

abstract：:The neurologically or immunologically impaired child suspected of having an acute abdomen presents a formidable challenge. However, a thorough understanding of the underlying pathophysiology of the disease on the normal host response to an intraabdominal disease permits early recognition and initiation of treatment. C...

journal_title：Seminars in pediatric surgery

authors： Bensard DD,Haase GM

更新日期：1997-05-01 00:00:00

abstract：:Nephron-sparing surgery (NSS) is the treatment of choice for children with bilateral Wilms' tumor (WT), or with WT on a single kidney, or with WT and a disease of the contralateral kidney, or with benign kidney tumor. NSS is a reasonable alternative to nephrectomy in children at risk of metachronous WT, including chil...

journal_title：Seminars in pediatric surgery

authors： Cozzi DA,Zani A

更新日期：2006-02-01 00:00:00

abstract：:Identification of CDH infant populations at high risk for mortality postnatally may help to develop targeted care strategies, guide discussions surrounding palliation and contribute to standardizing reporting and benchmarking, so that care strategies at different centers can be compared. Clinical prediction rules are ...

journal_title：Seminars in pediatric surgery

authors： Daodu O,Brindle ME

更新日期：2017-06-01 00:00:00

abstract：:The multi-disciplinary team is essential for the success of an adolescent bariatric surgical program. This article will describe the components of the team and their roles. Essential members include a pediatrician or pediatric subspecialist with an interest and expertise in adolescent obesity, a pediatric surgeon with...

journal_title：Seminars in pediatric surgery

authors： Wulkan ML,Walsh SM

更新日期：2014-02-01 00:00:00

abstract：OBJECTIVE:Exploring pros and cons of bridging long-gap esophageal atresia with an orthotopic jejunal pedicle graft. Retrospective series of 19 patients. METHODS:From 1988 through 2005, 19 patients with long-gap esophageal atresia received a jejunal graft. Median age at reconstruction was 76 days. The technique involve...

journal_title：Seminars in pediatric surgery

authors： Bax KM

更新日期：2009-02-01 00:00:00

abstract：:Crohn's disease is a chronic transmural inflammatory disease that may involve any portion of the gastrointestinal tract. It is being reported with increasing frequency in children of all ages. The diagnosis of Crohn's disease in children is dependent on the clinical, radiological, endoscopic, and pathological material...

journal_title：Seminars in pediatric surgery

authors： Telander RL,Schmeling DJ

更新日期：1994-02-01 00:00:00

abstract：:Injuries to the solid abdominal viscera (spleen, liver, kidney, pancreas) are common in children sustaining trauma by blunt mechanisms. Success with nonoperative management of these injuries has led to recent extensions of this approach to the management of higher-grade more complicated injuries typically treated oper...

journal_title：Seminars in pediatric surgery

authors： Keller MS

更新日期：2004-05-01 00:00:00

abstract：:Traditional surgical attitude regarding error and complications has focused on individual failings. Human factors research has brought new and significant insights into the occurrence of error in healthcare, helping us identify systemic problems that injure patients while enhancing individual accountability and teamwo...

journal_title：Seminars in pediatric surgery

authors： Stein JE,Heiss K

更新日期：2015-12-01 00:00:00

abstract：:Open spina bifida or myelomeningocele (MMC) is a common birth defect that is associated with significant lifelong morbidity. Little progress has been made in the postnatal surgical management of the child with spina bifida. Postnatal surgery is aimed at covering the exposed spinal cord, preventing infection, and treat...

journal_title：Seminars in pediatric surgery

authors： Adzick NS

更新日期：2013-02-01 00:00:00

abstract：:The optimal surgical care of patients with imperforate anus begins with appropriate decision making in the critical newborn period. In most cases the decision to create a colostomy should be delayed until the infant is 18 to 24 hours old. Except in cases of a rectoperineal fistula, most neonates are best treated with ...

journal_title：Seminars in pediatric surgery

authors： Shaul DB,Harrison EA

更新日期：1997-11-01 00:00:00

abstract：:Vascular liver tumors in the pediatric population can present a diagnostic dilemma. The most common hepatic vascular tumors are hepatic hemangiomas; however the differential diagnosis can also include other benign lesions and malignant masses. Management is unique to the type and nature of the specific lesion. Thus, c...

journal_title：Seminars in pediatric surgery

authors： McGuire A,Fernandez-Pineda I,Fishman SJ,Dickie BH

更新日期：2020-10-01 00:00:00

abstract：:Pediatric trauma is usually a nonoperative experience for the pediatric general surgeon. The pediatric trauma surgeon resuscitates the child and then evaluates and triages the identified injuries. A common diagnostic tool is the computed tomography (CT) scan. Most children who require evaluation for significant trauma...

journal_title：Seminars in pediatric surgery

authors： Scaife ER,Rollins MD

更新日期：2010-11-01 00:00:00

abstract：:Palliative care is now a core component of pediatric care for children and families who are confronting serious illness with a low likelihood of survival. Pediatric surgeons, in partnership with pediatric palliative care teams, can play a pivotal role in assuring that these patients receive the highest possible qualit...

journal_title：Seminars in pediatric surgery

authors： Feudtner C,Blinman TA

更新日期：2013-08-01 00:00:00

abstract：:Medical management of children with Intestinal failure continues to evolve. The development of specialized teams focused on the management of these children has made the most significant impact in improving outcomes. Medical management strategies are centered on the provision of adequate fluid electrolytes and calorie...

journal_title：Seminars in pediatric surgery

authors： Oliveira SB,Cole CR

更新日期：2018-08-01 00:00:00

abstract：:Caring for children with colorectal and pelvic reconstructive needs is complex and requires a lifelong commitment from clinicians devoted to the field. There has been a myriad of advances that have improved care and it has become clear that an integrated, multi-disciplinary approach maximizes the goal of improving the...

journal_title：Seminars in pediatric surgery

authors： Levitt MA

更新日期：2020-12-01 00:00:00

abstract：:Understanding the complex multisystem dysfunction in the infant with a congenital hernia of the posterolateral diaphragm is still evolving and has changed radically during the last decade. The reduction in lung mass, in conjunction with surfactant deficiency and diminished compliance, leads to initial deficiencies in ...

journal_title：Seminars in pediatric surgery

authors： Greenholz SK

更新日期：1996-11-01 00:00:00

abstract：:We present two patients who developed delayed fistulization following esophageal replacement surgery. The first is a 13-year-old child who, at the age of 3 years, underwent a trans-mediastinal colonic esophageal replacement for a refractory corrosive injury followed by a retrosternal reverse gastric tube after an earl...

journal_title：Seminars in pediatric surgery

authors： Abdalwahab A,Al Namshan M,Al Rabeeah A,Laberge JM

更新日期：2009-05-01 00:00:00

abstract：:Selection of outcome determinants and risk stratification are necessary to identify patients at higher risk for morbidity and mortality. This facilitates human and material resource allocation and allows for improved family counseling. While several different factors, including prenatal ultrasonographic bowel features...

journal_title：Seminars in pediatric surgery

authors： Wissanji H,Puligandla PS

更新日期：2018-10-01 00:00:00

abstract：:Necrotizing enterocolitis (NEC) continues to afflict approximately 7% of preterm infants born weighing less than 1500g, though recent investigations have provided novel insights into the pathogenesis of this complex disease. The disease has been a major cause of morbidity and mortality in neonatal intensive care units...

journal_title：Seminars in pediatric surgery

authors： Hackam D,Caplan M

更新日期：2018-02-01 00:00:00

abstract：:Hypertrophic pyloric stenosis (HPS) is a common condition affecting infants that presents with progressive projectile nonbilious vomiting. The pyloric portion of the stomach becomes abnormally thickened and manifests as gastric outlet obstruction. The cause is unknown. Pyloromyotomy remains the standard of treatment a...

journal_title：Seminars in pediatric surgery

authors： Aspelund G,Langer JC

更新日期：2007-02-01 00:00:00

abstract：:After a diagnosis of omphalocele during pregnancy, questions regarding long-term prognosis are of primary importance for parents. It is imperative that their questions are answered with substantiated data to promote confident decisions for their children. They frequently express concerns regarding long-term survival, ...

journal_title：Seminars in pediatric surgery

authors： Baerg JE,Munoz AN

更新日期：2019-04-01 00:00:00

abstract：:This review of parathyroid surgery in children will briefly discuss parathyroid gland embryology and anatomy before focusing on the pathophysiology, clinical presentation, and treatment of hyperparathyroidism in children. Hyperparathyroidism (HPT) is the overproduction of PTH and it is rare in children, with an incide...

journal_title：Seminars in pediatric surgery

authors： Burke JF,Chen H,Gosain A

更新日期：2014-04-01 00:00:00

abstract：:Hirschsprung disease affects many children every year around the world. Currently, there is an extensive menu of diagnostic methods, and surgical treatments. This situation compels the physicians to follow the rationale of these interventions. The comprehensive diagnosis and treatment of Hirschsprung disease need sing...

journal_title：Seminars in pediatric surgery

authors： De La Torre L,Wehrli LA

更新日期：2019-06-01 00:00:00

abstract：:Pediatric heart transplantation has undergone major changes over the past two decades, marked by a substantial improvement in survival, reduction in posttransplant complications, and enhancement in quality of life for transplant recipients. Actuarial survival has improved substantially in the last decade. Indications ...

journal_title：Seminars in pediatric surgery

authors： Alkhaldi A,Chin C,Bernstein D

更新日期：2006-08-01 00:00:00