Abstract：
:Gastroesophageal reflux (GER) is common after repair of esophageal atresia with a distal tracheoesophageal fistula (EATOF). In a retrospective study we assessed whether early 18-h pH monitoring can predict the development of EATOF-associated gastroesophageal reflux. During 1980-1997, 90 consecutive patients had primary repair for EATOF. Development of GER was classified as favorable if the patient developed no esophagitis or mild esophagitis and needed no antireflux medication, and as unfavorable if the patient developed moderate or secondary esophagitis or required an antireflux procedure. Patients who developed unfavorable GER outcome before pH monitoring or needed secondary reconstruction or those whose endoscopic follow-up data were insufficient were excluded. Eighteen-hour pH monitoring was considered pathologic if esophageal pH was <4 more than 10% of the recorded time or 5% of the recorded time minus 2 h after each meal, or if there were more than three preprandial reflux periods lasting longer than 5 min. A total of fifty patients were included into the study. pH monitoring was performed at the median age of 9.2 (range 2.5-95.0) months and classified as pathologic in 10 and normal in 40 patients. After a median follow-up of 59 (0.3-217.6) months, nine of 10 (90%) patients with pathologic pH monitoring and five of 40 (12.5%) patients with normal pH monitoring developed unfavorable outcomes ( p<.05). We conclude that early pH monitoring predicts the development of significant GER, but because 12.5% of patients with normal early pH monitoring also developed significant GER, early pH monitoring alone does not rule out the development of significant GER.
journal_name
Pediatr Surg Intjournal_title
Pediatric surgery internationalauthors
Koivusalo A,Pakarinen M,Rintala RJ,Lindahl Hdoi
10.1007/s00383-004-1270-zsubject
Has Abstractpub_date
2004-09-01 00:00:00pages
670-4issue
9eissn
0179-0358issn
1437-9813journal_volume
20pub_type
杂志文章abstract：:Adrenal cysts (AC) are rare, particularly in the newborn period. Almost all ACs in newborns were diagnosed on exploratory laparotomy or at autopsy. We report a newborn with an AC that was diagnosed after an exploratory laparotomy due to its rare presentation. This case shows that ACs should be considered in the differ...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-002-0759-6
更新日期：2003-06-01 00:00:00
abstract：:The authors report two patients with extrahepatic portal hypertension and repeated massive bleeding from esophageal varices who underwent urgent distal splenorenal shunting (DSRS) after having proved refractory to medical treatment, endoscopic sclerotherapy, and ligation of esophageal varices. Their ages and weights w...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s003830100014
更新日期：2001-11-01 00:00:00
abstract：PURPOSE:For International Neuroblastoma Staging System (INSS) stages III or IV neuroblastoma (intermediate or high risk), complete excision of the primary tumor is not always feasible. Most current studies on the treatment outcome of these patients have reported on the complete excision status. The aim of this study is...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-009-2417-8
更新日期：2009-09-01 00:00:00
abstract：PURPOSE:Neuroblastoma is a biological, genetic and morphological heterogeneous tumor with a variable clinical course. NCAM is a cell adhesion molecule belonging to the immunoglobulin superfamily with structural similarities to cell adhesion molecule L1. The aim of this study was to determine the expression of NCAM in n...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-008-2264-z
更新日期：2008-12-01 00:00:00
abstract：OBJECTIVE:Surgical repair of pectus excavatum (PE) in childhood is a well-established procedure. Previously used operative techniques to correct PE were largely based on the Ravitch technique. Since about 10 years, the minimally invasive repair (MIRPE) by Nuss is well established. Conservative treatment with the vacuum...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-010-2843-7
更新日期：2011-06-01 00:00:00
abstract：:Africa faces a triple burden of disease; HIV, tuberculosis and malaria. Despite this, its population is expected to double over the next 45 years. There is a dire shortage of medical specialists and many countries lack suitably qualified doctors to train medical specialists. Videoconferencing offers the opportunity to...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-007-2085-5
更新日期：2008-02-01 00:00:00
abstract：PURPOSE:Biliary atresia (BA) is characterized by progressive inflammation of the biliary system. This inflammation persists and causes liver fibrosis, although jaundice disappears after Kasai portoenterostomy (KP). We aimed to confirm whether the oral administration of eicosapentaenoic acid (EPA) suppresses liver fibro...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-018-4313-6
更新日期：2018-10-01 00:00:00
abstract：OBJECTIVE:Several procedures have been described for repair of distal hypospadias. However, these are not without any complications. Corpus spongiosum advancement is a new technique employed in our patients for distal hypospadias repair with excellent clinical outcome and no post-operative complications. PATIENTS AND ...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-013-3292-x
更新日期：2013-06-01 00:00:00
abstract：PURPOSE:For 30 years, we have consecutively performed rectal mucosal punch biopsy to diagnose Hirschsprung's disease. The aim of this study was to evaluate the safety of our technique. METHODS:Patients with suspected Hirschsprung's disease who underwent punch biopsy, including our original "K-PUNCH" method using an S-...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-016-4010-2
更新日期：2017-02-01 00:00:00
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journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-014-3575-x
更新日期：2014-09-01 00:00:00
abstract：:Three cases of neonatal chylous ascites (CCA) were managed in the neonatal unit, University Hospital, Kuala Lumpur, over the past 9 years. Fetal ascites and polyhydramnios were the sole abnormalities detected in all three babies by antenatal ultrasonography. They were born at 36 weeks' gestation and their birth weight...
journal_title：Pediatric surgery international
pub_type： 杂志文章,评审
doi：10.1007/BF01372154
更新日期：1997-04-01 00:00:00
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journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-007-2020-9
更新日期：2007-11-01 00:00:00
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journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-003-0965-x
更新日期：2003-08-01 00:00:00
abstract：:Modern plastic and reconstructive surgery continues to significantly improve the functional and aesthetic post-burn sequelae in children. It has become a major factor in restoring mobility, aesthetic appearance, self-esteem, and quality of life. The entire spectrum of plastic reconstructive procedures should be availa...
journal_title：Pediatric surgery international
pub_type： 杂志文章,评审
doi：10.1007/BF01076930
更新日期：1997-07-01 00:00:00
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journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-012-3075-9
更新日期：2012-05-01 00:00:00
abstract：:Pharyngeal perforations are uncommon in children and are usually secondary to instrumentation or external penetrating injuries. A delay in management can lead to life-threatening complications such as retropharyngeal abscess, mediastinitis, and airway compromise. We report three children who had pharyngeal perforation...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-005-1447-0
更新日期：2005-06-01 00:00:00
abstract：:Pseudoexstrophy is a rare variant of the exstrophy/epispadias complex, comprised of the musculoskeletal defects of classic exstrophy but with an intact bladder and urethra. We present a case of a neonate with left-sided gastroschisis and pseudoexstrophy, the first reported combination of these two anomalies. The anoma...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-004-1217-4
更新日期：2004-07-01 00:00:00
abstract：:Necrotizing fasciitis (NF) is a potentially life-threatening infection of soft tissues. It is characterized by rapid spread of inflammation and infection with widespread necrosis of fascia, subcutaneous tissues, and overlying skin. NF is usually reported in adults with preexisting medical conditions or compromised imm...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-005-1481-y
更新日期：2005-08-01 00:00:00
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journal_title：Pediatric surgery international
pub_type： 杂志文章,评审
doi：10.1007/s00383-002-0815-2
更新日期：2002-09-01 00:00:00
abstract：:Pulmonary sequestrations are non-functional masses of lung tissue lacking normal communication with the tracheobronchial tree and systemic-circulation-derived blood supply. The disconnection between the normal airway and pulmonary arterial supply prevents pulmonary sequestrations from participating in respiration whil...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-017-4072-9
更新日期：2017-07-01 00:00:00
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journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-017-4216-y
更新日期：2018-01-01 00:00:00
abstract：:This study describes a subset of patients with posterior urethral valves (PUV) who presented late in childhood. The objective was to identify factors that lead to back-pressure effects on the upper tracts, which persist in spite of adequate valve ablation in some patients, and seek factors that may preserve the upper ...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s003830050384
更新日期：1998-09-01 00:00:00
abstract：:Single-system ureteral ectopia (UE) encompasses a spectrum of malformations involving the bladder trigone, ureter, and kidney. The clinical presentation is variable, and both diagnostic and therapeutic problems are common. Reduced renal function in these patients may result from primary dysplasia, obstruction, vesicou...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s003830000414
更新日期：2000-01-01 00:00:00
abstract：PURPOSE:Historically, the majority of patients with colonic atresia have been managed by ostomy creation at the time of initial operation; conversely, we have tended to treat the atresia with resection and anastomosis. The purpose of this study is to determine the rate of concomitant Hirschsprung's disease and to ident...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-009-2401-3
更新日期：2009-07-01 00:00:00
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journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-009-2539-z
更新日期：2010-03-01 00:00:00
abstract：:Adrenocortical tumors (ACT) are rare in childhood. Determination of malignant potential is difficult. To assess the presentation, clinical behaviour, and histology of these tumors in our center, the records of nine patients with ACTs between 1989 and 2000 were analyzed. The age, sex, clinical presentation, investigati...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-002-0727-1
更新日期：2003-08-01 00:00:00
abstract：:Congenital arteriovenous fistulas are a rare cause of neck mass in children, but should be considered in the differential diagnosis of paediatric patients presenting with pulsatile neck masses even when there is no history of trauma. Balloon embolisation is the treatment of choice because of the high risk of surgical ...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-011-2918-0
更新日期：2011-12-01 00:00:00
abstract：:Internal anal sphincter achalasia (IASA) is a condition with a clinical presentation similar to Hirschsprung's disease, but with the presence of ganglion cells on rectal biopsy. The diagnosis of IASA is made on anorectal manometry, which demonstrates the absence of a rectosphincteric reflux on rectal balloon inflation...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s003830050552
更新日期：1999-01-01 00:00:00
abstract：:Incarcerated inguinal hernias in infants are commonly encountered. Reduction with intravenous sedation using morphine and related drugs carries risks of apnoea and/or respiratory arrest, especially in small, ex-premature babies who have an increased incidence of incarceration and thus opiate use is best avoided. Cauda...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-005-1534-2
更新日期：2005-09-01 00:00:00
abstract：:Our presentation of four cases demonstrates the essential features of limb-body wall complex (LBWC), representing a compound anomaly pattern in body-wall defects. The diagnosis of this entity is based on two of the three following characteristics: (1) exencephaly/encephalocele and facial clefts; (2) thoraco- and/or ab...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s003830000497
更新日期：2001-07-01 00:00:00
