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：:The pediatric surgeon deals with a large number and variety of congenital defects in neonates that frequently involve early surgical intervention and care. Because the neonatal cardiac physiology is unique, starting with the transition from fetal circulation and including differences in calcium metabolism and myocardi...

journal_title：Seminars in pediatric surgery

authors： Hines MH

更新日期：2013-11-01 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：:Necrotizing enterocolitis (NEC) is the leading cause of death from gastrointestinal causes in premature infants, and its overall survival has not improved in the past three decades. While the precise cause of NEC remains incompletely understood, we and others have shown that a major predisposing factor in the developm...

journal_title：Seminars in pediatric surgery

authors： Hackam DJ,Good M,Sodhi CP

更新日期：2013-05-01 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：:After surgery for Hirschsprungs disease, most children thrive, have few if any episodes of abdominal distention and enterocolitis, and are fecally continent. However, there exists a small group of patients who do not do well. Either they suffer from persistent distension and enterocolitis or they experience soiling af...

journal_title：Seminars in pediatric surgery

authors： Levitt MA,Dickie B,Peña A

更新日期：2012-11-01 00:00:00

abstract：:Biliary atresia (BA) remains an enigmatic disease with a degree of etiologic heterogeneity. A number of variants can be defined clinically, and these include the syndromic group (typically BA splenic malformation), cystic BA, and cytomegalovirus (CMV) IgM +ve associated BA. The remainder, and still the largest group, ...

journal_title：Seminars in pediatric surgery

authors： Davenport M

更新日期：2012-08-01 00:00:00

abstract：:Pancreatic islet transplantation is a minimally invasive treatment that has the potential to prevent diabetes after total pancreatectomy for benign disease (islet autotransplantation) and to reverse diabetes in those with type 1 diabetes (islet allotransplantation). In both scenarios, the treatment involves extracting...

journal_title：Seminars in pediatric surgery

authors： Johnson PR,Jones KE

更新日期：2012-08-01 00:00:00

abstract：:Parasitic infestation is common in developing countries especially in Africa. Children are often more vulnerable to these infections. Many health problems result from these infestations, including malnutrition, iron-deficiency anemia, surgical morbidities, and even impaired cognitive function and educational achieveme...

journal_title：Seminars in pediatric surgery

authors： Hesse AA,Nouri A,Hassan HS,Hashish AA

更新日期：2012-05-01 00:00:00

abstract：:Pediatric germ cell tumors represent a diverse group of tumors that present from in utero through adolescence at many nongonadal locations, from the neck to the sacrococcygeal region. Surgical resection remains the central element of management, and accurate surgical staging is essential to properly ascertain the corr...

journal_title：Seminars in pediatric surgery

authors： Rescorla FJ

更新日期：2012-02-01 00:00:00

abstract：:During the past 10 years, the minimally invasive technique has become the standard approach for many thoracic, abdominal, and pelvic procedures in adults and children. We now know there are well-defined benefits to this approach. However, when it was introduced, the laparoscopic technique was quickly adopted without a...

journal_title：Seminars in pediatric surgery

authors： St Peter SD,Ostlie DJ

更新日期：2011-11-01 00:00:00

abstract：:Until the 1970s, bladder exstrophy was a frequently fatal birth defect that, at the very least, conferred a shortened life span with devastating consequences for afflicted patients. Beginning with the modern era of surgical management, survival has become routine, and now the focus is on optimizing a near-normal retur...

journal_title：Seminars in pediatric surgery

authors： Purves JT

更新日期：2011-05-01 00:00:00

abstract：:Developmental psychopathology is common in children with exstrophy. It may be mild or severe, and it may persist or transform as the child grows. The pediatric urologist is ideally situated to identify signs or symptoms of early developmental psychopathology in these children. Presented in this article are techniques ...

journal_title：Seminars in pediatric surgery

authors： Reiner WG

更新日期：2011-05-01 00:00:00

abstract：:The unfavorable prognosis of congenital hyperinsulinism (CHI) can be avoided if the patients are treated with high-dose glucose infusions and timely surgical intervention. Circumscribed foci used to be identified by selective percutaneous pancreatic vein catheterization and determination of the insulin level. Fluorine...

journal_title：Seminars in pediatric surgery

authors： Mohnike W,Barthlen W,Mohnike K,Blankenstein O

更新日期：2011-02-01 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：:Congenital diaphragmatic hernia (CDH) is a congenital anomaly consisting of a posterolateral defect in the diaphragm also known as a Bochdalek hernia. It occurs in 1 in 2000 to 3000 newborns and is associated with a variable degree of pulmonary hypoplasia (PH) and persistent pulmonary hypertension (PPH). Despite remar...

journal_title：Seminars in pediatric surgery

authors： Keijzer R,Puri P

更新日期：2010-08-01 00:00:00

abstract：:Children with anorectal malformations (ARMs) constitute a significant group within a pediatric surgery practice. In females, the most common ARM is an imperforate anus with a rectovestibular fistula, followed by an imperforate anus with a rectoperineal fistula and then cloacal anomalies. Some malformations, such as an...

journal_title：Seminars in pediatric surgery

authors： Breech L

更新日期：2010-05-01 00:00:00

abstract：:The outcome for children with congenital enteropathies or massive surgical resections has improved significantly over the past two decades. Advances in understanding of the pathophysiology of intractable diarrhea and of the mutations causing many of the congenital enteropathies have enabled initiation of preventive me...

journal_title：Seminars in pediatric surgery

authors： Kocoshis SA

更新日期：2010-02-01 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：:Obesity affects 50% of adults and 18% of children in the USA. It has wide-ranging comorbidities with clinical, psychosocial, and economic ramifications. Obesity refers to a condition of excess body fat. The basis for weight gain is a fundamental imbalance between caloric intake and output, but individual variation bas...

journal_title：Seminars in pediatric surgery

authors： Browne AF,Inge T

更新日期：2009-08-01 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：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：:Sternal clefts, ectopia cordis, and Cantrell's pentalogy continue to be very rare congenital anomalies in pediatric surgery. Unfortunately, these conditions present as neonatal emergencies and demand early surgical intervention. This article reviews the embryological development of the chest wall, specific sternal def...

journal_title：Seminars in pediatric surgery

authors： Engum SA

更新日期：2008-08-01 00:00:00

abstract：:Variation in clinical practice patterns has attracted the attention of specialty organizations, payers, government health agencies, and the public. Such variation raises concerns about efficacy and cost relative to the care provided. Consequently, the establishment of national benchmarks has become an increasing prior...

journal_title：Seminars in pediatric surgery

authors： Stylianos S,Ford HR

更新日期：2008-05-01 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：:Even if no large comparative studies enable us to definitely confirm the potential advantages of minimal retroperitoneoscopic access surgery, this new technique is now expanding in pediatric urology and considered today as feasible and safe in well-trained hands. The technique is described in detail; the main indicati...

journal_title：Seminars in pediatric surgery

authors： Valla JS

更新日期：2007-11-01 00:00:00

abstract：:Inflammatory bowel disease in childhood refers to ulcerative colitis, Crohn's disease, and colitis of an indeterminate type. Their gross and microscopic features are discussed along with the differential diagnosis from other childhood conditions associated with bloody diarrhea. ...

journal_title：Seminars in pediatric surgery

authors： Gramlich T,Petras RE

更新日期：2007-08-01 00:00:00

abstract：:Congenital diaphragmatic hernia (CDH) is a common structural birth defect that affects approximately 1 in 2500 live births. Although the exact etiology of most cases of CDH remains unknown, it is becoming increasingly clear that genetic factors play an important role in many cases of CDH. In this paper, we review crit...

journal_title：Seminars in pediatric surgery

authors： Scott DA

更新日期：2007-05-01 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：:An examination of and recommendations regarding the approval process for medical devices are presented. The typical pathways and hurdles laid out by the Federal Food and Drug Administration (FDA) are discussed, and options for marketing and use of medical devices are addressed. The first step in the regulatory process...

journal_title：Seminars in pediatric surgery

authors： Connor JA

更新日期：2006-11-01 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

abstract：:The salivary glands comprise three main pairs of glands (ie, the parotid, the submandibular, and the sublingual) and a number of minor glands found in the mucosa of the upper aerodigestive tract. Lesions may be inflammatory or obstructive in nature or may stem from granulomatous or neoplastic disease. As such, establi...

journal_title：Seminars in pediatric surgery

authors： Mehta D,Willging JP

更新日期：2006-05-01 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：:The pathogenesis of necrotizing enterocolitis (NEC) is poorly understood, but appears to be multifactorial and highly associated with immaturity of the gastrointestinal tract, colonization of the intestinal microbiota, and immature innate immune system. The goal of this review is to provide an overview of some of thes...

journal_title：Seminars in pediatric surgery

authors： Neu J,Chen M,Beierle E

更新日期：2005-08-01 00:00:00

abstract：:The fallopian tubes are the essential genital ducts that convey the female sex cells for fertilization. They are differentiated and detectable early in fetal life. There are numerous paratubal and tubal abnormalities that can occur at any point in the female life. Some of these are rare but may initiate significant mo...

journal_title：Seminars in pediatric surgery

authors： Perlman S,Hertweck P,Fallat ME

更新日期：2005-05-01 00:00:00

abstract：:Hirschsprung (HSCR) disease is a relatively common neonatal developmental disorder of the enteric nervous system and is characterized by the absence of ganglion cells in the myenteric and submucosal plexuses of the distal intestine. This results in absent peristalsis in the affected bowel, and the development of a fun...

journal_title：Seminars in pediatric surgery

authors： Dasgupta R,Langer JC

更新日期：2005-02-01 00:00:00

abstract：:Enterocolitis remains a relatively common complication of Hirschsprung's disease with significant morbidity and mortality. The etiology of Hirschsprung's enterocolitis (HEC) is multifactorial and remains poorly understood. Preventative measures and better treatment modalities will evolve out of a better understanding ...

journal_title：Seminars in pediatric surgery

authors： Vieten D,Spicer R

更新日期：2004-11-01 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：: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：:This article discusses how to investigate various surgical causes of vomiting. Particular emphasis is placed on plain radiographic, ultrasound, and contrast study findings. The article touches upon nineteen different diseases, and encompasses diseases found in neonates to adolescents. ...

journal_title：Seminars in pediatric surgery

authors： Maclennan AC

更新日期：2003-11-01 00:00:00