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21. |
Sonographic Evaluation of Portal Hypertension in Children |
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Journal of Pediatric Gastroenterology and Nutrition,
Volume 10,
Issue 3,
1990,
Page 395-401
Simon Rabinowitz,
Karen Norton,
Keith Benkov,
Hsu-Chong Yeh,
Neal Leleiko,
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摘要:
Portal hypertension, an expected consequence of cirrhosis, often has an insidious course in children. A noninvasive technique using abdominal sonography has been previously employed by several investigators as a means of diagnosing this condition. Their technique involves sonographically measuring the diameter of the lesser omentum, which increases as a result of engorged collaterals. In this communication, the method is successfully employed in two children, an infant in whom cirrhosis developed who eventually died from acquired immunodeficiency syndrome, and one whose portal hypertension was relieved after orthotopic liver transplantation. Although successful in these two instances, the theoretical basis on which this technique is based is critically evaluated. Anatomical relationships are reviewed that would caution sonographers who attempt to duplicate these studies. Modifications of the technique that will minimize potential false positive results are also discussed.
ISSN:0277-2116
出版商:OVID
年代:1990
数据来源: OVID
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22. |
Treatment of Duodenocutaneous Fistula with Somatostatin Analog in a Child with Dermatomyositis |
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Journal of Pediatric Gastroenterology and Nutrition,
Volume 10,
Issue 3,
1990,
Page 402-404
Sarla Inamdar,
Michel Slim,
Howard Bostwick,
Louise Godine,
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摘要:
A 6-year-old girl with juvenile dermatomyositis complicated by five duodenal perforations is described. The treatment consisted of suture closure of the perforations, reinforcement of the suture line with an omental graft, and adequate drainage of the closure site. The use of a somatostatin analog was successful in promptly arresting a leak from the duodenal perforations that had persisted for 3 months after the operation despite prolonged bowel rest and total parenteral nutrition. On follow-up observation 2 months later, the patient had no abdominal complaints and was tolerating oral intake without problems.
ISSN:0277-2116
出版商:OVID
年代:1990
数据来源: OVID
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23. |
Episodic Vomiting Due to Intermittent Duodenal Intussusception |
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Journal of Pediatric Gastroenterology and Nutrition,
Volume 10,
Issue 3,
1990,
Page 405-408
J. Johnston,
Janet Harnsberger,
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摘要:
Cyclic vomiting is a psychosomatic syndrome, but it is also a diagnosis of exclusion. Before such a diagnosis can be made, an organic basis for the episodes of vomiting must be ruled out. We describe a case of episodic vomiting in a school-aged girl. Endoscopic examination eventually confirmed a diagnosis of intermittent duodenal intussusception due to an enteric duplication. Removal of the duplication abolished the episodes of vomiting. The differential diagnosis of episodic vomiting is discussed, and the literature on intussusception is reviewed. Endoscopy should be considered in a child with a history of episodic vomiting.
ISSN:0277-2116
出版商:OVID
年代:1990
数据来源: OVID
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24. |
Necrotizing Perianal Infection in ChildrenReport of Two Cases |
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Journal of Pediatric Gastroenterology and Nutrition,
Volume 10,
Issue 3,
1990,
Page 409-412
Jiin-Haur Chuang,
Kin-Sun Wong,
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摘要:
Two girls aged 1 9/12 years and 5 months were treated for necrotizing perianal infection. In both patients, the necrotizing ulcers around the anus developed following an episode of diarrhea. A poor nutritional status with low body weight (25th percentile) and hypoalbuminemia (2.5 g/L) in the elder patient, as well as a hypogammaglobulinemia in the younger one, may predispose them to bacterial infection and subsequent perianal lesions. Anorectal trauma was denied. The necrotizing infection was confined to the skin and the subcutaneous tissue layer, and both patients had a benign clinical course. We report it and briefly discuss the etiology and treatment of this rare disorder.
ISSN:0277-2116
出版商:OVID
年代:1990
数据来源: OVID
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25. |
Yersinia pseudotuberculosisReport of a Case with Endoscopic Findings |
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Journal of Pediatric Gastroenterology and Nutrition,
Volume 10,
Issue 3,
1990,
Page 413-417
Edward Rich,
Ruth McDonald,
Dennis Christie,
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摘要:
Yersinia pseudotuberculosisis an uncommon gastrointestinal pathogen, recognized as a causative agent in some cases of mesenteric adenitis. We report the clinical and endoscopic features of a case of a 6-year-old girl with abdominal pain and bloody diarrhea. Colonoscopic examination revealed aphthous ulcers in the right colon, and mucosal biopsy culture grewYersinia pseudotuberculosis. This case documents right colonic ulcers and bloody diarrhea withYersinia pseudotuberculosis.
ISSN:0277-2116
出版商:OVID
年代:1990
数据来源: OVID
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26. |
Infant FeedingAnatomy of a Controversy 1973–1984 |
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Journal of Pediatric Gastroenterology and Nutrition,
Volume 10,
Issue 3,
1990,
Page 418-418
Wallace Gleason,
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PDF (72KB)
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ISSN:0277-2116
出版商:OVID
年代:1990
数据来源: OVID
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27. |
Announcement |
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Journal of Pediatric Gastroenterology and Nutrition,
Volume 10,
Issue 3,
1990,
Page 419-419
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PDF (21KB)
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ISSN:0277-2116
出版商:OVID
年代:1990
数据来源: OVID
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