摘要:

Two infants admitted for evaluation of hyper-transaminasemia had high levels of anti-gliadin IgA and IgG antibodies and histological changes of the duodenal mucosa typical of celiac disease. Although the cause of the liver involvement could not be exactly identified, both the hypertransaminasemia and the histological changes of the mucosa disappeared after a short period of gluten-free diet. Even though two cases are not enough for definite conclusions, the authors suggest that an unexplained increase in transaminases would require an evaluation for celiac disease.

ISSN:0277-2116    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Duodenal perforation in neonates is uncommon, and has been described rarely in the third part of the duodenum. Gastrointestinal perforations without an obvious cause have been labeled as “spontaneous.” We report a case of perforation in the third part of the duodenum in a premature infant for which there was no obvious cause. In such “spontaneous” perforations, multi-factorial etiology is likely and possible factors are discussed. The high mortality rate in such patients can be improved by early diagnosis and prompt resuscitation followed by surgery. Peritoneocentesis plays an important diagnostic role. It is also therapeutic in relieving the respiratory distress caused by free intraperitoneal air. The majority of duodenal perforations are amenable to primary closure at surgery and this should be the treatment of choice.

ISSN:0277-2116    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

A familial syndrome of congenital short small bowel, malrotation, and functional bowel obstruction is presented and illustrated in three male siblings with one long-term survivor. Including the present three cases there have been 18 similar cases found in the literature. This disorder appears to be a sex-linked recessive inheritance. Early barium meal and follow through in siblings of patients with this condition will detect malrotation that should be surgically corrected in order to prevent mid-gut volvulus. Intravenous alimentation and early introduction of enteral feeding is important, not only to maintain nutrition but to encourage adaptation of the associated short and dysmotile bowel. These measures aim to improve the outcome of this frequently, but not invariably, fatal disorder.

ISSN:0277-2116    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

A 2 1/2-year-old boy presented severely underweight and with an extremely distended abdomen. He was born prematurely and at age 6 months had an incarcerated inguinal hernia, which had been treated conservatively. Laboratory investigations at the time of presentation showed evidence of bacterial overgrowth. Barium studies revealed a fistula between the jejunum and sigmoid colon. Resection of the fistula was followed by complete recovery. We suggest that the incarcerated hernia underlies this fistula. Until now, this series of events has not been published.

ISSN:0277-2116    

出版商:OVID    

年代:1990

数据来源: OVID

ISSN:0277-2116    

出版商:OVID    

年代:1990

数据来源: OVID

ISSN:0277-2116    

出版商:OVID    

年代:1990

数据来源: OVID

ISSN:0277-2116    

出版商:OVID    

年代:1990

数据来源: OVID

ISSN:0277-2116    

出版商:OVID    

年代:1990

数据来源: OVID

ISSN:0277-2116    

出版商:OVID    

年代:1990

数据来源: OVID