ABSTRACT
Se presentan cuatro casos de reflujo gastroesofágico (RGE) que sufrieron complicaciones detectadas a distintas edades: un lactante menor presentó bronconeumonía por aspiración; otro, tuvo dolor abdominal recurrente; un niño de 10 años presento estenosis esofágica de aparición rápida; un adulto de 25 años sufrió laringitis crónica debida a RGE. Se hacen consideraciones acerca de estas compliaciones; sobre la necesidad de la vigilancia clínica de todo niño con RGE; sobre la utilidad de un registro escrito con el diagnóstico y las medidas preventivas que deben tomarse, para documentarse en cualquier padecimiento que presente en su vida
Subject(s)
Infant, Newborn , Child , Adult , Humans , Male , Antacids/therapeutic use , Gastroesophageal Reflux/complications , Gastroesophageal Reflux/diagnosis , Gastroesophageal Reflux/therapyABSTRACT
Numerosos padecimientos prolongados en el adulto y en el niño, modifican algunos hábitos de la vida familiar. Se presenta una clasificación y un lineamiento sobre el manejo integral de estos padecimientos en pediatría, con el objeto de interesar al médico tratante, cirujano, etc. Desde las primeras entrevistas, se debe exponer cada uno de los puntos señalados, al conjunto familiar, lo que atenúa ostensiblemente las dificuldades generales del manejo, de sus posibles complicaciones y las modificaciones que toda la família tiene que adoptar en ocasiones, durante toda la vida. Se incluyen, los beneficios del control a largo prazo, el costo económico, alteraciones emocionales y algunas generalidades de orden ético, aspectos rara vez mencionados en la literatura
Subject(s)
Child , Humans , Physician-Patient Relations , Professional-Family Relations , Surgical Procedures, OperativeABSTRACT
A clinical classification for undescended testes based on location, size, and mobility of the testis in the inguinal canal was performed. The latter was artificially divided into three sections. The lower portion was considered position I; the mid part, position II; the upper part, position III; and the abdominal (nonpalpable) part, position IV). Normal-size testes were considered as being size A; testes reduced up to 30% in volume, size B; and gonads reduced more than 30% of the estimated normal, size C. According to these criteria, a case of chryptorchidism can then be classified as I, II, III, or IV and A, B, or C and fixed or movable. This classification was used in 1,010 orchidopexies conducted under a uniform surgical technique by the same surgeon and followed annually up to a maximum of 23 years. Retractile testes were excluded from this series. In most cases, the clinical diagnosis matched the surgical findings. Results are presented in two groups, unilateral and bilateral, since the main problem for the latter is fertility, and they should be considered separately in any study. For both groups, the most frequent finding was the normal-sized testis (size A), in location I. For positions II and III, size B was the most common; and in position IV (intraabdominal), size C had a substantially higher incidence. Surgical technique was simpler and the outcome better, as expected, when the testicles were of good size, located in a low position, and operated at an early age. A worthwhile finding was the long-term cosmetic improvement in an important percentage of the surgically descended B-sized testes.(ABSTRACT TRUNCATED AT 250 WORDS)
Subject(s)
Cryptorchidism/classification , Child , Cryptorchidism/pathology , Cryptorchidism/surgery , Humans , Male , Reoperation , Testis/pathologyABSTRACT
A review of 10 years (1964-1973) of patients admitted to the Hospital Infantil de Mexico with duodenal obstruction is made. There were 70 cases, 33 of which corresponded to intrinsic obstruction and 37 to the extrinsic type. The clinical picture, whether complete or incomplete obstruction is involved, is analysed and the importance of radiology is emphasized to reach an early diagnosis. The surgical management is described in accordance with the type of lesion found. Mortality in this type of pathology is still high in spite of the improvement in surgical techniques and intensive management of newborns, considering that these patients usually show low weight and a high frequency of associated malformations.
