ABSTRACT
Four patients underwent pneumatic endoscopic dilatation of achalasia at the La Fe Children's Hospital have been studied. Endoscopic pneumatic dilatation has been performed in only one session with four dilatation maneuvers. In the absence of complications, the patients were only hospitalized for twenty-four hours. The effectiveness of endoscopic pneumatic dilatation and the safety of this method, its ease of application and possibility of repetition make it a useful method in the treatment of achalasia in children.
Subject(s)
Esophageal Achalasia/therapy , Esophagoscopy/methods , Child , Dilatation/instrumentation , Dilatation/methods , Esophageal Achalasia/diagnosis , Esophagoscopes , Humans , ManometryABSTRACT
Two cases of corrosive burns of the stomach after the ingestion of acid by children are presented. Both patients were the same sex and of a similar age (19 and 20 months). The chemical nature of the caustic substance ingested (hydrochloric acid) and the lack of initial symptoms were also similar. The clinical diagnosis however, was completely different due to the endoscopic finding of serious gastric lesions in one of the patients which were then treated accordingly. In children, the accidental ingestion of caustic acids is often accompanied by few clinical symptoms initially. This can lead to failure to diagnose correctly when symptoms are correlated with the existence and severity of digestive lesions. When a caustic substance has been ingested, in addition to symptoms, consideration of the acidity or alkalinity of the ingested product is also an important parametre in evaluating endoscopic findings.
Subject(s)
Burns, Chemical/etiology , Gastric Mucosa/drug effects , Hydrochloric Acid/adverse effects , Stomach Diseases/chemically induced , Burns, Chemical/diagnostic imaging , Burns, Chemical/surgery , Caustics , Deglutition , Fiber Optic Technology , Gastroscopes , Humans , Infant , Male , Pyloric Stenosis/etiology , Pyloric Stenosis/surgery , Pylorus/surgery , Radiography , Stomach Diseases/diagnostic imagingABSTRACT
The authors report a new aspect of NEC which can be at the origin of symptoms appearing late in the clinical course. These sequelae, consisting of colic strictures, can be observed in all patients both medically and surgically treated. The five cases presented were observed among the 21 medically managed of which they represent 23.8%. None of the ten operated patients presented sequelae. All strictures were located in the colon, always in coincidence with the original topography of pneumatosis. Multiple strictures were observed in one patient.
Subject(s)
Enterocolitis, Pseudomembranous/diagnostic imaging , Infant, Newborn, Diseases/diagnostic imaging , Colonic Diseases/etiology , Enterocolitis, Pseudomembranous/complications , Enterocolitis, Pseudomembranous/therapy , Humans , Infant , Infant, Newborn , Infant, Newborn, Diseases/therapy , Necrosis/etiology , RadiographyABSTRACT
The authors report a study on the associated malformations found among 143 cases of digestive atresia at various levels. They are classified as single, multiple, single with trisomy and multiple with trisomy. Malformations are analysed in quality and quantity depending on the organ affected and the digestive level bearing the atresia.
