[A case of diverticular gastric heterotopy of the small intestine]. / A propos d'un cas d'hétérotopie gastrique diverticulaire de l'intestin grêle.

Report of an observation of a small intestine diverticulum with colic and gastric heterotopy in a seven year old girl. Unrecognized for many years, the lesion was at the origin of a severe digestive hemorrhage for which an urgent operation was necessary. A propos of this new enough case (30 published cases), characteristics of diverticular gastric heterotopy are remembered from diagnostic, nosologic and therapeutic point of view. Their individualization with regard to Meckel's diverticulum and remainders of omphalo-mesenteric canal is emphasized.

[Review of the organogenesis of the respiratory system (excluding the pulmonary parenchyma)]. / Rappel de l'organogénèse de l'appareil respiratoire (parenchyme pulmonaire exclu).

A simplified panorama of the different formation phases of the upper respiratory system (larynx, trachea, main bronchi) is presented. Chronologic evolution of organogenesis in embryologic phase and fetal phase is emphasized. Post-natal growing is also described. A classification of malformations of the upper respiratory system is done, based on topographic data. The mechanism of genesis of the malformations remains of hypothetical value.

[Rare congenital aerodigestive fistulae]. / Les fistules aéro-digestives congénitales rares.

Within the 1984 Symposium of the French Society of Pediatric Surgery, concerning tracheal and main bronchi malformations surgery, a synthesis is done from the observations of rare aerodigestive fistulae (esophageal atresia, H type tracheoesophageal fistula, esolaryngotracheal clefts excluded). The two types of aerodigestive fistulae reported in the literature are the communications with the esophagus and the biliary tract. 1) In the group of communications with the esophagus, the study concerned: fistulae associated with tracheal agenesia, with bad prognosis; fistulae associated with bronchopulmonary agenesia, with possible esophageal atresia; fistulae associated with bronchopulmonary foregut malformations. 2) The quite tracheobiliary fistulae, setting up the second group of aerodigestive fistulae, are reviewed. This report analyse the etiologic, anatomic, clinic and therapeutic data of every one malformations.

[Value of the use of surgical endoscopy in chest surgery in children]. / Intérêt de l'utilisation d'une "endoscopie chirurgicale" en chirurgie thoracique chez l'enfant.

The authors emphasize the various possibilities of exploration of chest with the mediastinoscope, in a 11 patients series, aiming and reducing surgical parietal approach in infancy, while preserving the feasibility of the procedure. In the thoracic level: beyond the mediastinal approach by the transcervical pathway (mediastinoscopy), the principal application is the pleural cavity access (pleuroscopy) which was performed in seven 3 to 12 years old children. Pleuroscopy was realised through a small intercostal access permitting biopsy with a good visibility (pulmonary biopsy: 4 cases; lateral mediastinal tumor: 2 cases). A cloisonned pyopneumothorax drainage was performed once easily managed. Mediastinoscopy was used likewise in 3 cases of transcervical thymectomy (myasthenia gravis or thymic hyperplasia), permitting effective visual field to control quality of exeresis. This "surgical endoscopy" procedure offers so food indications in Pediatric Surgery, more especially as not any complication was observed.

[Estimation of clometacine in biological fluids by gas chromatography and electron capture (author's transl)]. / Dosage de la clométacine dans les liquides biologiques par chromatographie gazeuse et capture d'électrons.

The authors describe a method of estimation of clometacine in biological fluids based on extraction in the pure state of a pair of ions, purification by chromatography (in liquid phase, adsorption, then exchange, methylation by diazo-methane and gas chromatography associated with detection by electron capture.