DISPLASIA NEURONAL INTESTINAL PEDIATRIA PDF

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Introduction: Extensive aganglionosis EA that affects the total colon including or not part of the small intestine , shows more diagnostic problems and it is associated to higher morbidity and mortality rates than the classic cases of Hirschsprung disease ED. This study takes into account last years cases and their results in the medium and long term. Material and methods: Between and , patients suffering ED have been treated. We took into consideration the diagnosis, surgical procedures, enterocolitis before and after the treatment, the surgical technique and the complications.

We analyze the nutritional state and the long term result according to clinical bowel function scoring system continency Scale, considering the surgical possibilities depending on each case. Results: Two patients died due to septics complications, one of them during the neonatal period and the other one at the age of 3. Two other cases became possible candidates to an intestinal transplantation due to the extension of their disease.

Five out of the 11 left patients had more than 30 cm of small intestine involved, and another five had involved less than 30 cm from ileocecal valve.

The last case showed a total colonic aganglionosis with associated intestinal neuronal displasia. One case was associated with S. Ondine and another one with a 21 triosomia. Two of the patients were brothers and another patient has got a brother suffering from rectosigmoid HD.

The surgical techniques used with 13 were: 8 cases using Lester Martin modification one of them needed redo procedure because of anastomosis leak and perineal fistula , 4 Swenson procedure and one patient was treated by Ziegler's miectomy with prolongated miotomy. Nine of the patients mentioned before, lead a quite life five L, Martin, 4 Swenson ; 2 patients suffering frequent fecal retention crisis.

Conclusion: EA represents a small percentage of Hirschsprung disease. Although Martin modification is the most widely employed technique in cases of distal ileal involvement, Swenson procedure has provided good results in the long term follow-up with few complications. Intestinal transplantation may be the only choice for long term survival in patients with near total intestinal aganglionosis.

Continence improves in the follow-up but few times is normal. Nutritional state should be-controlled by a specialized team. This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable.

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Similar articles Long-term results of the treatment of total colonic aganglionosis with two different techniques. Barrena S, et al. Eur J Pediatr Surg. Epub Nov PMID: Ileocolic plasty]. Cir Pediatr. PMID: Spanish. Hirschsprung disease: do risk factors of poor surgical outcome exist?

Pini Prato A, et al. J Pediatr Surg. Prevention of suicide and attempted suicide in Denmark. Epidemiological studies of suicide and intervention studies in selected risk groups. Nordentoft M.

Dan Med Bull. PMID: Review. Surgical strategies for liver transplantation in the case of portal vein thrombosis--current role of cavoportal hemitransposition and renoportal anastomosis. Paskonis M, et al. Clin Transplant. Show more similar articles See all similar articles. Cited by 1 article Familial Hirschsprung's disease: a systematic review. Mc Laughlin D, Puri P.

Mc Laughlin D, et al. Pediatr Surg Int. Epub Jul Publication types English Abstract Actions. Female Actions. Humans Actions. Infant Actions. Infant, Newborn Actions. Male Actions. Treatment Outcome Actions. Copy Download.

CORY DOCTOROW WHEN SYSADMINS RULED THE EARTH PDF

Displasia neuronal intestinal (DNI): uma nova forma de obstrucao intestinal, analise de um caso.

Introduction: Extensive aganglionosis EA that affects the total colon including or not part of the small intestine , shows more diagnostic problems and it is associated to higher morbidity and mortality rates than the classic cases of Hirschsprung disease ED. This study takes into account last years cases and their results in the medium and long term. Material and methods: Between and , patients suffering ED have been treated. We took into consideration the diagnosis, surgical procedures, enterocolitis before and after the treatment, the surgical technique and the complications.

FIDIC JOINT VENTURE CONSORTIUM AGREEMENT PDF

[Extensive Aganglionosis. Treatment and Long Term Results]

Figura 1. Recomiendo colocar el fragmento sobre un papel con la mucosa hacia abajo, estirarla con cuidado de no aplastar el tejido y realizar cuantos cortes paralelos sean posibles por el eje menor con distancia aproximada de 0,10 cm entre ellos figuras 2 y 3. Figura 2. Biopsia endorrectal de 0,5 cm que incluye mucosa y submucosa. Figura 3. Figura 4.

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