Showing papers in "Journal of Pediatric Surgery in 1999"

TL;DR: In the present series, spontaneous regression was infrequent and was seen more often with recurrent lesions, and there were fewer recurrences after macroscopically complete excision.

TL;DR: Efforts for prevention of ingestion of inanimate foreign body should focus on the preschool toddler group, and children with history of NMSO ingestion should undergo direct laryngoscopy despite negative radiological finding, both as a screening procedure or treatment.

TL;DR: A one-stage pull-through for HD can be performed successfully using a transanal approach without intraperitoneal dissection and permits early postoperative feeding, early hospital discharge, and no visible scars.

TL;DR: The early results of these authors suggest that laparoscopic surgery is a feasible and safe technique for the treatment of patent peritoneal vaginal canal (PVC) and inguinal hernia in children.

TL;DR: These figures confirm that MACE is a useful operation and improved patient selection, improvement in techniques, and increasing knowledge regarding continued management should lead to improving results across the country.

TL;DR: Survival of patients with esophageal atresia has significantly improved in the recent years, and low birth weight does not seem to affect survival.

TL;DR: To decrease the occurrence of injuries caused by falls, strategies should include awareness campaigns, parent's education about the mechanisms of falls, increase parenteral supervision during playing activities, and legislative measures to ensure the safety of windows and balconies before the onset of summer.

TL;DR: Initial nonoperative management of injuries of the proximal pancreatic duct allows for the formation and uneventful delayed drainage of a pseudocyst, rather than the risks of early radical interventions, and the majority of pancreatic injuries can be managed nonoperatively.

TL;DR: Only 64% of patients were interpreted as having "normal" stooling habits, yet 90% of parents were moderately or very satisfied with their child's outcome, with no differences found among the three sets of comparison groups.

TL;DR: Early referral for ITx should occur before the development of liver dysfunction, taking into consideration the aforementioned risk factors that would facilitate the development and ominous evolution to liver failure.

TL;DR: The results suggest that regression of a CAM on prenatal ultrasound scan is common, but this process does not continue after birth.

TL;DR: A choking crisis in the child's history should alert physicians to the possibility of a foreign body aspiration, and only the choking crisis, when present in the history, has good sensitivity and specificity.

TL;DR: Patients who underwent resectional surgery, with or without orthotopic liver transplantation, had a lower 5-month mortality rate and a greater 2-year survival rate than did those who underwent hepatic artery ligation or embolization.

TL;DR: The diagnosis of CLE is established by combined radiological and scintigraphic imaging methods and surgical excision of the affected lobe is the appropriate treatment in all infants under 2 months of age and in infants older than 2 months presenting with severe respiratory symptoms.

TL;DR: Because LP uses reusable devices, and the mean period of hospitalization is shorter, average operating costs could be reduced, representing a net saving in total hospital charges.

TL;DR: Mode of delivery, method of closure, birth weight and gestational age, and the presence of intestinal atresia do not appear to correlate with survival in infants with gastroschisis, and these three morbidity factors are identified as independent predictors of sepsis.

TL;DR: A significant preponderance of Down's syndrome in the deformities without fistula suggests that further investigation of associated anomalies in comparision with other congenital diseases may provide insights into the pathogenesis of anorectal malformation in the field of molecular genetics.

TL;DR: Collagen types I, III, and V are deposited rapidly in fetal wounds and display an ontogenic transition in their metabolism from a fetal to an adult phenotype, corresponding with the transition to scarring of fetal sheep wounds.

TL;DR: Assessment of technetium (Tc) 99m pertechnetate scintigraphy in the diagnostic workup of the pediatric patient with gastrointestinal (GI) bleeding and a suspected Meckel's diverticulum suggests that exploratory laparotomy or laparoscopy may be indicated instead of scintigraphic scanning in the assessment of the anemic Pediatrics patient with lower GI bleeding.

TL;DR: Routine contralateral inguinal exploration, without clinical evidence of a hernia, may be advisable in children with incarceration and possibly in premature infants.

TL;DR: Lung injury secondary to mechanical ventilation plays an important role in the mortality rate of patients with CDH, which may become increasingly significant when there is underlying pulmonary hypoplasia.

TL;DR: It is demonstrated that GLP-2 can enhance normal rat small intestine mucosal mass and absorption in vivo with the maximum effect seen at 50 microg/kg/d.

TL;DR: Prophylactic administration of CAPE in ischemic condition prevents reperfusion injuries by eliminating oxygen radicals and inhibiting polymorphonuclear leukocyte infiltration, which may be useful in combating the diseases of oxidative stress.

TL;DR: ECMO was shown to be a positive independent predictor of survival when accounting for the covariates of birth weight, 5-minute Apgar, and mortality risk and was associated with improved survival in the neonates with mortality risk < or = 80%.

TL;DR: Patients with TCA tend to undergo multiple procedures and anorectal function improves gradually over time, but in the long-term follow-up over half of the patients are below the second percentile for weight and one quarter is below thesecond percentile for height.

TL;DR: In addition to providing financial savings, TMC is well accepted by families and children, and those using this new technology must give special attention to issues of patient privacy, camera comfort, and specialist comfort.

TL;DR: The perineal one-stage operative pull-through (POOP) procedure for Hirschsprung's disease is a quick and easy adaptation of a well-described technique of transanal mucosectomy.

TL;DR: IfABP may be a specific marker for early identification of severe NEC, and was detectable in blood samples from all 7 infants with stage 3 NEC compared with 3 of 24 with stages 1 or 2 NEC.

TL;DR: Data indicate SIS and AlloDerm may be useful materials for prosthetic repair in instances of partial or total agenesis of the diaphragm in growing animals.