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Bowel Obstruction in the Newborn

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Nutrition in Necrotizing Enterocolitis and Following Intestinal Resection.

Jocelyn Ou, Cathleen M Courtney, Allie E Steinberger, Maria E Tecos, Brad W Warner,

This review aims to discuss the role of nutrition and feeding practices in necrotizing enterocolitis (NEC), NEC prevention, and its complications, including surgical treatment. A thorough PubMed search was performed with a focus on meta-analyses and randomized controlled trials when available. There are several variables in nutrition and the feeding ... Read more >>

Nutrients (Nutrients)
[2020, 12(2):]

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Case 3: Emesis in a Term Infant with Dysmorphic Features.

Tadarro Lee Richardson, Meaghan Ransom, Gabriella Crane, Erin Plosa, Jennifer Sucre,

Neoreviews (NeoReviews)
[2020, 21(2):e127-e130]

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Supplementation of Mother's Own Milk with Donor Milk in Infants with Gastroschisis or Intestinal Atresia: A Retrospective Study.

Rebecca Hoban, Supriya Khatri, Aloka Patel, Sharon L Unger,

BACKGROUND:Mother's own milk (MOM) improves in-hospital outcomes for preterm infants. If unavailable, donor milk (DM) is often substituted. It is unclear if DM vs. formula to supplement MOM is associated with improved in-hospital outcomes in term/late preterm surgical infants with gastroschisis or intestinal atresia. METHODS:This retrospective study included infants born ... Read more >>

Nutrients (Nutrients)
[2020, 12(2):]

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Multidisciplinary Management in Pediatric Ultrashort Bowel Syndrome.

Christina Belza, Paul W Wales,

Pediatric intestinal failure (IF) remains a complex and devastating condition resulting in the inability of the gastrointestinal tract to absorb adequate fluids and nutrients to sustain life. The goal in the management of IF is to achieve enteral autonomy and when not possible to avoid and minimize the development of ... Read more >>

J Multidiscip Healthc (Journal of multidisciplinary healthcare)
[2020, 13:9-17]

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Evaluation of parenteral nutrition-associated liver disease in surgical infants for necrotizing enterocolitis.

Senyan Zeng, Xiaoyu Li, Chun Deng, Lei Li, Chunbao Guo,

The purpose of this study was to determine the factors associated with parenteral nutrition-associated liver disease (PNALD) in infants who underwent surgery for necrotizing enterocolitis (NEC) and followed up the postoperative outcomes for long term parenteral nutrition (PN).This study included a retrospective review of 87 infants with NEC and managed ... Read more >>

Medicine (Baltimore) (Medicine)
[2020, 99(2):e18539]

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Laparoscopic Ladd's procedure in neonates: a simple landmark detorsion technique.

Hien Duy Pham, Yuichi Okata, Hoan Manh Vu, Nam Tran Xuan, Tam Tran Duc,

BACKGROUND:The aim of this study was to assess the efficacy of our simple landmark technique for laparoscopic detorsion and the Ladd procedure (lap Ladd) for malrotation with midgut volvulus in neonates and to identify the risk factors of reoperation after the lap Ladd. METHODS:We conducted a retrospective chart review of ... Read more >>

Pediatr Int (Pediatrics international : official journal of the Japan Pediatric Society)
[2020, :]

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Differences in attitudes to feeding post repair of Gastroschisis and development of a standardized feeding protocol.

Donna Hobson, Kaye Spence, Amit Trivedi, Gordon Thomas,

BACKGROUND:The purpose of this study was to examine differences in attitudes to feeding in neonates with Gastroschisis between clinical groups and to develop a standardized feeding protocol. Confusion, inconsistencies in practice and lack of evidence could be contributing to avoidable delays in the establishment of enteral feeds resulting in lengthy ... Read more >>

BMC Pediatr (BMC pediatrics)
[2019, 19(1):475]

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Risk factors of meconium-related ileus in very low birth weight infants: patients-control study.

Jeik Byun, Ji-Won Han, Joong Kee Youn, Hee-Beom Yang, Seung Han Shin, Ee-Kyung Kim, Hyun-Young Kim, Sung-Eun Jung,

Very low birth weight (VLBW) neonates experience various problems, including meconium-related ileus (MRI). This study investigated the risk factors of MRI and surgical MRI in VLBW infants. VLBW neonates admitted to the Neonatal Intensive Care Unit of Seoul National University Children's Hospital from October 2002 to September 2016 were included ... Read more >>

Sci Rep (Scientific reports)
[2020, 10(1):4674]

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Congenital Cytomegalovirus Infection Presenting with Hyperbilirubinemia and Splenomegaly in a Term Infant with Trisomy 21.

Kate Wilson, Lindsay Ellsworth, Megan H Pesch,

Congenital cytomegalovirus infection (cCMV) is very common, yet the presentation can be varied, making the diagnosis challenging. However, early diagnosis for treatment with medication in symptomatic cases within the first month of life is critical. Hyperbilirubinemia and splenomegaly are less common manifestations at birth and may be overlooked in the ... Read more >>

Case Rep Pediatr (Case reports in pediatrics)
[2020, 2020:2534629]

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Emergency imaging in paediatric oncology: a pictorial review.

Trevor Gaunt, Felice D'Arco, Anne M Smets, Kieran McHugh, Susan C Shelmerdine,

Despite the decline in mortality rates over the last 20 years, cancer remains one of the leading causes of death in children worldwide. Early recognition and treatment for acute oncological emergencies are vital in preventing mortality and poor outcomes, such as irreversible end-organ damage and a compromised quality of life.Imaging plays ... Read more >>

Insights Imaging (Insights into imaging)
[2019, 10(1):120]

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Waardenburg-Shah syndrome (WS type IV): a rare case from Pakistan.

Taimoor Ashraf Khan, C Aqeel Safdar, Shehryar Zameer, Arshad Khushdil,

Waardenburg-Shah syndrome is a rare autosomal recessive [AR] inherited disorder characterized by the presence of Hirschsprung's disease with a high likelihood of aganglionic megacolon, due to which the mortality is high. The management of the condition involves surgical intervention for the removal of the aganglionic segment of the colon. Here, ... Read more >>

Perioper Med (Lond) (Perioperative medicine (London, England))
[2020, 9:4]

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Retained intra-abdominal surgical sponge causing ileocolic fistula diagnosed by colonoscopy.

Asaad Shareef Omar, Ayad Ahmad Mohammed,

INTRODUCTION:Retained surgical sponges and instruments is a well-recognized medical error that may occur after all kinds of surgeries. This event has a catastrophic impact on the patient, health care workers, and the health institution. Sometimes, it is termed as textiloma or gossypiboma. CASE PRESENTATION:A 40-year-old lady presented with abdominal pain, ... Read more >>

Int J Surg Case Rep (International journal of surgery case reports)
[2020, 67:62-65]

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Alternative technique to save ischemic bowel segment in management of neonatal short bowel syndrome: A case report.

Lei Geng, Lei Zhou, Guo-Jian Ding, Xiao-Liang Xu, Yu-Mei Wu, Ji-Jun Liu, Ting-Liang Fu,

BACKGROUND:Congenital short bowel syndrome (SBS) associated with malrotation, gut volvulus and jejuno-ileal atresia is a very rare condition. It is a severe challenge for surgeons to preserve residual ischemic bowel segment in the management of short bowel syndrome,especially in neonates. CASE SUMMARY:We report a newborn baby with gut malrotation associated ... Read more >>

World J Clin Cases (World journal of clinical cases)
[2019, 7(20):3353-3357]

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Fatal Course of a Male Newborn with Double Duodenal Atresia.

Ahmed Elrouby, Ahmed Koraitim,

Multiple point duodenal atresia is an extremely rare condition with atretic segments in either two or three sites of the duodenum. We report a newborn male patient who presented to our institution with bilious vomiting, nonpassage of meconium, mild abdominal distension, and a palpable epigastric abdominal mass ∼1 × 1 cm. A faint ... Read more >>

European J Pediatr Surg Rep (European journal of pediatric surgery reports)
[2020, 8(1):e7-e9]

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Congenital perianal lipoma: a case report and review of the literature.

Yudai Goto, Kazuaki Takiguchi, Hirofumi Shimizu, Hayato Go, Hideaki Tanaka,

BACKGROUND:The surgical strategy for congenital perineal lipoma varies depending on the size, location, and accompanying congenital anomalies, with the optimum approach remaining to be determined. We herein report a case of congenital perianal lipoma that was first detected by prenatal ultrasound and review the literature. CASE PRESENTATION:A female neonate was ... Read more >>

Surg Case Rep (Surgical case reports)
[2019, 5(1):199]

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Clinical significance of positive fecal occult blood test in neonates.

Qiuping Wen, Kaizhen Liu, Weihong Yue, Shiqi Shao, Shu Zhang, Xiaoqing Li, Ziyu Hua,

The fecal occult blood test (FOBT) is a screening tool for hematochezia. This study aims to summarize the clinical features associated with a positive FOBT in neonates and to explore some clues for the underlying causes. Combination with other clinical information, identifying the possible etiology is more likely and could ... Read more >>

Sci Rep (Scientific reports)
[2019, 9(1):17898]

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An Atypical Variant of Apple Peel Atresia: Reporting a Rare Case.

Taha Bin Arif, Jawad Ahmed, Farheen Malik, Sharmeen Nasir, Aiman Ali,

Apple peel intestinal atresia is a rare congenital malformation. It consists of a proximal jejunum ending in a blind pouch and distal small bowel wrapped around its vascular supply in a spiral fashion. A combination of type IIIb jejunoileal atresia (apple peel atresia) and type IV (multiple intestinal atresias) is ... Read more >>

Cureus (Cureus)
[2019, 11(11):e6047]

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Nutritional Feeding Strategies in Pediatric Intestinal Failure.

Joanne Olieman, Wendy Kastelijn,

Intestinal failure is defined as a critical reduction of the gut mass or function, below the minimum needed to absorb nutrients and fluids. The ultimate goal in intestinal failure is to promote bowel adaptation and reach enteral autonomy while a healthy growth and development is maintained. The condition is heterogeneous ... Read more >>

Nutrients (Nutrients)
[2020, 12(1):]

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Preliminary Investigation of the Diagnosis of Neonatal Congenital Small Bowel Atresia by Ultrasound.

Ju Hao, Yao Zhang, Li Tianyu, Shi Bo, Feng Shu, Shi Feng, Ji Chao, Huang Ying,

Purpose:To assess the diagnostic value of ultrasonography (US) for congenital small bowel atresia (SBA) in neonates and their sonographic characteristics. Methods:A retrospective analysis was performed of 20 neonates who were confirmed with SBA by operation from March 2014 to January 2019. All the neonates have been scanned by US before ... Read more >>

Biomed Res Int (BioMed research international)
[2019, 2019:7097159]

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Axial torsion of Meckel's diverticulum causing acute peritonitis in the first trimester of pregnancy: a case report.

Hiromitsu Nagata, Hiroyasu Nishizawa, Susumu Mashima, Yasuyuki Shimahara,

BACKGROUND:Meckel's diverticulum is considered the most prevalent congenital anomaly of the gastrointestinal tract. Approximately 4% of patients are symptomatic with complications such as bleeding, intestinal obstruction, and inflammation, while axial torsion of Meckel's diverticulum is rare, particularly in pregnancy. CASE PRESENTATION:A 31-year-old woman in week 15 of pregnancy complained of ... Read more >>

Surg Case Rep (Surgical case reports)
[2019, 5(1):190]

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Total Intestinal Atresia: Revisiting the Pathogenesis of Congenital Atresias.

Neel Aggerwal, Nidhi Sugandhi, Harshita Kour, Goutam Chakraborty, Samir Kant Acharya, Amit Jadhav, Deepak Bagga,

Despite various theories to explain the pathogenesis of atresias, the exact mechanism is still controversial. Currently, atresias are believed to result from vascular accidents and less likely due to the failure of recanalization. We report a case which challenges this belief. A 1-day-old neonate was explored for suspected jejunal atresia. ... Read more >>

J Indian Assoc Pediatr Surg (Journal of Indian Association of Pediatric Surgeons)
[2019, 24(4):303-306]

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Unilateral Ureteric Endometriosis at the Pelvic Brim Resulting in Complete Loss of Renal Function.

Keisuke Tanaka, Akwasi A Amoako, Katherine Gray, David Baartz,

Deep infiltrating endometriosis of the urinary tract is rare but can result in ureteric obstruction, hydroureteronephrosis and renal failure. Ureteric endometriosis usually affects the distal third of the left ureter among women of reproductive age. Greater awareness of ureteric endometriosis and a multidisciplinary approach in the management is essential to ... Read more >>

Case Rep Obstet Gynecol (Case reports in obstetrics and gynecology)
[2019, 2019:9194615]

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Air Leak Syndrome: Pneumoperitoneum in a Ventilated Neonate.

Chandana Ravikumar, Dawn McDaniel, Amy Quinn,

Air leak syndrome has several manifestations and is common in neonates with meconium aspiration syndrome (MAS) due to air trapping. While pneumoperitoneum is classically a result of intestinal perforation, intra-abdominal free air may be a less common presentation of air leak syndrome. In the ventilated neonate, there is insufficient clinical ... Read more >>

Case Rep Pediatr (Case reports in pediatrics)
[2019, 2019:4238601]

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Congenital diarrhea in a newborn infant: A case report.

Mehrin Sadiq, Omer Choudry, Arun K Kashyap, Danitza M Velazquez,

BACKGROUND:Microvillus inclusion disease (MVID) is a rare autosomal recessive cause of severe congenital diarrhea with significant morbidity and mortality. Definitive treatment involves bowel transplant. The diagnosis of this condition can be challenging and a few genetic panels are available for the identification of the most common mutations. We present the ... Read more >>

World J Clin Pediatr (World journal of clinical pediatrics)
[2019, 8(3):43-48]

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Uncommon clinical presentation of cystic fibrosis in a patient homozygous for a rare CFTR mutation: a case report.

Joanna Jaworska, Aleksandra Marach-Mocarska, Dorota Sands,

BACKGROUND:Cystic fibrosis (CF) is the most common, life-threatening, autosomal-recessive disorder among Caucasians. To date, approximately 2000 mutations in the CFTR gene have been reported. Some of these mutations are very rare, and some represent individual sequence changes in the gene. The introduction of newborn screening (NBS) in high prevalence countries ... Read more >>

BMC Pediatr (BMC pediatrics)
[2020, 20(1):90]

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