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001-es BibID:	BIBFORM032385
Első szerző:	Folaranmi, Semiu Eniola (gyermeksebész)
Cím:	Proximal large bowel volvulus in children : 6 new cases and 3 review of the literature / Semiu Eniola Folaranmi, Alex Cho, Farhan Tareen, Antonino Morabito, George Rakoczy, Tamas Cserni
Dátum:	2012
ISSN:	0022-3468
Megjegyzések:	Background: Proximal large bowel volvulus is considered as an extremely rare surgical emergency in children. Approximately 40 cases have been reported, and because of its rarity, the diagnosis is often missed or delayed. The purpose of this study was to review the presentation, treatment, and clinical outcome of proximal large bowel volvulus.Methods: A systematic review and analysis of the data relating to 6 patients from the author's practice and cases published in the English literature from 1965 to 2010 was performed. Detailed information regarding demographics, clinical presentation and methods of diagnosis, surgical procedure, complications, and outcome were recorded.Results: Thirty-six cases of proximal large bowel volvulus were retrieved from the English literature, and 6 cases, from the author's practice. The male-female ratio was 1:1, with a median age of 7 years. There were 29 (69%) cases with neurodevelopmental delay. Clinical presentation included 29 (69%) cases with constipation, 41 (98%) with colicky abdominal pain, 42 (100%) with abdominal distension, and 35 (83%) with vomiting. Plain radiography was specific in 64% (27/42) of cases, barium enema in 100% (15/15), and computed tomography in 100% (2/2). All patients underwent surgery, with resection and primary anastomosis in 24 (57%) cases, stoma formation in 11 (26%), and detorsion of volvulus without resection in 7 (17%) cases. Six patients (14%) died postoperatively. Conclusion: A child with neurodevelopmental delay and a history of constipation presenting with an acute onset of colicky abdominal pain and progressive abdominal distension with vomiting should be suspected of having a cecal and proximal large bowel volvulus.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok esettanulmány large bowel volvulus cecal volvulus neurodevelopmental delay chronic constipation külföldön készült közlemény
Megjelenés:	Journal of Pediatric Surgery. - 47 : 8 (2012), p. 1572-1575. -
További szerzők:	Cho, Alex Tareen, Farhan Morabito, Antonino Rákóczy György Cserni Tamás (1967-) (gyermeksebész)
Internet cím:	DOI Intézményi repozitóriumban (DEA) tárolt változat
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001-es BibID:	BIBFORM050653
035-os BibID:	PMID:23480916
Első szerző:	Pataki István (csecsemő és gyermekgyógyász, neonatológus)
Cím:	Recycling of bowel content : the importance of the right timing / Istvan Pataki, Judit Szabo, Petra Varga, Andrea Berkes, Andrea Nagy, Fiona Murphy, Antonino Morabito, George Rakoczy, Tamas Cserni
Dátum:	2013
ISSN:	0022-3468
Megjegyzések:	Extracorporeal stool transport (recycling of chyme discharged from the proximal stoma end to the distal end of a high jejunostomy or ileostomy) is thought to be beneficial in preventing malabsoprtion, sodium loss, cholestasis and atrophy of the distal intestine until restoration of the intestinal continuity becomes possible. However little is known about its adverse effects. Our aim was to investigate the microbiological safety of recycling. MATERIAL AND METHOD: Native samples were taken from the proximal stoma in 5 premature neonates who underwent an ileostomy or a jejunostomy due to necrotising enterocolitis, for qualitative culture. The first sample was drawn immediately after the change of the stoma bag, further samples were sent from the stoma bag at 30, 60, 90, 120, 150, and 180min later. The samples were inoculated by calibrated loops onto blood agar (5% sheep blood), eosin-methylene blue agar and anaerobic blood agar, respectively (Oxoid). The aerobic plates were incubated for 18-20 h at 5% CO2, whereas the anaerobic plates were incubated for 24-48 h in an anaerobic chamber (Concept 400). The bacterial strains were identified to species level by specific biochemical reactions, RapID-ANA II system (Oxoid) and ID32E, Rapid ID 32 Strep ATB automatic system cards (bioMérieux). RESULTS: The number of colony forming unit (CFU) of Gram-negative bacteria (mainly E. coli) exponentially increased after 30 min and reached 10(5)/ml after 120 min. Gram-positive strains (primarily E. faecalis) were detected after 60 min and CFU increased to 10(5)/ml after 120 min. The number of anaerobic (principally Bacteroides fragilis) CFU started to increase after 120 min. In two cases coagulase negative Staphylococcus strains were isolated the earliest in the chyme. The average of total CFU approached 10(5)/ml after 90 min and exceeded 10(5)/ml after 120 min. CONCLUSION: The chyme in the stoma bag is colonized by commensal facultative pathogenic enteral/colonic as well as skin flora species after 120 min. Recycling of stoma bag content may be dangerous after 90 min.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:	Journal of Pediatric Surgery. - 48 : 3 (2013), p. 579-584. -
További szerzők:	Szabó Judit (1963-) (szakorvos, klinikai mikrobiológus) Varga Petra (1981-) (orvos) Berkes Andrea (1973-) (csecsemő- és gyermekgyógyász) Nagy Andrea (1958-) (csecsemő és gyermekgyógyász, neonatológus) Murphy, Fiona Morabito, Antonino Rákóczy György Cserni Tamás (1967-) (gyermeksebész)
Internet cím:	Szerző által megadott URL DOI Intézményi repozitóriumban (DEA) tárolt változat
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