Alimentary Tract In Infants Research Articles

Duplications of the alimentary tract in infants and children

Background: Duplications of the alimentary tract are known for their embryonic, anatomical, clinical, and pathologic variations. Summarizing the features of these lesions would reveal these characteristics and guide appropriate management. The objectives of this study are to describe the clinical features and characteristics of all cases of duplication of alimentary tract managed at a tertiary center.Materials and Methods: A retrospective study on all cases of duplications of the alimentary tract managed at a tertiary center from July 2015 to June 2020 (5 years) was conducted after approval from the Institutional Ethics Committee. Data regarding history, demographic details, symptoms, clinical features and investigation results, and intraoperative and histopathologic findings were collected from the hospital records and analyzed.Results: Twenty-eight cases of duplication were managed during this period. They had different locations (esophageal-5 [cervical-2 and thoracic-3], gastric-1, jejunal-3, ileal – 11, cecal-3, appendicular-2, colorectal-1, rectal-1, and posterior anal canal-1) and site-specific symptoms but definite histopathology with evidence of adjacent gastrointestinal tissue on microscopic examination. Unique cases included cervical esophageal duplication, bleeding ileal duplication (ID) with heterotopic mucosa, ID with bezoar, jejunal duplication with malrotation, appendicular duplication with type 2 pouch colon and anorectal malformation, rectal duplication, and posterior anal duplication. Case-specific management ensured minimal complication without any mortality.Conclusion: Variable location and site-specific symptoms necessitate individualized case-specific management of duplication anomalies. Histopathology confirms both native and heterotopic gastrointestinal tissues and is indispensable for the diagnosis.

Duplications of the alimentary tract in infants and children

Duplications of the alimentary tract are rare congenital anomalies that could present a diagnostic as well as therapeutic challenge. Twenty-seven patients with duplications of the alimentary tract were treated at Childrens Hospital Los Angeles between 1961 and 1992. Ages ranged from a few days to 5 years (67% younger than 1 year). The most common symptoms were nausea and vomiting, and the most common sign was a palpable abdominal mass. Three patients presented with gastric duplication, which was excised. The majority of the duplications were in the jejunum and ileum. All patients except one had primary resection of the duplication. One patient with a 45-cm tubular jejunal duplication was treated with mucosal stripping of the duplication. Five patients had cecal duplication, three patients presented with melena because of ectopic gastric tissue in the duplication, and two presented with intestinal obstruction. One of the latter patients presented with intussusception with cecal duplication as the leading point. Three patients with colonic duplication presented with abdominal pain and vomiting leading to excision of the duplication. Of the five patients with rectal duplication, three presented with chronic constipation. The other two patients presented elsewhere with perianal swelling, which eventually was drained because of a mistaken diagnosis of perianal abscess. Subsequently, these two patients came to us with persistent perineal fistula. In all our patients, rectal duplications were removed through a sacroperineal incision. The only patient in this series who died was a 6-week-old boy with gastric duplication; his death was attributed to an associated severe cardiac lesion. In patients with gastrointestinal symptoms, duplications should be considered in the differential diagnosis. If the intestinal duplication is short, the lesion can be removed with the adjacent normal bowel. For long duplications, mucosal stripping of the duplication is performed to preserve the adjacent bowel. The common blood supply shared by the duplication and the bowel must be carefully protected to avoid sacrifice of the bowel. The presence of heterotopic gastric mucosa in the duplication negates internal drainage of the lesion into the adjacent bowel.

Book reviewsPediatric Orthopedic Radiology. By OzonoffM. B., pp. xii+516, 1979 (Saunders, Philadelphia), £22·50. ISBN 0–7216–7034–2

This is volume 15 in the series of “Monographs in clinical Radiology”, which already includes such valuable books on paediatric radiological subjects as Edward Singleton's Radiology of the Alimentary Tract in Infants and Children and Andrew Poznanski' The Hand in Radiologic Diagnosis. Dr. Ozonoff's book is likely to prove equally important and can be recommended as an addition to the departmental library.

Radiology of the Alimentary Tract in Infants and Children

This is the second edition of a book that first appeared in 1959. At that time it represented the only book published in this country devoted entirely to radiology of the pediatric gastrointestinal tract. While it no longer has that distinction, the new edition will probably be more popular than the first. As in the first edition, the illustrations are excellent. The majority of the numerous references relate to articles published during the past ten years. A few of the important older references have been retained. Clear descriptions of the clinical and roentgenographic findings are not surprising in view of the authors' extensive experience in the field. In addition to the usual chapters on the stomach, small bowel, and colon, new chapters have been added on embryology and the radiology of the liver, gallbladder, and pancreas. Contradictory information is given relative to one major topic; in one section the roentgenographic

Radiology of the Alimentary Tract in Infants and ChildrenRadiology of the Alimentary Tract in Infants and Children. Volume of Saunders Monographs in Clinical Radiology. 2nd Ed. BySingletonEdward B., M.D.,WagnerMilton L., M.D., andDuttonRobert V., M.D. Cloth, $26.00. Pp. 429, with 453 figures. Philadelphia, W. B. Saunders, 1977.

Radiology of the Alimentary Tract in Infants and ChildrenRadiology of the Alimentary Tract in Infants and Children. Volume of Saunders Monographs in Clinical Radiology. 2nd Ed. BySingletonEdward B., M.D.,WagnerMilton L., M.D., andDuttonRobert V., M.D. Cloth, $26.00. Pp. 429, with 453 figures. Philadelphia, W. B. Saunders, 1977.

Duplications of the gastrointestinal tract

Summary 1. Thirteen examples of duplication of the gastrointestinal tract are reported. All 13 patients underwent successful operative treatment. 2. In all instances symptoms were present during infancy; the severity of the symptoms was dependent on the location of the duplication. 3. Preoperative diagnosis in most instancesis difficult. The treatment of choice of these congenital lesions is surgical correction. 4. Duplications of the alimentary tract in infants and children are more important pediatric problems than is generally believed, and awareness of these lesions will lead to earlier diagnosis and treatment.

X-ray Diagnosis of the Alimentary Tract in Infants and Children

X-ray Diagnosis of the Alimentary Tract in Infants and Children

Book Review: X-Ray Diagnosis of the Alimentary Tract in Infants and Children

Book Review: X-Ray Diagnosis of the Alimentary Tract in Infants and Children

WATER-SOLUBLE RADIOPAQUE MEDIA IN ROENTGENOGRAPHIC EXAMINATION OF THE ALIMENTARY TRACT IN INFANTS AND CHILDREN

Water-soluble iodinated compounds can be satisfactorily used as the radiopaque contrast agents in certain roentgenographic [see Table VI in Source PDF] examinations of the alimentary tract in infants and children. They are preferable to barium-water mixtures in tracheo-esophageal fistulas, hypertrophic pyloric stenosis, fistulous tracts which communicate with the alimentary tract, and in post-surgical examinations of the alimentary tract. The low viscosity of these substances permits their passage through tiny tracts or narrowed lumens which will not permit passage of thicker suspensions of barium. These contrast solutions are the opaque materials of choice in the radiologic investigation of megacolon. The iodinated compounds because they are true solutions, do not desiccate and form the impactions which are the main hazard in the use of barium-water suspensions in cases with obstruction of the alimentary tract.

ReviewsX-ray Diagnosis of The Alimentary Tract in Infants and Children. By SingletonE. B., pp. 352 + 215 illus., 1959 (Chicago, The Year Book Publishers Inc.)

In the preface the author states “The preparation of a scientific publication such as this is largely dependent on three considerations: the collection of worth-while exemplary case material, the author's enthusiasm concerning his subject, and the dedication of the author's energy to the task of putting his own thoughts and those of others on paper”. The author can rest assured that this book is evidence that he has all the necessary qualities in full measure for the preparation of a scientific publication.

Book ReviewX-Ray Diagnosis of the Alimentary Tract in Infants and Children.

Book ReviewX-Ray Diagnosis of the Alimentary Tract in Infants and Children.

X-Ray Diagnosis of the Alimentary Tract in Infants and ChildrenX-Ray Diagnosis of the Alimentary Tract in Infants and Children. By SingletonEdward B., M.D., Director of Radiology, Texas Children's and St. Luke's Hospitals, Houston, Texas; Clinical Assistant Professor of Radiology, Baylor University College of Medicine; Clinical Associate Radiologist, University of Texas Post Graduate School. A volume of 352 pages, with 215

X-Ray Diagnosis of the Alimentary Tract in Infants and ChildrenX-Ray Diagnosis of the Alimentary Tract in Infants and Children. By SingletonEdward B., M.D., Director of Radiology, Texas Children's and St. Luke's Hospitals, Houston, Texas; Clinical Assistant Professor of Radiology, Baylor University College of Medicine; Clinical Associate Radiologist, University of Texas Post Graduate School. A volume of 352 pages, with 215

X-ray Diagnosis of the Alimentary Tract in Infants and Children

This new monograph describes and explains the radiographic findings in the healthy and the abnormal alimentary tracts of infants and children. The author's emphasis on the important normal variants should be helpful, especially to medical students and radiologists in training. The first chapter deals with the indications for radiologic examinations, which should alert the examiner to the most probable lesions present and also suggest to him the optimal type of examination. The second chapter details the techniques of examination of the upper gastrointestinal tract (esophagus, stomach, jejunum and ileum); this short chapter is one of the most valuable in the book because it will not only facilitate examinations, but also prevent undue radiation exposure of both the patient and the examiner, if the author's methods are followed.

A Text-Book of X-ray Diagnosis

Volume IV of the fourth edition of A Text-Book of X-Ray Diagnosis represents a departure in policy for this well-known text. The Alimentary Tract has been removed from the volume on the Abdomen and now appears by itself. Unfortunately, the extraction is not complete; the liver and pancreas have been left behind, presumably to remain in the Abdomen forever. Hopefully, that section will contain some sorely needed information on special procedures. The chapters on the salivary glands, chronic duodenal ileus, the small bowel, the diaphragm, and the colon have undergone major revision or reorganization since the third edition. Other chapters remain the same or virtually unchanged. Type setting is excellent and makes for easy readability. Typographic errors are few; one, however, involves a misplaced decimal point that magnifies the error tenfold. Figures are mostly positives and generally excellent. They are occasionally misplaced, and at least one is misinterpreted. There is a curious periodic tendency to fail to refer to the figures. The index is good, but the bibliography is unbelievably bad. In accordance with British custom. references are supposed to be made by name and date, rather than by number. There is no objection to this system as long as it is followed. Unhappily, no system is followed. Many names that are given do not appear in the bibliographic list. Other names appear without dates in the text, making it impossible to identify the pertinent reference when the same name appears more than once in the bibliographic list. To further compound the problem, titles of articles are not consistently given. Finally, there is no bibliography appended to the chapter concerning the Alimentary Tract in Infants and Children. The information contained is generally superficial, with insufficient consideration of cine and 70 and 90 mm spot techniques. The imbalance in length of presentation reflects editorial or author interest rather than overall importance of subject matter; 36 pages are devoted to hiatus hernia, 25 pages to all pediatric aspects, and 53 pages to the small bowel. If it were not for the section on the colon, it would be impossible to recommend this volume even for the trainee. The chapters on the colon are superb, the enemas equisite (a la Welin). They make the book almost worth the purchase price.

Congenital obstructions of the alimentary tract in infants and children; errors of rotation of the midgut.

Roentgen examination of the alimentary tract in infants and children has its greatest application in the diagnosis of obstruction. Most obstructions are related to faulty embryonic development; the signs may appear during the neonatal period or later in childhood. In a panel discussion on Intestinal Obstruction in Infancy at a meeting of the American Academy of Pediatrics in 1941, Gross (4) listed approximately 2,000 cases seen at the Boston Children's Hospital in the preceding twenty years. Almost 1,300 cases were congenital in origin, an incidence of 2 to 1 with reference to acquired obstruction. Motor activity of the alimentary tract begins long before birth. In a study of intra-uterine respiration (1), thorotrast was injected into the amniotic cavity of pregnant women prior to therapeutic abortion. After delivery, roentgen examination showed opaque material distributed through the alimentary tract of the fetus. There was no evidence of defecation of the thorotrast ingested in utero. The demonstration ...

Surgical Diseases of the Alimentary Tract in Infants

Surgical Diseases of the Alimentary Tract in Infants