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  • Articles: DFG German National Licenses  (3)
  • Anorectal malformations  (1)
  • Anterior gastropexy  (1)
  • Associated anomalies  (1)
  • Central nervous system  (1)
Source
  • Articles: DFG German National Licenses  (3)
Material
Years
  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric surgery international 3 (1988), S. 256-259 
    ISSN: 1437-9813
    Keywords: Gastroesophageal reflux ; Anterior gastropexy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Between 1971 and 1985, anterior gastropexy was performed in 154 children (age 1 month to 16 years, 92 younger than 1 year) for gastroesophageal reflux demonstrated by barium swallow (diagnostic in 84%), endoscopy (92%), and 24-h pH monitoring (86%). The main indications for surgery were: vomiting and failure to thrive (106 cases); apneic spells (14); recurrent respiratory infections (14); stricture (12); and substernal pain (8). Two complications occurred intraoperatively (hemorrhage and esophageal perforation) and 27 postoperatively (pneumonia 9; intestinal obstruction 6; hiatal stenosis subsequent to operation 5; delayed gastric emptying 2; gas bloating 2; paraesophageal hernia 2; gastric perforation 1), all without mortality. Long-term (1–13 years, 40 more than 5 years) follow-up was available in 143 cases (93%); the operation was considered successful in 121 (92%). Success rates for each indication were as follows: vomiting 94%; apneic spells 100%; respiratory infections 83%; stricture 67%; pain 100%. Twelve failures (8%) were noted: uncomplicated recurrent reflux in 8 patients, of whom 2 were reoperated; recurrent peptic stricture in 4, 3 reoperated. All reoperations were successful. This long-term follow-up shows that anterior gastropexy is a safe operation in children with an high success rate, particularly in cases of uncomplicated gastroesophageal reflux.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-0533
    Keywords: Cerebrotendinous xanthomatosis ; Sural nerve ; Central nervous system ; Neuroaxonal degeneration
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary We studied three siblings and one unrelated patient with cerebrotendinous xanthomatosis (CTX). Of two unrelated patients, we examined biopsies of sural nerve, soleus muscle, and achilles tendon. We also performed neurophysiologic investigations. Another patient died, and a postmortem examination of both brain and spinal cord was made. It was concluded that both the central and the peripheral nervous system were involved in CTX, but the peripheral system only to a slight degree, and that the pathology was predominantly neuroaxonal rather than demyelinating in character.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    European radiology 8 (1998), S. 573-581 
    ISSN: 1432-1084
    Keywords: Key words: MRI ; Congenital malformations ; Anorectal malformations ; Associated anomalies
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. Congenital anorectal malformations are found in many forms, and are frequently associated with other anomalies, especially of the spinal cord, spine, and urogenital system. Decisions concerning initial management of children with anorectal malformations can be made only after accurate determination of (a) the level and type of malformation, (b) the type of fistula, (c) the developmental state of the sphincter muscle complex, and (d) the presence of associated anomalies. Magnetic resonance imaging has proven to be the only modality to answer all these crucial questions, and has contributed to a better insight in the morphology and pathogenesis of such complex congenital malformations.
    Type of Medium: Electronic Resource
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