GIT

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Quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth - "Plain abdominal radiograph is often normal; features suggestive of malrotation with or without midgut volvulus are a distended stomach and proximal duodenum with a paucity of gas distally, either throughout or unilaterally. An upper gastrointestinal contrast study is the investigation of choice for any child presenting with bilious vomiting. The study should be performed urgently to look for findings characteristic of malrotation: The D-J flexure is seen right of the left vertebral pedicle and/or inferior to the pylorus. The duodenum passes caudally and anteriorly. Contrast ta…

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Quote from "The SAGES Manual of Pediatric Minimally Invasive Surgery" by Danielle S. Walsh, Todd A. Ponsky, Nicholas E. Bruns - "Park et al., found that certain characteristics may be predictive for the development of complications and recommended diverticulectomy of incidental diverticula that meet any of the following four criteria: (1) male sex, (2) age less than 50 years, (3) diverticular length greater than 2 cm, and (4) abnormal features of the diverticula such as thickened tissue or a palpable mass [14]. Other studies have also recommended prophylactic resection if there is a narrow diverticular base [30]. At this time, most pediatric surgeons will perform a res…

Quotes from "The SAGES Manual of Pediatric Minimally Invasive Surgery" by Danielle S. Walsh, Todd A. Ponsky, Nicholas E. Bruns - "A segmental resection of the diverticulum and adjacent ileum should be performed if the patient is presenting with bleeding to ensure removal of all ectopic mucosa and the bleeding ileal ulcer" "In the case of an incidentally found MD or if the patient is not presenting with bleeding or perforation, then a diverticulectomy may be performed by either a wedge resection (Fig. 31.4) with a hand-sewn anastomosis or a tangential diverticulectomy using a stapler (Fig. 31.5), taking care not to narrow the lumen." "Although the majority of the …

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