Pediatric gastrointestinal surgery
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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 tape…
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A practical approach to the volume of resuscitation is suggested by Dalton et al. Resuscitation is based on serum chloride, where Cl < 85 mmol/kg —3 boluses of 20 ml/kg NS and Cl < 97mmol/kg—2 boluses of 20 ml/kg NS, gets to metabolic readiness for surgery, avoiding multiple blood draws.
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In treatment of hypokalemic Hypochloremic metabolic alkalosis , in cases of infantile pyloric stenosis
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Regarding current treatment of annular pancreas by duodenoduodenostomy
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video 1 video 2 video 3
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