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Related Concept Videos

Esophageal Perforation-II: Clinical Manifestations and Management01:28

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Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
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Esophageal Strictures-II: Clinical Features and Management01:26

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Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
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The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
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Barrett Esophagus-II: Clinical Manifestations and Management01:21

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Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
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Symptomatic Meckel's Diverticulum in pediatrics.

Hugo Urrutia Soto1, Carolina Donoso Carrasco2, Oscar Carvajal Flores2

  • 1Hospital Las Higueras, Talcahuano, Chile.

Andes Pediatrica : Revista Chilena De Pediatria
|June 9, 2021
PubMed
Summary
This summary is machine-generated.

Meckel's diverticulum (MD), a common congenital anomaly, often presents asymptomatically but can cause serious abdominal emergencies in children. Early diagnosis and surgical intervention are crucial for managing symptomatic MD cases.

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Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Malformations
  • Congenital Anomalies

Background:

  • Meckel's diverticulum (MD) is the most frequent gastrointestinal malformation, arising from the vitelline duct remnant.
  • While often asymptomatic, MD poses a diagnostic challenge, particularly in pediatric abdominal emergencies.

Observation:

  • Three symptomatic pediatric cases of MD are presented: bowel obstruction due to internal hernia, severe anemia from gastrointestinal bleeding, and a newborn with omphalocele and a patent omphalomesenteric duct.
  • Diagnostic approaches included exploratory laparotomy, abdominal tomography, and intraoperative confirmation.

Findings:

  • Symptomatic MD can manifest as bowel obstruction, hemorrhage, or complications related to the omphalomesenteric duct.
  • Surgical management, including resection and anastomosis, is indicated for symptomatic MD.
  • Complications such as anastomosis leakage can occur, necessitating further surgical intervention like ileostomy.

Implications:

  • MD should be considered in the differential diagnosis of pediatric abdominal emergencies.
  • Tc-99m pertechnetate scintigraphy is a valuable diagnostic tool for suspected MD, especially with ectopic gastric mucosa.
  • Prompt diagnosis and appropriate surgical management are essential for favorable outcomes in pediatric MD cases.