Progress in pediatric surgery最新文献_第7页

Constipation and fecal incontinence and motility disturbances of the gut. 便秘，大便失禁和肠道运动障碍。

Progress in pediatric surgery Pub Date : 1989-01-01

引用次数: 0

Progress in pediatric surgery Pub Date : 1989-01-01 DOI: 10.1007/978-3-642-74493-8_23

G Menardi, J Hager

引用次数: 0

Studies on the rectoanal reflex in children and in experimental animals: an evaluation of neuronal control of the rectoanal reflex. 儿童和实验动物直肠反射的研究:直肠反射神经控制的评价。

Progress in pediatric surgery Pub Date : 1989-01-01 DOI: 10.1007/978-3-642-74493-8_2

J Yokoyama, S Namba, N Ihara, H Matsufugi, T Kuroda, S Hirobe, K Katsumata, K Tamura, H Takahira

{"title":"Studies on the rectoanal reflex in children and in experimental animals: an evaluation of neuronal control of the rectoanal reflex.","authors":"J Yokoyama, S Namba, N Ihara, H Matsufugi, T Kuroda, S Hirobe, K Katsumata, K Tamura, H Takahira","doi":"10.1007/978-3-642-74493-8_2","DOIUrl":"https://doi.org/10.1007/978-3-642-74493-8_2","url":null,"abstract":"A single-chamber pressure probe for rectal electromanometry was developed which seems to be superior to the complicated multichamber systems not only for clinical but also for experimental purposes. Measurements of rectoanal reflex were carried out in 268 cases with abnormal bowel function, in 103 cases following operation for Hirschsprung's disease, and in 61 cases of imperforate anus to assess postoperative continence. Experimental studies were performed in 36 dogs, 27 of which were used for short-term and 9 for long-term studies. The results of clinical and experimental studies are described and discussed, with accompanying literature. From clinical and experimental studies, the neuronal pathways of the rectoanal reflex are schematized. The normal rectoanal reflex is mediated by both the sacral cord and the myenteric neurons. It is concluded that measurements of the anal resting pressure and the rectoanal reflex constitute a valuable method to distinguish between normal and pathological sacral and myenteric innervation.","PeriodicalId":76378,"journal":{"name":"Progress in pediatric surgery","volume":"24 ","pages":"5-20"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13658077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8

Continence and reflex pressure profile after surgery to correct the imperforate anus. 肛门闭锁矫正术后的尿失禁和反射压力。

Progress in pediatric surgery Pub Date : 1989-01-01 DOI: 10.1007/978-3-642-74493-8_10

M Ishihara, K Morita

引用次数: 3

The practical significance of manometry in pathology of the rectum and anorectum. 测压在直肠和肛肠病理中的实际意义。

Progress in pediatric surgery Pub Date : 1989-01-01 DOI: 10.1007/978-3-642-74493-8_16

A F Schärli

引用次数: 2

Motility malfunction of the gastrointestinal tract by rare diseases--fibrosis of the intestinal wall. 罕见疾病引起的胃肠道运动障碍——肠壁纤维化。

Progress in pediatric surgery Pub Date : 1989-01-01 DOI: 10.1007/978-3-642-74493-8_21

R Daum, W Nützenadel, H Roth, Z Zachariou

引用次数: 3

Transient functional obstruction of the colon in neonates: examination of its development by manometry and biopsies. 新生儿短暂性功能性结肠梗阻:通过测压和活组织检查其发展。

Progress in pediatric surgery Pub Date : 1989-01-01 DOI: 10.1007/978-3-642-74493-8_22

G Lassmann, A Kees, K Körner, P Wurnig

{"title":"Transient functional obstruction of the colon in neonates: examination of its development by manometry and biopsies.","authors":"G Lassmann, A Kees, K Körner, P Wurnig","doi":"10.1007/978-3-642-74493-8_22","DOIUrl":"https://doi.org/10.1007/978-3-642-74493-8_22","url":null,"abstract":"Between 1975 and 1983, 17 neonates with transient functional obstruction of the colon were studied in our surgical department. Five could be successfully treated conservatively with enemas. In the remaining 12 cases colostomy was necessary. In three cases colostomy was performed too late and the patients died. In the other nine cases rectal biopsies and anorectal manometries were performed repeatedly. In spite of clear radiological signs of colonic obstruction such as in Hirschsprung's disease in each case, and identical clinical signs, true aganglionosis could be excluded. Rectoanal manometry 4 months after colostomy showed that the situation had normalized in five cases, but was still pathological in four cases, as in aganglionosis. Of the rectal biopsies, five showed signs of immaturity of ganglionic cells and three were normal. Rectoanal manometry 12-24 months later showed normal reaction in all cases, and of the five cases with immaturity of the ganglionic cells at 4 months one was still pathologic at 12-24 months. In eight of 12 cases the colostomy was closed without relapse of the obstruction, even on long-term follow up. Aganglionosis of the ultrashort type was excluded. In cases of severe transient functional obstruction of the colon in neonates, in which colostomy is necessary, rectoanal manometry and rectal biopsies should be performed as early as possible. Rectoanal manometry, at least, should be done before closure of the colostomy to avoid relapse of the obstruction from closing it to early: the functional disturbance may persist for several months. The term \"small left colon syndrome\" should be abandoned in favor of \"transient functional obstruction,\", as the latter describes the clinical condition far better.","PeriodicalId":76378,"journal":{"name":"Progress in pediatric surgery","volume":"24 ","pages":"202-16"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13656805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Anorectal manometry after Ikeda's Z-shaped anastomosis in Hirschsprung's disease. 池田氏z形吻合术治疗先天性巨结肠的肛肠压力测定。

Progress in pediatric surgery Pub Date : 1989-01-01

A Nagasaki, K Sumitomo, T Shono, K Ikeda

{"title":"Anorectal manometry after Ikeda's Z-shaped anastomosis in Hirschsprung's disease.","authors":"A Nagasaki, K Sumitomo, T Shono, K Ikeda","doi":"","DOIUrl":"","url":null,"abstract":"The intraluminal pressure of the rectum and anal canal were measured in patients with Hirschsprung's disease before and after Ikeda's Z-shaped anastomosis, and the association of the pressure with postoperative capability of fecal continence was assessed. Radical operation did not alter rectal pressure but did decrease anal-canal pressure. Rhythmical anal contractions increased in frequency until a normal level was attained. The rectoanal relaxation reflex became distinct with time, and 45% of patients eventually attained the reflex after operation. In patients who postoperatively attained satisfactory fecal continence or, at least, only soiling, resting pressure in the anorectum and the frequency of rhythmical anal-canal contractions were similar to those for normal children. The rectoanal relaxation reflex was induced in 58% of the former and 27% of the latter. In patients with postoperative constipation, the intraluminal resting pressure of the anorectum was elevated without the relaxation reflex response. In patients with incontinence, the pressure of the anal canal was low, without a reflex response. These findings indicate that the high and low values of the resting pressure of the anal canal are responsible for constipation and incontinence, respectively, and that the presence of rectoanal relaxation reflex may represent one aspect of a normal defecation function.","PeriodicalId":76378,"journal":{"name":"Progress in pediatric surgery","volume":"24 ","pages":"59-66"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13658078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bulk disease as the major problem in the cure of paediatric sarcomas. 体积病是小儿肉瘤治疗的主要问题。

Progress in pediatric surgery Pub Date : 1989-01-01 DOI: 10.1007/978-3-642-72643-9_3

P N Plowman

引用次数: 5

Hepatobiliary tumours of childhood: investigation and management. 儿童肝胆肿瘤的调查与治疗。

Progress in pediatric surgery Pub Date : 1989-01-01 DOI: 10.1007/978-3-642-72643-9_5

A D Joyce, E R Howard

{"title":"Hepatobiliary tumours of childhood: investigation and management.","authors":"A D Joyce, E R Howard","doi":"10.1007/978-3-642-72643-9_5","DOIUrl":"https://doi.org/10.1007/978-3-642-72643-9_5","url":null,"abstract":"The most commonly encountered complications include wound infections, subphrenic collections and bile leaks from the cut liver surface. Stress ulceration of the stomach or duodenum is also not uncommon. Inadvertent bile duct damage has also been reported after major resection in children. The results of surgery for benign lesions are very good and usually depend simply on technical expertise. The results for malignant lesions, however, remain poor. Six series, including our own experience, reported in the last 5 years have shown an overall survival rate of 43% for patients whose tumours were resected for cure. It is difficult to compare results as authors differ in their presentation of results, but details of the series are listed in Table 7. There were no definite prognostic factors to be drawn from these series other than that children with the fibrolamellar variant of hepatocellular carcinoma fared better than those with other hepatomas. It is a sad fact that overall 56% of patients in these series presented with unresectable disease. Mahour et al. described seven patients with unresectable disease who were treated by either chemotherapy alone or in combination with radiotherapy, followed by 'second look' laparotomy and resection. Five of these patients were alive and disease-free for a minimum of 2.5 years after surgery. Thus it is necessary to adopt an aggressive approach to these tumours if one is to see any improvement on the overall figures.","PeriodicalId":76378,"journal":{"name":"Progress in pediatric surgery","volume":"22 ","pages":"69-93"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/978-3-642-72643-9_5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13639175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6