Background: Achalasia cardia is an uncommon disease in children particularly in infants. We prese... more Background: Achalasia cardia is an uncommon disease in children particularly in infants. We present 8 cases of achalasia who were encountered over a 12-year period. In infantile achalasia, respiratory symptoms predominate and vomiting may easily be mistaken for gastroesophageal reflux (GER). Vomiting of uncurdled milk is characteristic of achalasia. Methods: In this retrospective study, the data were obtained from records
... a , A. Pandey a , DK Gupta a , VD Upadhyay a , SP Sharma a , V. Kumar a , SC Gopal a , A. Sri... more ... a , A. Pandey a , DK Gupta a , VD Upadhyay a , SP Sharma a , V. Kumar a , SC Gopal a , A. Srivastava b a Department of Pediatric Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi; b Department of Community Medicine, Sri RamMurty Smarak Institute ...
Neonatal necrotising fasciitis (NNF) is a rare and fatal disorder. Successful outcome depends on ... more Neonatal necrotising fasciitis (NNF) is a rare and fatal disorder. Successful outcome depends on timely intervention. This paper presents single-centre experience of presentation, management and outcome of the condition. Fifteen patients of NNF were managed during the study period of 5 years. Parameters studied were age, sex, site of involvement and treatment. Treatment included intravenous (i.v.) antibiotics and conservative surgery. Age of presentation was 10-28 days. Male to female ratio was 2:1. Neck and scalp were the commonest site (53.3%). Culture reports were unimicrobial in 66% with predominance of Staphylococcus species. Predisposing factors included rural environment (100%), malnourishment (60%), boils (40%) and scratch injury (13%). Forty per cent had idiopathic NNF. Wound healing was by secondary intention in 46.6% and skin grafting in 53.3%. Overall survival was 80%, while the premature had poorer outcome. NNF is a serious disorder. Early treatment with i.v. antibiotics and supportive measures followed by debridement improves survival.
Background: Achalasia cardia is an uncommon disease in children particularly in infants. We prese... more Background: Achalasia cardia is an uncommon disease in children particularly in infants. We present 8 cases of achalasia who were encountered over a 12-year period. In infantile achalasia, respiratory symptoms predominate and vomiting may easily be mistaken for gastroesophageal reflux (GER). Vomiting of uncurdled milk is characteristic of achalasia. Methods: In this retrospective study, the data were obtained from records
... a , A. Pandey a , DK Gupta a , VD Upadhyay a , SP Sharma a , V. Kumar a , SC Gopal a , A. Sri... more ... a , A. Pandey a , DK Gupta a , VD Upadhyay a , SP Sharma a , V. Kumar a , SC Gopal a , A. Srivastava b a Department of Pediatric Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi; b Department of Community Medicine, Sri RamMurty Smarak Institute ...
Neonatal necrotising fasciitis (NNF) is a rare and fatal disorder. Successful outcome depends on ... more Neonatal necrotising fasciitis (NNF) is a rare and fatal disorder. Successful outcome depends on timely intervention. This paper presents single-centre experience of presentation, management and outcome of the condition. Fifteen patients of NNF were managed during the study period of 5 years. Parameters studied were age, sex, site of involvement and treatment. Treatment included intravenous (i.v.) antibiotics and conservative surgery. Age of presentation was 10-28 days. Male to female ratio was 2:1. Neck and scalp were the commonest site (53.3%). Culture reports were unimicrobial in 66% with predominance of Staphylococcus species. Predisposing factors included rural environment (100%), malnourishment (60%), boils (40%) and scratch injury (13%). Forty per cent had idiopathic NNF. Wound healing was by secondary intention in 46.6% and skin grafting in 53.3%. Overall survival was 80%, while the premature had poorer outcome. NNF is a serious disorder. Early treatment with i.v. antibiotics and supportive measures followed by debridement improves survival.
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