scholarly journals THE COMBINATION OF ANNULAR PANCREAS, PARASTERNAL DIAPHRAGMATIC HERNIA IN A NEWBORN WITH DOWN SYNDROME

2018 ◽  
Vol 177 (4) ◽  
pp. 44-46
Author(s):  
M. A. Aksel’rov ◽  
V. A. Emel’janov
Keyword(s):  
Down Syndrome ◽  
Parenteral Nutrition ◽  
Intestinal Obstruction ◽  
Diaphragmatic Hernia ◽  
Surgical Approach ◽  
Genetic Disease ◽  
Premature Birth ◽  
Clinical Observation ◽  
Heart Defects ◽  
High Intestinal Obstruction

Malformations  and  premature birth are  the  most  important  causes of chronic  diseases, disability and  mortality in childhood. Help  for  children   with  malformations  is  often  needed immediately   after  birth.  WHO  determines heart   defects,  neural tube   defects,  chromosomal  abnormality –  Down  syndrome as  the  most   severe  malformations. Down  syndrome  is  a genetic disease in which the child has the superfluous chromosome and often defects in the development of different organs and   systems. The  presence of  several defects  requires a  complex   surgical   approach that  can   be  performed endoscopically.  It  is  known  that  Down  syndrome  can   be  combined  with  chyloperitoneum.  The  article  represents  the clinical  observation  of  successful  treatment  of  the   newborn  baby   with  Down  syndrome,  which  was   combined  with congenital high  intestinal  obstruction at  the  level  of the  duodenum and  parasternal  diaphragmatic hernia, both  defects were corrected laparoscopically. The chyloperitoneum developed in postoperative period was successfully treated with the appointment of total parenteral nutrition and infusions of Sandostatin analogues.

scholarly journals UNUSUAL CLINICAL PRESENTATION OF ACUTE APPENDICITIS WITH DIARRHEA IN A YOUNG MAN

2021 ◽  
Vol 28 (2) ◽  
pp. 39-42
Author(s):  
Vasilisa Yurievna Rain ◽  
◽  
Keyword(s):  
Acute Appendicitis ◽  
Intestinal Obstruction ◽  
Renal Colic ◽  
Clinical Observation ◽  
Clinical Presentation ◽  
Clinical Situation ◽  
Comprehensive Assessment ◽  
Diagnostic Methods ◽  
Atypical Form ◽  
High Intestinal Obstruction

Clinical observation of atypical form of acute appendicitis that demanded diff erential diagnosis with gastroenteritis, food toxicoinfection, renal colic and high intestinal obstruction is presented. The limitations of imaging diagnostic methods and the value of the clinical situation comprehensive assessment using clinico-laboratorial indicators of the Alvarado scale are demonstrated.

Incidence of heart defects in Down syndrome

1995 ◽  
Vol 71 (1) ◽  
pp. 28-30 ◽  
Author(s):  
João A Granzotti ◽  
Iara Lúcia do Carmo Paneto ◽  
Fernando TV Amaral ◽  
Marcos A Nunes
Keyword(s):  
Down Syndrome ◽  
Heart Defects

scholarly journals Down syndrome and congenital heart disease: perioperative planning and management

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Dennis R. Delany ◽  
Stephanie S. Gaydos ◽  
Deborah A. Romeo ◽  
Heather T. Henderson ◽  
Kristi L. Fogg ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Down Syndrome ◽  
Cardiac Surgery ◽  
Heart Disease ◽  
Congenital Heart ◽  
Single Ventricle ◽  
Heart Defects ◽  
Careful Consideration ◽  
Children With Down Syndrome ◽  
Perioperative Planning

AbstractApproximately 50% of newborns with Down syndrome have congenital heart disease. Non-cardiac comorbidities may also be present. Many of the principles and strategies of perioperative evaluation and management for patients with congenital heart disease apply to those with Down syndrome. Nevertheless, careful planning for cardiac surgery is required, evaluating for both cardiac and noncardiac disease, with careful consideration of the risk for pulmonary hypertension. In this manuscript, for children with Down syndrome and hemodynamically significant congenital heart disease, we will summarize the epidemiology of heart defects that warrant intervention. We will review perioperative planning for this unique population, including anesthetic considerations, common postoperative issues, nutritional strategies, and discharge planning. Special considerations for single ventricle palliation and heart transplantation evaluation will also be discussed. Overall, the risk of mortality with cardiac surgery in pediatric patients with Down syndrome is no more than the general population, except for those with functional single ventricle heart defects. Underlying comorbidities may contribute to postoperative complications and increased length of stay. A strong understanding of cardiac and non-cardiac considerations in children with Down syndrome will help clinicians optimize perioperative care and long-term outcomes.

scholarly journals Prevalence and profile of congenital heart disease and pulmonary hypertension in Down syndrome in a pediatric cardiology service

2014 ◽  
Vol 32 (2) ◽  
pp. 159-163 ◽  
Author(s):  
Felipe Alves Mourato ◽  
Lúcia Roberta R. Villachan ◽  
Sandra da Silva Mattos
Keyword(s):  
Congenital Heart Disease ◽  
Pulmonary Hypertension ◽  
Down Syndrome ◽  
Heart Disease ◽  
Congenital Heart ◽  
Septal Defect ◽  
Heart Diseases ◽  
Heart Defects ◽  
Descriptive Analysis ◽  
Atrioventricular Septal Defect

OBJECTIVE:To determine the frequence and profile of congenital heart defects in Down syndrome patients referred to a pediatric cardiologic center, considering the age of referral, gender, type of heart disease diagnosed by transthoracic echocardiography and its association with pulmonary hypertension at the initial diagnosis.METHODS:Cross-sectional study with retrospective data collection of 138 patients with Down syndrome from a total of 17,873 records. Descriptive analysis of the data was performed, using Epi-Info version 7.RESULTS: Among the 138 patients with Down syndrome, females prevailed (56.1%) and 112 (81.2%) were diagnosed with congenital heart disease. The most common lesion was ostium secundum atrial septal defect, present in 51.8%, followed by atrioventricular septal defect, in 46.4%. Ventricular septal defects were present in 27.7%, while tetralogy of Fallot represented 6.3% of the cases. Other cardiac malformations corresponded to 12.5%. Pulmonary hypertension was associated with 37.5% of the heart diseases. Only 35.5% of the patients were referred before six months of age.CONCLUSIONS: The low percentage of referral until six months of age highlights the need for a better tracking of patients with Down syndrome in the context of congenital heart disease, due to the high frequency and progression of pulmonary hypertension.

Down Syndrome: A Literature Review

2021 ◽  
pp. 328-331
Author(s):  
Rutika, B. Maske
Keyword(s):  
Down Syndrome ◽  
Literature Review ◽  
Congenital Heart ◽  
Literature Search ◽  
Social Cost ◽  
Heart Defects ◽  
Hirschsprung Disease ◽  
Review Article ◽  
Special Focus ◽  
Variable Extent

The purpose of this review is to provide the latest information on Down syndrome. The author conducted a literature search of available sources describing the issue of down syndrome with special focus on syndrome and made a comparison and evaluation of relevant findings.The results of this review indicate that Down syndrome (DS) is one of the commonest disorders with huge medical and social cost. DS is associated with number of phenotypes including congenital heart defects, leukemia, Alzeihmer’s disease, Hirschsprung disease etc. DS individuals are affected by these phenotypes to a variable extent thus understanding the cause of this variation is a key challenge. In the present review article, we emphasize an overview of DS, DS-associated phenotypes diagnosis and management of the disease.

scholarly journals CHEMICAL STUDIES OF THE BLOOD IN HIGH INTESTINAL OBSTRUCTION

1932 ◽  
Vol 11 (3) ◽  
pp. 475-488 ◽  
Author(s):  
William DeWitt Andrus ◽  
George M. Guest ◽  
Richard F. Gates ◽  
Alta Ashley
Keyword(s):  
Intestinal Obstruction ◽  
Chemical Studies ◽  
High Intestinal Obstruction
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