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6 results on '"Schleef J"'

4. Obstructive Jaundice in a Three Month-Old Baby

Author

Amaddeo, A, Rubinato, E, Schleef, J, Olenik, D, Giglia, D, Marchetti, F, Ventura, Alessandro, Amaddeo, A, Rubinato, E, Schleef, J, Olenik, D, Giglia, D, Marchetti, F, and Ventura, Alessandro

Subjects
children
Abstract

N/A

Published
2014

5. Heterotopic pancreas in Meckel′s diverticulum in a 7-year-old child with intussusception and recurrent gastrointestinal bleeding: Case report and literature review focusing on diagnostic controversies

Author

Guanà Riccardo, Bucci Valeria, Carbonaro Giulia, Cerrina Alessia, Ferrero Luisa, Teruzzi Elisabetta, Mussa Alessandro, Morra Isabella, and Schleef Jürgen

Subjects
Children, heterotopic pancreas, intussusception, Meckel′s diverticulum, Pediatrics, RJ1-570, Surgery, RD1-811
Abstract

Meckel′s diverticulum, the most common congenital abnormality of the small intestine, may be associated to heterotopic pancreas, often diagnosed incidentally on histopathological examination. Intussusception affects infants between the ages of 5 and 9 months, but it may also occur in older children, teenagers and adults, and in some cases can be derived by a Meckel′s diverticulum resulting in acute abdomen. We analyse the management and the recent literature on similar cases, describing diagnostic options. In May 2013, a 7-year-old girl admitted to our hospital with recurrent gastrointestinal bleeding, was discovered to have an ileoileal intussusception with a leading Meckel′s diverticulum with heterotopic pancreatic tissue. This association is rare evidence in children and its proper management can be controversial, in particular from a diagnostic point of view. In such cases, preoperative radiological diagnosis can be only suspected in the presence of suggestive signs, more often depicted by ultrasound or computed tomography scan. During laparotomy an accurate exploration of all ileum is recommended, for the possibility to find others heterotopic segments.

Published
2014
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6. Gastrostomy Placement and Management in Children: A Single-Center Experience

Author

Grazia Di Leo, Jurgen Schleef, Paola Pascolo, Kamar Hamadeh, Sergio Ghirardo, Egidio Barbi, Andrea Trombetta, Daniela Codrich, Di Leo, G., Pascolo, P., Hamadeh, K., Trombetta, A., Ghirardo, S., Schleef, J., Barbi, E., and Codrich, D.

Subjects
Male, Pediatrics, medicine.medical_treatment, Single Center, Postoperative Complications, 0302 clinical medicine, Retrospective Studie, Deglutition Disorder, percutaneous gastrostomy, Child, Children, Gastrostomy, Neurocognitive Disorder, Nutrition and Dietetics, Neuromuscular disease, Child, Preschool, Female, 030211 gastroenterology & hepatology, Dumping syndrome, lcsh:Nutrition. Foods and food supply, Human, Adult, medicine.medical_specialty, Adolescent, Neurocognitive Disorders, Percutaneous gastrostomy, lcsh:TX341-641, Article, Young Adult, 03 medical and health sciences, children, 030225 pediatrics, medicine, Humans, Preschool, Retrospective Studies, business.industry, Reflux, Infant, Retrospective cohort study, neuromuscular disease, Deglutition Disorders, medicine.disease, Malnutrition, Parenteral nutrition, Postoperative Complication, business, Food Science
Abstract

BACKGROUND: To prevent malnutrition and food aspiration in children with chronic neuromuscular problems, enteral nutrition provided by gastrostomy is recommended. Long-term follow-up data about surgical and medical complications of PEG are available, but few papers have addressed all of the issues in the same series. METHODS: This retrospective study enrolled patients under 18 years who had a gastrostomy tube placed at our institution between 2003 and 2017. The aim is to evaluate outcomes after gastrostomy placement, focusing both on surgical complications (early and late), and its effect on their nutritional status, on the prevention of pulmonary infections, and their parents&rsquo, opinion. RESULTS: Eighty-four gastrostomies were placed in total (35 F, 49 M). Seventy-seven patients had a severe neurocognitive impairment (GMFCS 5). The principal indication for gastrostomy was severe dysphagia (53.3%). No gastrostomy-related death was observed. Early surgical complications were observed in five of 84 (5,9%) patients, late complications were observed in 15 of 84 (17.8%) patients. Twenty-two patients were diagnosed with subsequent gastroesophageal reflux, five patients developed dumping syndrome (6%). Complete medical follow-up data were available for 45 patients. A progressive improvement of nutritional status was observed in 29 patients, and 11 maintained the same percentile, the occurrence of respiratory infections and need for hospitalization decreased. In 90% of cases, parents were fully satisfied with the g-tube. CONCLUSION: This study confirms the positive nutritional outcomes of gastrostomy-tube with an associated small risk of surgical complications and a reduction in the number of respiratory infections, with most parents scoring their experience as positive.

Published
2019
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