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Full-Text Articles in Medicine and Health Sciences
Atypical Presentations Of Alimentary Tract Duplications In Children: Two Case Reports, Nimmita Srisan, Palittiya Sintusek, Teerasak Phewplung, Paisarn Vejchapipat
Atypical Presentations Of Alimentary Tract Duplications In Children: Two Case Reports, Nimmita Srisan, Palittiya Sintusek, Teerasak Phewplung, Paisarn Vejchapipat
Chulalongkorn Medical Journal
Alimentary tract duplication is a rare congenital anomaly. We present herein, two cases of different types of alimentary tract duplications that have entirely different clinical presentations. The first case was a girl presented with chronic constipation was finally diagnosed with tubular duplications of the entire colon. The other was a toddler with acute intestinal obstruction diagnosed with cystic duplication at terminal ileum. These two cases remind us of the difficulty in preoperative diagnosis. High suspicion of the disease and multimodality approaches were beneficial for accurate preoperative diagnosis. Surgery was the mainstay of the treatment.
Clinical Features And Treatment Outcomes In Obese Children With Appendicitis, Kanokrat Thaiwatcharamas, Paisarn Vejchapipat, Prapapan Rajatapiti, Katawaetee Decharun
Clinical Features And Treatment Outcomes In Obese Children With Appendicitis, Kanokrat Thaiwatcharamas, Paisarn Vejchapipat, Prapapan Rajatapiti, Katawaetee Decharun
Chulalongkorn Medical Journal
Background: Even developing countries are facing problems of childhood obesity. Diagnosis and treatment of appendicitis in obese children can sometimes be challenging. This study compared clinical features and treatment outcomes between non-obese and obese children clinically diagnosed as appendicitis.Methods: Children (0 - 15 years) diagnosed as appendicitis between 2007 and 2013 were reviewed. Children were categorized into non-obese and obese groups using weight for height (> 140.0% of ideal body weight) based on the data of the Ministry of Public Health. Demographic data, clinical data, and treatment outcome were studied. Comparisons between non-obese and obese children were carried out. SPSS …
Fundoplication For Gastroesophageal Reflux In Neurologically Impaired Children: Surgical Perspectives, Furida Salam, Paisarn Vejchapipat, Katawaetee Decharun, Prapapan Rajatapiti, Somboon Roekwibunsi
Fundoplication For Gastroesophageal Reflux In Neurologically Impaired Children: Surgical Perspectives, Furida Salam, Paisarn Vejchapipat, Katawaetee Decharun, Prapapan Rajatapiti, Somboon Roekwibunsi
Chulalongkorn Medical Journal
Background: Gastroesophageal reflux is common in neurologically impaired children due to foregut dysmotility. Most of the patients eventually underwent fundoplication.Objective: This study aimed to describe clinical data and outcome in children with neurological impairment who underwent fundoplication.Methods: Patients (0 - 15 years) with neurological impairment undergoing fundoplication between January 2007 and December 2016 were retrospectively reviewed. Demographic data, surgical complications and short-term outcomes were collected and analyzed.Results: Sixty-five patients (41 boys and 24 girls) underwent open fundoplication over the studied period. There were 21 infants (0 - 1 year, 32.0%), 41 children (1 - 10 years, 63.0%), and 3 adolescents …
Solid Pseudopapillary Neoplasms Of The Pancreas In Children, Sinobol Chusilp, Katawaetee Decharuna, Paisarn Vejchapipata
Solid Pseudopapillary Neoplasms Of The Pancreas In Children, Sinobol Chusilp, Katawaetee Decharuna, Paisarn Vejchapipata
Chulalongkorn Medical Journal
Solid pseudopapillary neoplasms (SPNs) are very rare pancreatic tumors in children. We present clinical presentation, tumor characteristic, surgical management and outcome of SPNs at our institute. There were four patients (3 males, 1 female) undergoing pancreatectomy for SPNs with median age of 11.5 years (10 - 14 years). Presenting symptoms were abdominal pain (n = 4), palpable abdominal mass (n = 2) and vomiting (n = 2). All patients had tumor located in the pancreatic body, and in two of them, the tumor also involved the pancreatic tail. Three patients underwent distal pancreatectomy and one patient underwent central pancreatectomy. The …