D. Crehuet Gramatyka, A. Domènech Tàrrega, C. Driller, L. Mangas Álvarez, M. J. Estebán Ricós, J. M. Martínez Rodrigo, A. Mínguez Gómez, A. Costa Roig, M. Del Peral Samaniego, J. V. Vila Carbó
INTRODUCTION Transjugular intrahepatic portosystemic shunt (TIPS) was designed to treat complications of portal hypertension (PH). The objective of this study was to analyze the results of the TIPS performed in pediatric patients in our institution as a previous step to liver transplantation (LT). MATERIAL AND METHODS A retrospective, descriptive study of pediatric patients with liver cirrhosis undergoing TIPS prior to LT from 2015 to 2020 was carried out. RESULTS TIPS was performed in 10 patients. The reason for TIPS was hard-to-control ascites in 7 patients (70%), upper gastrointestinal bleeding due to esophageal varices in 1 patient (10%), and portal hypoplasia in 2 cases (20%). No intraoperative complications were recorded. Stent patency was achieved in all cases. TIPS patency until LT was observed in 6 patients (60%). Indirect signs of patency were noted in 1 patient (10%). 2 patients (20%) required re-intervention, with patency being achieved in the second attempt. And finally, no patency was observed after 3 attempts in 1 patient (10%). A decrease in portocaval gradient (p = 0.001) and an increase in portal velocity (p = 0.006) were observed. No platelet count changes were found. A slight, non-significant increase in ammonia was noted. CONCLUSION TIPS is a safe and effective procedure to reduce complications of hard-to-control PH in pediatric patients. It allows general condition to be optimized, deterioration to be avoided, and portal vein narrowing to be alleviated in cirrhosis patients as a previous step to LT.
{"title":"Evaluation of transjugular intrahepatic portosystemic shunt (TIPS) as a previous step to liver transplantation in pediatric patients.","authors":"D. Crehuet Gramatyka, A. Domènech Tàrrega, C. Driller, L. Mangas Álvarez, M. J. Estebán Ricós, J. M. Martínez Rodrigo, A. Mínguez Gómez, A. Costa Roig, M. Del Peral Samaniego, J. V. Vila Carbó","doi":"10.54847/cp.2022.02.12","DOIUrl":"https://doi.org/10.54847/cp.2022.02.12","url":null,"abstract":"INTRODUCTION\u0000Transjugular intrahepatic portosystemic shunt (TIPS) was designed to treat complications of portal hypertension (PH). The objective of this study was to analyze the results of the TIPS performed in pediatric patients in our institution as a previous step to liver transplantation (LT).\u0000\u0000\u0000MATERIAL AND METHODS\u0000A retrospective, descriptive study of pediatric patients with liver cirrhosis undergoing TIPS prior to LT from 2015 to 2020 was carried out.\u0000\u0000\u0000RESULTS\u0000TIPS was performed in 10 patients. The reason for TIPS was hard-to-control ascites in 7 patients (70%), upper gastrointestinal bleeding due to esophageal varices in 1 patient (10%), and portal hypoplasia in 2 cases (20%). No intraoperative complications were recorded. Stent patency was achieved in all cases. TIPS patency until LT was observed in 6 patients (60%). Indirect signs of patency were noted in 1 patient (10%). 2 patients (20%) required re-intervention, with patency being achieved in the second attempt. And finally, no patency was observed after 3 attempts in 1 patient (10%). A decrease in portocaval gradient (p = 0.001) and an increase in portal velocity (p = 0.006) were observed. No platelet count changes were found. A slight, non-significant increase in ammonia was noted.\u0000\u0000\u0000CONCLUSION\u0000TIPS is a safe and effective procedure to reduce complications of hard-to-control PH in pediatric patients. It allows general condition to be optimized, deterioration to be avoided, and portal vein narrowing to be alleviated in cirrhosis patients as a previous step to LT.","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":"20 1","pages":"57-62"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85944945","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}
P. Salcedo Arroyo, C. Domínguez García, M. R. Delgado Alvira, J. Pisón Chacón, Y. González Ruiz, M. González Herrero, P. Bragagnini Rodríguez, M. V. Cobos Hernández
INTRODUCTION Urethrorrhagia is an infrequent sign in childhood. It should be distinguished from hematuria, since they have a different etiology. CLINICAL CASE 11-year-old male patient with significant urethrorrhagia. Urinary sediment analysis: red blood cells++. Pelvic ultrasonography: fusiform anechoic image in the corpus spongiosum of the penile root. Retrograde urethrogram: normal anterior urethra, extraluminal contrast passage in the ventral aspect of the bulbar urethra. Cystoscopy: no pathological findings in the urethra or the bladder. Control retrograde urethrogram: cystic dilatation of Cowper's gland duct; Maizels' type 3 perforated syringocele. DISCUSSION Cowper's syringocele is a rare pathology. It can occur at any stage of childhood in the form of urinary infection, obstructive voiding symptoms, or urethrorrhagia. Urethrogram is key for diagnostic purposes, since most Cowper's syringoceles are detected following urethrogram or cystoscopy. Cases with functional repercussions for the urinary system require surgical treatment. Otherwise, a wait-and-see approach is feasible.
{"title":"What urethrogram sees and a surgeon does not.","authors":"P. Salcedo Arroyo, C. Domínguez García, M. R. Delgado Alvira, J. Pisón Chacón, Y. González Ruiz, M. González Herrero, P. Bragagnini Rodríguez, M. V. Cobos Hernández","doi":"10.54847/cp.2022.02.18","DOIUrl":"https://doi.org/10.54847/cp.2022.02.18","url":null,"abstract":"INTRODUCTION\u0000Urethrorrhagia is an infrequent sign in childhood. It should be distinguished from hematuria, since they have a different etiology.\u0000\u0000\u0000CLINICAL CASE\u000011-year-old male patient with significant urethrorrhagia. Urinary sediment analysis: red blood cells++. Pelvic ultrasonography: fusiform anechoic image in the corpus spongiosum of the penile root. Retrograde urethrogram: normal anterior urethra, extraluminal contrast passage in the ventral aspect of the bulbar urethra. Cystoscopy: no pathological findings in the urethra or the bladder. Control retrograde urethrogram: cystic dilatation of Cowper's gland duct; Maizels' type 3 perforated syringocele.\u0000\u0000\u0000DISCUSSION\u0000Cowper's syringocele is a rare pathology. It can occur at any stage of childhood in the form of urinary infection, obstructive voiding symptoms, or urethrorrhagia. Urethrogram is key for diagnostic purposes, since most Cowper's syringoceles are detected following urethrogram or cystoscopy. Cases with functional repercussions for the urinary system require surgical treatment. Otherwise, a wait-and-see approach is feasible.","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":"17 1","pages":"91-93"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77821995","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}
R. Hernández-Rodríguez, M. J. Rosell Echevarría, F.D. Ravelo Díaz, V. Villamil, E.L. Pérez Etchepare Figueroa
{"title":"Resultados a medio-largo plazo del tratamiento monopuerto SuPerLap de la hernia inguinal","authors":"R. Hernández-Rodríguez, M. J. Rosell Echevarría, F.D. Ravelo Díaz, V. Villamil, E.L. Pérez Etchepare Figueroa","doi":"10.54847/cp.2022.01.03","DOIUrl":"https://doi.org/10.54847/cp.2022.01.03","url":null,"abstract":"","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48603223","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}
E.J. Redondo Pertuz, C. González Rührnschopf, P. D´Alessandro, M. Boglione, A. Reusmann, M. Barrenechea
{"title":"Gastrosquisis: cierre diferido con incisiones de descarga. Reporte de caso","authors":"E.J. Redondo Pertuz, C. González Rührnschopf, P. D´Alessandro, M. Boglione, A. Reusmann, M. Barrenechea","doi":"10.54847/cp.2022.01.08","DOIUrl":"https://doi.org/10.54847/cp.2022.01.08","url":null,"abstract":"","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43902366","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}
R. Fernández Atuan, Y. González Ruiz, P. Salcedo Arroyo, P. Vargova, P. Bragagnini Rodríguez, M. Ruiz de Temiño
{"title":"Valoración testicular en pacientes adultos operados de criptorquidia en edad infantil y su efecto sobre la paternidad","authors":"R. Fernández Atuan, Y. González Ruiz, P. Salcedo Arroyo, P. Vargova, P. Bragagnini Rodríguez, M. Ruiz de Temiño","doi":"10.54847/cp.2022.01.05","DOIUrl":"https://doi.org/10.54847/cp.2022.01.05","url":null,"abstract":"","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45661744","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}
G. Grande Morello, J. Margarit Mallot, S. Fuentes Carretero
{"title":"Duplicación intestinal aislada respecto al tracto digestivo: una entidad a tener en cuenta","authors":"G. Grande Morello, J. Margarit Mallot, S. Fuentes Carretero","doi":"10.54847/cp.2022.01.07","DOIUrl":"https://doi.org/10.54847/cp.2022.01.07","url":null,"abstract":"","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41566681","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}
L. M. Figueroa, G. Escobar, J. Osorno, M. Acuna, J. Solarte
{"title":"Remanente uracal peritonizado y banda peritoneal congénita obstructiva. Reporte de caso","authors":"L. M. Figueroa, G. Escobar, J. Osorno, M. Acuna, J. Solarte","doi":"10.54847/cp.2022.01.09","DOIUrl":"https://doi.org/10.54847/cp.2022.01.09","url":null,"abstract":"","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42050375","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}
J. Molino, S. López Fernández, B. Oliver, H. Boix, O. Rocha, M. López, G. Guillén
{"title":"Atresia duodenal con apple peet asociada a hernia diafragmática congénita: un caso excepcional y revisión de la literatura","authors":"J. Molino, S. López Fernández, B. Oliver, H. Boix, O. Rocha, M. López, G. Guillén","doi":"10.54847/cp.2022.01.06","DOIUrl":"https://doi.org/10.54847/cp.2022.01.06","url":null,"abstract":"","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42760522","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}
O.B. Grijalva Estrada, J. I. Garrido Pérez, F. J. Murcia Pascual, M. Ibarra Rodríguez, R. Paredes Esteban
{"title":"Clasificación de Clavien-Dindo. Herramienta para evaluar las complicaciones tras el tratamiento quirúrgico en niños con apendicitis aguda","authors":"O.B. Grijalva Estrada, J. I. Garrido Pérez, F. J. Murcia Pascual, M. Ibarra Rodríguez, R. Paredes Esteban","doi":"10.54847/cp.2022.01.04","DOIUrl":"https://doi.org/10.54847/cp.2022.01.04","url":null,"abstract":"","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49152290","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}
V. Ibáñez Pradas, M. Cortés Cerisuelo, E. Montalvá Orón
{"title":"Trasplante hepático pediátrico","authors":"V. Ibáñez Pradas, M. Cortés Cerisuelo, E. Montalvá Orón","doi":"10.54847/cp.2022.01.01","DOIUrl":"https://doi.org/10.54847/cp.2022.01.01","url":null,"abstract":"","PeriodicalId":10316,"journal":{"name":"Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48919564","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}
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