Feasibility and outcomes of transjugular intrahepatic portosystemic shunts in infants.

Background: Experience with transjugular intrahepatic portosystemic shunts (TIPS) in the pediatric population, especially in infants, is limited.

Objective: To evaluate the feasibility, efficacy and safety of TIPS placement in infants.

Materials And Methods: This retrospective non-comparative observational cohort study analyzed all pediatric patients  < 12 months of age treated with TIPS while waiting for liver transplant between October 2018 and April 2021.

[Results of the use of laparoscopic anti-reflux procedure for the prevention of episodes of apnea, bradycardia and desaturation].

In 1986 the National Institutes of Health Consensus Developement Conference on Infantile Apnea and Home Monitoring defined the Apparent Life Threatening Events (ALTEs) as those frightening episodes for the observer which are determined by a combination of apnea (central or obstructive), changes in colour (cianosis, congestive pallor) and marked changes in muscular tone, asphyxia. Despite the fact that its cause still remains unknown, many centres relate ALTE with gastroesophageal reflux disease (GERD) and therefore recommend medical treatment of GERD to those patients with ALTE. However there are very few articles that proof the efficacy of surgical treatment in patients with ALTE and GERD.

[Impact in our environment of a gastroschisis therapeutic management protocol].

Introduction: Continuous exposure to amniotic in fetus with gastroschisis, leads to inflammation and edema of intestinal loops, hindering intestinal return to abdomen and making staged repair necessary in many cases. Furthermore, intestinal loops are hipoperistaltic, which leads to oral toleration difficulties, large periods of parenteral nutrition and an increase of hospital stay. The objective of this study is to evaluate the results in our environment, of a new multidisciplinary management protocol in patients with a prenatal diagnosis of gastroschisis.

[Laparoscopic Kasai portoenterostom: present and future of biliary atresia treatment].

Introduction: Kasai's operation has proved its value in surgical treatment of biliary atresia (BA). Its laparoscopic approach is a new challenge for pediatric surgeons, with all the potential advantages of minimally invasive surgery. The aim of the present study has been to report our experience in laparoscopic management of five patients with biliary atresia.