Publications by authors named "Jorge Zequeira"

The increased use of CT scans has raised concerns regarding the risks of early radiation exposure in the Puerto Rico pediatric population. Available literature sustains that repeated exposure to imaging-related radiation in the pediatric population is associated with a 3-fold increase in the risk of developing pediatric hematogenous and central nervous system malignancies. It is for this reason that an international effort known as the Image Gently Campaign was created, mostly based on the "As Low As Reasonably Achievable" (ALARA) principle described by the Center for Disease Control.

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BACKGROUND Solid pseudopapillary neoplasm (SPN) is a rare tumor frequently found in the head or tail of the pancreas. It mainly presents in young women between the 2nd and 3rd decades of life. A predilection for African Americans and Asians has been observed and is rarely reported in children.

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Background: Feeding is a significant challenge for premature infants in the neonatal intensive care unit (NICU). These patients are often treated with glycerin suppositories to stimulate the passage of meconium and prevent feeding intolerance. Unfortunately, the evidence for this practice is inconclusive.

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Coloanal strictures are the narrowing of a segment of the colon leading to multiple complications. In the pediatric population they most commonly follow anastomotic procedures. Occasionally, coloanal strictures do not respond to standard dilatational management requiring operation.

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Spigelian hernias occur through a defect in the anterior abdominal wall adjacent to the semilunar line and lateral to the abdominal rectus. Spigelian hernias are rare regardless of the patient's age and even uncommon in the pediatric population. We report a 9-year-old male patient who presented with a bulging at the left lower abdomen consistent with a Spigelian hernia.

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A 12-year-old male patient with a recalcitrant rectal anastomotic stricture following two failed endorectal pull-through (Soave) procedures for Hirschsprung's disease was satisfactorily managed with transanal resection using a circular stapling device. This is the first reported case of a benign colonic anastomotic stricture treated transanally with a circular stapling device in a pediatric patient.

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