Acute pancreatitis in children and adolescents: diagnostic and therapeutic approach according to management guidelines in a group of pediatricians.

Background: Acute pancreatitis is observed more frequently in the pediatric age. Currently, there are recommendation guidelines for its proper diagnosis and treatment. The objective of this study was to evaluate the level of knowledge of the international recommendations on acute pancreatitis in pediatrics of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition in a group of pediatricians.

Early Feeding versus Traditional Feeding in Children with Ileostomy Closure.

Context: Elective intestinal anastomosis is a frequently used surgical procedure in pediatric surgery.

Aims: This study aimed to compare postoperative complications and hospital stay in children who underwent ileostomy closure with early feeding in the 1 24 h versus those in whom the oral route was initiated traditionally.

Settings And Design: Observational, comparative, cross-sectional, ambispective, and single-center study that included pediatric patients who had undergone ileostomy closure from January 2017 to August 2019.

Sensibilidad y especificidad del índice neutrófilo/linfocito en pacientes pediátricos con apendicitis aguda complicada.

Objective: Establish the sensibility and specificity of the neutrophil-lymphocyte rate (NLR) in pediatric patients with acute complicated appendicitis.

Method: Transversal, observational, descriptive, and retrospective study of pediatric patients between 4 to 16 years old with diagnosis of acute appendicitis, who had appendectomy, from December 2017 to January 2019. We calculated the NLR in every patient.

Vesicular agenesis and cholangitis, an infrequent association. Case report.

Background: Vesicular agenesis is a rare congenital malformation.

Clinical Case: Male, 65 years old, preoperative diagnosis of gallbladder agenesis, presenting with cholangitis, unsatisfactory ERCP, resolution by laparotomy, drainage and biliary exploration.

Discussion: The association between cholangitis and gallbladder agenesis presents few reports in the universal literature, a preoperative diagnosis reduces surgical risk, anatomical alteration represents an increased risk of iatrogenic injury during surgical exploration.

Pneumatosis intestinalis in a pediatric patient.

A 4-month-old girl was admitted to the Emergency Department with gastric vomiting and bloody diarrhea. On physical examination, the abdomen was distended, painful, with evidence of peritoneal irritation. The abdominal X-ray showed the presence of intraluminal gas in the ascending colon, sigmoid and rectum.

Creatine phosphokinase MB levels as a diagnostic marker of myocardial dysfunction in pediatric patients with electrical burns.

Background: The decrease of the left ventricular ejection fraction (LVEF) as consequence of a ventricular dysfunction is reported in cardiac alterations secondary to electrical injury. The focused cardiac ultrasound (FoCUS) helps to complete the clinical examination because it allows a faster non-invasive evaluation, and provides information that contributes to make better therapeutic decisions, especially those for patients in critical condition. The objective of this study was to explore the utility of creatine phosphokinase MB (CPK-MB) as a diagnostic tool of myocardial dysfunction in patients from 6 to 18 years old with electrical burn.

Predictive value of the National Surgical Quality Improvement Program - Pediatrics risk calculator in neonatal patients. A retrospective correlational study.

Objective: To verify the predictive value of the American College of Surgeons National Surgical Quality Improvement Program-Pediatric calculator as a prognosis for complications in neonatal patients undergoing surgery.

Method: An observational, retrospective, cross-sectional and correlational study was carried out. The files of the surgical neonates of the neonatology unit of the General Hospital of Puebla Dr.

Neonatal Intestinal Obstruction Syndrome.

Neonatal intestinal obstruction is caused by an anatomical abnormality that produces bowel movement failure. Intestinal obstruction presents with three classic clinical signs: vomiting, abdominal distention, and failure to pass meconium. Intestinal obstruction is one of the most common causes for admitting a pediatric patient to the pediatric surgery unit in his or her first weeks of postnatal life.

[Is intestinal malrotation the cause of intussusception? Waugh's syndrome, a case report].

Background: Waugh's syndrome is the combination of intussusception and intestinal malrotation. The first case was described in 1911, with few cases being reported since then.

Clinical Case: A 7 month-old infant with fever, vomiting and rectal bleeding.