Publications by authors named "Simon Phelps"
Background: We experienced a high incidence of jejunal tube (JEJ) displacement in children who underwent percutaneous endoscopic transgastric jejunostomy (PEGJ), ever since the introduction of ENFit connector (2017).
Methods: Two interventions were introduced in 2018 - fixative suture to PEGJ ENFit connector, and conversion to balloon transgastric-jejunal feeding device (Balloon GJ) whenever possible. Children receiving PEGJ and Balloon GJ in 2.
Purpose: To investigate whether serum albumin (SA) concentration can predict the need for surgical intervention in neonates with necrotizing enterocolitis (NEC).
Methods: Retrospective review of all cases with NEC Bell's stage 2 and 3 that were treated in a single center between 2009 and 2015. Data on patient demographics, clinical parameters, laboratory findings and surgical status were recorded.
Article Synopsis
- The study focuses on eight newborns with intestinal obstruction who had rectal biopsies revealing severely immature ganglion cells, suggesting a potential link to transient immaturity in intestinal function.!* -
- Out of 73 patients reviewed, 21 were diagnosed with Hirschsprung's disease, while eight exhibited immature ganglion cells; among these, most had symptoms like severe abdominal distension and failure to pass meconium.!* -
- Follow-up results indicated that after treatment, most of the babies became asymptomatic, and some had biopsies that later showed mature ganglion cells, indicating improvement in their intestinal function.!*