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Transpyloric Tube Placement Shortens Time to Full Feeding in Left Congenital Diaphragmatic Hernia.
J Pediatr Surg
November 2023
Neonatology Department, Hospital Sant Joan de Deu, BCNatal, Barcelona Center for Maternal-Fetal and Neonatal Medicine, University of Barcelona, Pg. Sant Joan de Déu 2, 08950, Esplugues de Llobregat, Barcelona, Spain.
Background: Nutritional complications have an impact in both short- and long-term morbidity of patients with congenital diaphragmatic hernia (CDH). We aimed to compare time to full enteral tube feeding depending on route -gastric (GT) or transpyloric (TPT)- in newborns with left CDH (L-CDH).
Methods: Retrospective cohort study of L-CDH patients admitted to a referral tertiary care NICU between January 2007 and December 2014.
Delayed Presentation of Congenital Diaphragmatic Hernia.
Kathmandu Univ Med J (KUMJ)
March 2019
Department of Anesthesia, Birat Medical College, Biratnagar, Morang.
Delayed presentation of congenital diphragmatic hernia is a rare condition which can present in later stage of life either with the nonspecific complains or acute complians of shortness of breath. The clinical features and the radiological findings can be confused with pneumothorax leading to inadvertant insertion of chest tube. Immediate and accurate diagnosis of the condition is required for the better outcome.
View Article and Find Full Text PDFCongenital diaphragmatic hernia: where are we and where do we go from here?
Semin Perinatol
December 2000
Department of Surgery, Childrens Hospital and Harvard Medical School, Boston, MA 02115, USA.
The infant born with congenital diphragmatic hernia (CDH) remains one of the most complex patients to manage. Pulmonary hypoplasia and immaturity of the CDH lung are well recognized as the definitive limitation leading to the high mortality rates. Based on the knowledge that CDH is more a physiological disease than a surgical disease, we have shifted our management strategy from immediate repair to delayed repair and stabilization.
View Article and Find Full Text PDFRecuperation of pulmonary function after surgical repair of Bochdaleck's hernia is considered. Gasometric and radiologic features as well as scintigraphy are related in order of prognosis. Of 16 cases, seven had sudden fatal outcome.
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