PubMed Health⌕ Search

Biomedical subjects

A Rasiński

Publications and source records attributed to A Rasiński.

16 recordsLinked to original sources
PubMed1990

[Esophageal achalasia in children (analysis of five cases)].

Oesophageal achalasia is a disease of middle age and is only exceptionally observed in children. Five patients aged from 6.5 to 14 years were treated for this achalasia. Routine therapeutic method was repeated pneumatic dilatation of the cardia with a Rider-Moeller dilator. In all, 33 such procedures were carried out without complications. Very good results were obtained in 2 cases already after 3 dilatation procedures. The remaining 3 cases required surgical intervention: in 2 of them esophagomyotomy with antireflux operation was done with a very good result in one case and a good result in another case. The child not treated surgically (lack of parental consent) has still most signs of achalasia with body weight below the 3 centile and with recurrent respiratory infections. The follow-up is from 5 to 66 months.

Adolescent↗
PubMed1989

[Barrett esophagus].

An analysis of the clinical picture of Barrett's esophagus in 18 children is presented. This group of patients have been distinguished out of 114 children with chronic gastroesophageal reflux on the base of anatomopathological examinations. Clinical course and efficiency of the diagnostic examinations depend on the degree of esophagitis. They are slightly characteristic in children with minimal lesions. Long-term follow up - necessary due to the risk of cancer - have shown that there is possibility of recovery in cases of minimal advancement and short duration of the disease.

Adolescent↗
PubMed1989

[Fiber-optic endoscopy of the lower gastrointestinal tract in children].

Between 1978 and 1985 565 lower gastrointestinal endoscopies were performed in children. In 221 cases the cause of rectal bleeding was explored, in 227 the suspicion of colitis and in 25 of polyposis was verified. To evaluate the results of treatment (polypectomy, surgical procedures and medical therapy in inflammatory bowel disease) 121 examinations were done. With increasing experience the complete colonoscopy was performed more often. In 1985 coecum and ileum terminale was reached in almost all children in whom it was needed (75% of all examinations). The inflammatory changes were revealed on 230 occasions. In 78 cases colon polyps and in 27 vascular changes were found. The most common cause rectal bleeding were colon polyps (66 cases) and inflammatory changes (554 cases). Less common were vascular changes (10 cases). 32% false negative and 16% false positive results of colonoscopy in diagnosis colitis were obtained when the results of visual findings were compared with histopathological findings. Colonoscopy performed by an experienced colonoscopist rather avoiding general anesthesia is a safe and useful procedure in diagnosing lower gastrointestinal tract diseases in children. The evaluation of colitis should be based on visual findings with biopsy confirmation.

Adolescent↗
PubMed1989

[Functional status of the bronchial tree in infants with gastroesophageal reflux].

Airway resistance (Raw) and functional residual capacity (FRC pl) were determined by plethysmography in 17 children aged 3 to 12 months. Gastroesophageal reflux was diagnosed on the ground of longterm monitoring of esophageal pH or the X-ray examination of the stomach. No elevated airway resistance was found. In 41% of the cases FRC (per kg of body weight) was increased. This indirectly indicates the diminished small airways patency.

Airway Resistance↗
PubMed1986

Short- and long-term results of colonoscopic polypectomy in children.

Eighty-four colorectal polyps of up to 3.3 cm in diameter were removed with the diathermy snare during 48 colonoscopies on 42 children, aged 2 to 18 years (mean, 7.4 years). Most polyps were juvenile and the majority were located in the sigmoid colon (55%) or rectum (37%). No complications related to medication, colonoscopy, or snare polypectomy were observed. The two presenting symptoms, rectal bleeding and anemia, disappeared soon after polypectomy in all but one patient with adenomatous polyposis coli, subsequently operated upon. Follow-up examinations, including total colonoscopy, performed 4 months to 7 years (mean, 25 months) later did not reveal abnormalities in any of the 37 children whose previously removed polyps were juvenile. The authors conclude that endoscopic snare polypectomy is an effective and safe treatment for colorectal polyps in the pediatric age group.

Adolescent↗
PubMedDate not supplied

[Gastroesophageal reflux and diseases of the respiratory system in children; etiopathogenesis, diagnosis and treatment].

16 children with various pulmonary symptoms were presented. Gastrooesophageal reflux was diagnosed as a cause of that. The causal correlation between gastrooesophageal reflux and respiratory symptoms was established on the ground of 24-hour monitoring of oesophageal pH, radioisotopic examination of the stomach and oesophagus, evaluation of the bronchial reactivity to the acidification of the oesophagus and of the allergic tests. Eventually surgical treatment was performed in all children which resulted in the complete remission of the symptoms or marked subjective improvement. It has been shown that gastrooesophageal reflux is an important cause of acute or chronic lung disease. The close collaboration should be established between pediatricians and pediatric surgeons in the treatment of gastrooesophageal reflux.

Adolescent↗