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J Candal Alonso

Publications and source records attributed to J Candal Alonso.

11 recordsLinked to original sources
PubMed1995

[Necrotizing enterocolitis: a 10-year survey].

We reviewed the records of all infants with necrotizing enterocolitis (NEC) who had been diagnosed in "Teresa Herrera" Hospital in La Coruña between 1984 and 1994. We tried to determine the risk factors that could influence at the beginning of the disease, the clinic presentation, and the basic aspects of treatment. All cases of ECN with clinic-radiologic confirmation were examined (Bell stages II and III). With this approach, a general questionnaire containing records, clinical presentation, and treatment, was applied to all cases. In our revision, we found that neonate most at risk is that one with an average gestational age of 35 weeks, a mean weight of 2500 gr., with a laborious delivery and who was admitted in the neonatal intensive care unit for an important disease. The onset of NEC was more frequent in the first 15 days of life, and clinical and radiological features were used to confirm the disease. In 86% of the cases, oral feeding had begun. Surgery was needed in 36% of the cases, of which 86% suffered from gut perforation, terminal ileum being the most frequent localization. The general mortality was 12%. Only one of the operated patient died. We conclude that in the appearance of NEC there are a lot of influential factors, including perinatal stress, prematurity and a low birth weight. Clinical symptoms are haemodynamic instability, abdominal distension and bloody stools, obtaining confirmation through radiology in 87%. We consider the importance of early diagnosis and treatment and exhaustive observation by children's surgeon to indicate early surgery.

Birth Weight↗
PubMed1994

[Comparative sensitivity of intravenous urography, ultrasonography and DMSA scan in the diagnosis of vesicoureteral reflux nephropathy].

We compared the efficiency of the IVP, the ultrasound and the DMSA scan in the detection of pyelonephritic lesions during the evaluation of 165 kidneys in 83 children, aged up to 14 years, with vesicoureteric reflux. Our study showed an efficiency of 60.20% for the IVP, 29.60% for the ultrasound and 96.90% for the DMSA scan. These results clearly show that the best imaging method for detecting renal scars is the DMSA scan, followed by IVP and ultrasound.

Adolescent↗
PubMed1991

[Our experience with aspiration of ectopic ureteroceles].

Since 1986 we have performed suction of the ectopic ureteroceles in seven cases. In four of these cases the obstruction caused by the ureteroceles affected the upper hemi-kidney. In the remaining three cases both hemi-kidneys of the same side were affected. One child suffered failure of both hemi-kidneys. All the ureteroceles corresponded to the upper hemi-kidney and were associated with ipsilateral duplicity. In four of the cases the treatment applied was the heminephrectomy of the upper hemi-kidney and the suction of the ureterocele. In one case, we did a nephrectomy and suction of the ureterocele. In the remaining two cases the suction of the ureterocele was done, as well as the ureteropyelostomy, since it was necessary to use the upper hemi-kidney in the renal TC99m dimercaptosuccinic acid scan-DMSA. In five of the children there was a collapse of the ureterocele giving good results in both kidneys. In two of the children there was no collapse, which provoked the need for removal of the ureterocele. In one of these two cases, the renal dilatation persisted later. In the last case it was necessary to perform nephrectomy due to the absence of recuperation of the renal function. Three of the children had associated reflux which disappeared in one of them, after the suction of the ureterocele. Vesical surgery might be avoided by means of the ureterocele's suction technique in 60 per 100 of the cases. However, it is essential to pursue the child's progress once every six months, in order to detect possible failures of ureterocele collapse.

Age Factors↗
PubMed1989

[The use of technetium 99m with diethyleneamino pentaacetic acid (Tc 99-DTPA) in the pathology of the pyeloureteral junction].

By using diuretic renograms with technetium 99m-diethylenetriaminepentaacetic acid (Tc 99-DTPA) as a non-invasive procedure to evaluate paediatric patients with pelvicaliceal dilatation, we are able to make a clear differentiation between dilated, obstructed and non obstructed renal units. This procedure has given us a new insight into the management of these patients, permitting us to decide which patients would benefit from a surgical treatment and which patients would be reserved for clinical observation and follow up.

Adolescent↗
PubMedDate not supplied

[Vesico-ureteral reflex. Medical treatment].

We have reviewed the problem of vesico-ureteral reflux in children and comment upon the selection guidelines followed for indicating medical treatment, on the basis of the clinical picture and the radiographic and analytical findings. We assess the results obtained (58.06% of cures) as a result of which we stress the need for conservative treatment in cases of moderate refluxes.

Child↗
PubMedDate not supplied

[Xanthogranulomathous pyelonephritis (and cystic dysplasia) in a newborn].

The authors present a case of diffuse xanthogranulomatous pyelonephritis in a new-born baby which, according to the literature reviewed, is the youngest case reported throughout the world. They stress the coexistence of two facts not mentioned in the cases reviewed: --Segmentary cystic dysplasia.--Xanthogranulomatous disorder in the suprarenal gland. It is also interesting due to the presence of chronic contralateral pyelonephritis. They comment upon the special features of the etiopathogeny, anatomopathology, clinical picture, diagnosis and treatment of this rare disorder.

Child, Preschool↗
PubMedDate not supplied

[Vesicoureteral reflux. Surgical treatment].

We present the casuistry of vesico-ureteral refluxes operated upon in our centre, which total 45. We comment upon and describe the guidelines which we have followed in indicating the operation, assessing and comparing the results obtained with the different techniques used: Leadbetter-Politano, 62.5% of successes; Cohen, 90.9%; Glen-Anderson, 100%, and González Martin, 90.5%. Finally, we make some comments upon infection associated with reflux.

Age Factors↗