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Biomedical subjects

S M Pablot

Publications and source records attributed to S M Pablot.

6 recordsLinked to original sources

Paediatric intussusception.

Intussusception is one of the commonest causes of intestinal obstruction in infants and accounts for about 700 hospital admissions each year in England and Wales. Improved results of treatment have followed recent technological developments, which include ultrasonographic imaging and pneumatic reduction techniques. Most intussusceptions can be reduced successfully without the need for operation but close cooperation between surgeon and radiologist is essential. Mortality and morbidity rates from the condition have progressively declined in recent decades but avoidable deaths still occur.

Acute Disease

Sonographic detection of the lead point in intussusception.

Using ultrasonography, a caecal duplication cyst was identified as the pathological lead point in a 6 year old boy with acute intussusception. The patient underwent definitive surgery rather than inappropriate treatment by attempted radiological reduction. Various pathological lead points in intussusception can now be defined by ultrasound.

Cecal Diseases

Broncho-gastric tube fistula as a complication of esophageal replacement.

Respiratory symptoms are a known complication of esophageal replacement by a gastric tube, and are usually due to aspiration secondary to a stricture. We report here a patient who developed a long standing broncho-gastric tube fistula as the underlying cause of severe respiratory symptoms and an unusual complication of this kind of surgery. This fistula was unsuspected for many years as it could not be demonstrated by the usual barium examinations.

Barium Sulfate

The value of computed tomography in the early assessment of comminuted fractures of the calcaneus: a review of three patients.

Computed tomography (CT) was performed within 4-8 days of injury in three patients with five fractures of the calcaneus. Three of the fractures were comminuted, and CT gave graphic additional information to the plain radiographs. Three fractures were undisplaced and were managed conservatively. In the other two, there was displacement of bony fragments, and these were treated operatively. In these, CT gave valuable preoperative information regarding the size and location of fracture fragments and helped the surgeon determine the site of incision and type of surgery required. The CT findings were confirmed at operation. CT therefore provides useful information for the management of these difficult fractures.

Adolescent