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[Comparison of the determination of azotorrhea and steatorrhea in cystic fibrosis of the pancreas].

Steatorrhea and azotorrhea are evaluated, by Van de Kamer and Kjendalh methods, in 24 patients affected by cystic fibrosis in the diagnosis and in their evolution. High values were obtained for steatorrhea in 87.5% of the cases and for azotorrhea in the 79.1% at the moment of diagnosis. Steatorrhea and azotorrhea have been correlated obtaining a high statistic significant for p less than 0.01 in the diagnosis and in patients who followed treatment with the same medication, not being significative for all patients during their evolution. With results obtained, determination of fecal nitrogen, is positively evaluated not only in the diagnosis but also in the evolution of these patients to obtain an optimum nutritious condition.

Celiac Disease↗

[Incidence and management of surgical pathology in children with cystic fibrosis of the pancreas].

This report reviews 110 children of ages ranging from 2 months to 17 years, with a diagnosis of cystic fibrosis, and analyzes the surgical treatments they have undergone. In our series, meconium ileus shows an higher occurrence (20%) than the reported by the literature. No direct relationship could be established between the existence of meconium ileus and a more severe affectation of cystic fibrosis. Rectal prolapse occurred in 10% of the patients, and only 4% underwent surgical treatment. Three children with appendicitis developed a periappendiceal abscess due to delayed diagnosis and 2 other were operated upon for meconium ileus equivalent. From 7 patients with gastroesophageal reflux, 5 were treated non-operatively and 2 required corrective surgery. Fifty five patients out of the 110 (45%) underwent different surgical procedures.

Adolescent↗