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1.
Pediatrics ; 69(6): 719-23, 1982 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-7079036

RESUMEN

Creatinine output per unit of body weight increases throughout childhood. this reflects the increase in percent muscle mass observed during growth. Standard values for creatinine excretion are not available for the preterm infant. Accordingly, urinary creatinine output was measured in timed 24-hour specimens obtained in the second week of life of 15 preterm infants (gestational age 26 to 33 weeks). Three highly significant regression equations were derived that relate creatinine excretion to birth weight, length, and gestational age. Creatinine output correlated best with birth weight. Stepwise regression yielded no linear combination of these variables that improved the estimate based on weight alone. In a similar manner, consideration of other variables, including weight and length for age (expressed as percent of 50th percentile), did not improve the estimate based on weight alone. These data demonstrate that creatinine output in milligrams per kilogram of body weight increases by 16% between birth weight of 0.7 and 1.5 kg. This increase parallels that in body protein content per kilogram obtained from published fetal body composition data in infants of similar age. Creatinine output in preterm infants, therefore, can serve as a measure of growth.


Asunto(s)
Creatinina/orina , Recien Nacido Prematuro , Antropometría , Peso al Nacer , Estatura , Edad Gestacional , Humanos , Recién Nacido , Músculos/anatomía & histología
2.
Pediatrics ; 82(3 Pt 2): 453-6, 1988 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-2900492

RESUMEN

The intentional poisoning of two children with ipecac by their mothers is described. Intractable vomiting and diarrhea were the initial symptoms in both patients. In addition, one patient had clinical and laboratory evidence of skeletal and cardiac myopathy. Both children were subjected to extensive and invasive diagnostic evaluations before the correct diagnosis of chronic ipecac poisoning was made. These cases illustrate the toxic effects of ipecac ingestion and serve to alert physicians to child abuse by ipecac poisoning.


Asunto(s)
Maltrato a los Niños , Ipeca/envenenamiento , Síndrome de Munchausen/diagnóstico , Niño , Humanos , Lactante , Masculino , Enfermedades Musculares/inducido químicamente , Vómitos/inducido químicamente
3.
Pediatrics ; 78(1): 55-7, 1986 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-3725503

RESUMEN

A variety of peptic diseases are treated with antacids. Antacid dose requirements for young children have not been extensively evaluated. Moreover, the effects of formula feedings on antacid requirements are also unknown. We have investigated the effects of antacids and formula feedings on gastric acidity in infants less than 1 year of age. Small formula feedings of 15 mL/kg per feeding significantly improve antacid buffering of 0.5 mL/kg per dose of standard magnesium-aluminum hydroxide antacids.


Asunto(s)
Hidróxido de Aluminio/farmacología , Antiácidos/farmacología , Ácido Gástrico/metabolismo , Reflujo Gastroesofágico/fisiopatología , Alimentos Infantiles , Hidróxido de Magnesio/farmacología , Magnesio/farmacología , Alimentación con Biberón , Combinación de Medicamentos/farmacología , Femenino , Humanos , Concentración de Iones de Hidrógeno , Lactante , Masculino
4.
Am J Med Genet ; 90(5): 390-7, 2000 Feb 28.
Artículo en Inglés | MEDLINE | ID: mdl-10706361

RESUMEN

The clinical findings of a kindred with an X-linked disorder are characterized by autoimmune polyendocrinopathy, enteropathy with villous atrophy, chronic dermatitis, and variable immunodeficiency. Linkage analysis was performed on 20 members of the affected kindred to determine the location of the responsible locus. Informative recombinations limited the region to an approximate 20 cM interval bordered by DXS1055 and DXS1196/DXS1050. Multipoint analysis generated a lod score >3 for the region contained between DXS8024 and DXS8031. The candidate region includes the Wiskott-Aldrich syndrome (WAS) locus. Evaluation of the Wiskott-Aldrich syndrome protein gene by single strand conformational analysis, heteroduplex analysis, and direct sequencing of the 12 exons in an affected male and two carrier females revealed no abnormalities. We conclude that this kindred has an X-linked disorder, distinct from WAS, that results in autoimmunity and variable immunodeficiency. The responsible locus maps to the pericentromeric region Xp11.23 to Xq21.1.


Asunto(s)
Autoinmunidad , Síndromes de Inmunodeficiencia/genética , Proteínas/genética , Aberraciones Cromosómicas Sexuales/diagnóstico , Cromosoma X/genética , Niño , Preescolar , Análisis Mutacional de ADN , Femenino , Ligamiento Genético , Humanos , Lactante , Masculino , Linaje , Reacción en Cadena de la Polimerasa , Proteínas/análisis , Síndrome de Wiskott-Aldrich/genética , Proteína del Síndrome de Wiskott-Aldrich
5.
J Am Diet Assoc ; 91(12): 1567-71, 1991 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-1960350

RESUMEN

During the past several years there have been many reports of alternative dietary therapies for primary and secondary lactose intolerance. We have learned that it is useful to feed through most episodes of mild diarrhea that previously would have been treated with clear liquid diets. Infant formulas, including both soy-protein and hydrolysate formulas with specially designed carbohydrate, protein, and fat components, are available to treat the infant with diarrheal syndromes and secondary lactase deficiency. Also, the diet can be supplemented with lactase. Specialized lactose-reduced products as well as cultured and fermented dairy products may be used in varying degrees for lactose-intolerant children. The ingestion of milk with food and fiber components in the diet has also been shown to improve symptoms of lactose intolerance. This review summarizes the essentials of diagnosis of and dietary therapy for lactose intolerance. Our findings indicate that a number of specialized formulas and products are available for successful dietary management of lactose intolerance in infants and children.


Asunto(s)
Alimentos Formulados , Intolerancia a la Lactosa/dietoterapia , beta-Galactosidasa/uso terapéutico , Niño , Preescolar , Humanos , Lactante , Lactasa , Intolerancia a la Lactosa/diagnóstico
6.
J Perinatol ; 17(5): 383-8, 1997.
Artículo en Inglés | MEDLINE | ID: mdl-9373844

RESUMEN

OBJECTIVES: To determine if the administration of ranitidine to neonates leads to an increase in gastric pH to > or = 4 and if this increase in gastric pH correlates with gastric colonization. STUDY DESIGN: 628 pH measurements and 276 gastric cultures were obtained from 86 neonates. Twenty-three patients received ranitidine and 63 patients served as controls. RESULTS: Treated patients had a mean gastric pH of 5.6 compared with a control mean pH of 4.4 (p < 0.0001). Gastric pH was significantly affected by feeding and postnatal age. 54 patients were colonized with pathogenic bacteria and/or yeast (n = 20 treated, n = 34 control). Length of hospitalization (p < 0.0001), increase in gastric pH (p < 0.01), days of antibiotics before culture (p < 0.0001), and ranitidine use (p < 0.0001) were associated with an increased rate of colonization. CONCLUSIONS: The use of ranitidine did lead to a significant increase in gastric pH and with this increase in gastric pH gastric colonization rates increased. No increased frequency of infection was found in ranitidine-treated infants.


Asunto(s)
Antagonistas de los Receptores H2 de la Histamina/uso terapéutico , Ranitidina/uso terapéutico , Estómago/microbiología , Antibacterianos/uso terapéutico , Infección Hospitalaria/epidemiología , Femenino , Determinación de la Acidez Gástrica , Antagonistas de los Receptores H2 de la Histamina/farmacología , Humanos , Concentración de Iones de Hidrógeno , Recién Nacido , Unidades de Cuidado Intensivo Neonatal , Tiempo de Internación , Masculino , Ranitidina/farmacología , Úlcera Gástrica/prevención & control , Estrés Fisiológico/complicaciones
7.
J Dev Behav Pediatr ; 20(3): 145-9, 1999 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-10393070

RESUMEN

No studies have compared toileting-specific behaviors of encopretic children with those of asymptomatic children and have controlled for environmental factors such as parental attitudes, parenting styles, and bathroom facilities. This study prospectively examined the toileting habits of 86 chronically encopretic children compared with those of 27 asymptomatic siblings and 35 asymptomatic nonsiblings. Although encopretic children experienced significantly more soiling than did controls, the total number of daily bowel movements passed in the toilet (+/-SD) was comparable in the three groups (.92 +/- .76 in encopretic children compared with 1.14 +/- .43 and 1.08 +/- .47 in siblings and nonsiblings, respectively). Encopretic children experienced pain with defecation more often than did controls. During the 14-day study period, encopretic children complained of pain on 2.75 +/- 4.03 days compared with .58 +/- 1.84 days among sibling controls and 2.31 +/- 3.21 days among nonsibling controls. The mean pain score in encopretic children was .76 +/- 1.00 compared with .05 +/- .15 and .26 +/- .38 among siblings and nonsiblings, respectively. All three groups of children sat on the toilet without parental prompting the same number of times each day. In summary, children with chronic encopresis do not seem to avoid toileting, and they exhibit toileting behaviors that are very similar to those of asymptomatic siblings as well as to those of nonsibling controls.


Asunto(s)
Encopresis/psicología , Hábitos , Relaciones entre Hermanos , Control de Esfínteres , Animales , Enfermedad Crónica , Encopresis/diagnóstico , Femenino , Humanos , Masculino , Índice de Severidad de la Enfermedad
8.
J Pediatr Surg ; 25(12): 1250-2, 1990 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-2286897

RESUMEN

This report describes a 3-year-old child with a hepatobiliary cystadenoma. Cystadenomas are benign, multilocular, cystic neoplasms that usually occur in middle-aged women. The patients may be asymptomatic, but often there are vague abdominal complaints related to extrinsic compression of the stomach, duodenum, or biliary tree. Recurrence following incomplete excision and the presence of carcinoma within otherwise benign cysts has been documented. Complete resection is the therapy of choice, and thorough histopathologic evaluation is imperative.


Asunto(s)
Cistoadenoma/diagnóstico , Neoplasias Hepáticas/diagnóstico , Preescolar , Cistoadenoma/cirugía , Humanos , Neoplasias Hepáticas/cirugía , Masculino , Tomografía Computarizada por Rayos X , Ultrasonografía
9.
Clin Pediatr (Phila) ; 36(1): 25-9, 1997 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-9007344

RESUMEN

In children with major neurologic impairment, gastrostomies are often used to alleviate malnutrition and feeding difficulties. There has been a trend toward performing "protective" antireflux surgery in these children. Nineteen children with major neurologic impairment and feeding failure were prospectively evaluated and followed up after placement of a percutaneous endoscopic gastrostomy (PEG) without any antireflux procedure. Mean age at PEG placement was 34 months with mean follow-up of 20.7 months. All parents would recommend PEG to families with disabled children, and if given the chance, 95% would elect PEG again for their child. No child developed choking, gagging, or retching postoperatively. At the time of follow-up, postoperative gastroesophageal reflux did not appear to be a major clinical problem.


Asunto(s)
Discapacidades del Desarrollo/cirugía , Nutrición Enteral/métodos , Reflujo Gastroesofágico/cirugía , Gastrostomía/métodos , Procedimientos Innecesarios , Adolescente , Niño , Preescolar , Discapacidades del Desarrollo/complicaciones , Nutrición Enteral/efectos adversos , Estudios de Seguimiento , Reflujo Gastroesofágico/diagnóstico por imagen , Gastrostomía/efectos adversos , Humanos , Lactante , Complicaciones Intraoperatorias , Complicaciones Posoperatorias , Estudios Prospectivos , Radiografía , Resultado del Tratamiento
10.
Clin Pediatr (Phila) ; 34(11): 576-80, 1995 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-8565387

RESUMEN

We describe the long-term (mean 6.8 years) follow-up of 43 children treated medically for chronic constipation and encopresis. Overall outcome was quite good. Thirty children (70%) were entirely asymptomatic at follow-up. Intermittent mild constipation persisted in 13 patients; only two required persistent but infrequent laxative therapy. Encopresis persisted in three of 17 children who initially reported this symptom, and was associated with significant behavioral problems.


Asunto(s)
Estreñimiento/terapia , Adolescente , Catárticos/uso terapéutico , Niño , Preescolar , Enema , Femenino , Estudios de Seguimiento , Humanos , Lactante , Recién Nacido , Masculino
12.
13.
J Pediatr Gastroenterol Nutr ; 4(2): 169-81, 1985 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-3886867

RESUMEN

Growth data have been used as a measure of nutritional status and disease activity in children. This review discusses common anthropometric techniques and emphasizes the inference of nutritional status from these measurements. As multiple factors influence growth, it is often difficult to isolate the effects of nutrition alone.


Asunto(s)
Desarrollo Infantil , Fenómenos Fisiológicos Nutricionales Infantiles , Crecimiento , Trastornos Nutricionales/diagnóstico , Adolescente , Determinación de la Edad por el Esqueleto , Determinación de la Edad por los Dientes , Brazo/anatomía & histología , Estatura , Peso Corporal , Desarrollo Óseo , Cefalometría , Niño , Preescolar , Femenino , Humanos , Lactante , Recién Nacido de Bajo Peso , Recién Nacido , Masculino , Obesidad/diagnóstico , Pubertad , Grosor de los Pliegues Cutáneos
14.
Gastroenterol Clin North Am ; 19(3): 617-29, 1990 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-2228167

RESUMEN

Gastroesophageal reflux is a recognized clinical problem in infancy. To a great extent it represents a normal behavior that improves with maturation. The identification of appropriate candidates for medical and surgical therapy of GER during infancy is difficult and deserves further study. There are few well-conducted clinical trials of therapy for infantile GER that compare the usual drugs used for adults with GER. Moreover, medications currently licensed for adults are often not approved for pediatric use in the United States. Surgical therapy for GER should be reserved for infants with severe disease that does not respond to medical therapy.


Asunto(s)
Unión Esofagogástrica/fisiopatología , Reflujo Gastroesofágico , Lactancia Materna , Niño , Diagnóstico Diferencial , Reflujo Gastroesofágico/diagnóstico , Reflujo Gastroesofágico/fisiopatología , Reflujo Gastroesofágico/terapia , Humanos , Lactante , Cuidado del Lactante
15.
J Pediatr Gastroenterol Nutr ; 7(2): 185-8, 1988.
Artículo en Inglés | MEDLINE | ID: mdl-3351701

RESUMEN

Using esophageal pH monitoring, we have investigated the effect of feeding volume on early (1 h) postcibal gastroesophageal reflux (GER) in a population of 50 infants referred for evaluation. Two feedings with the volume of both feedings specified (9 and 18 ml/kg) were given to one group of infants. A second group was given one feeding ad libitum and another specified at 9 ml/kg. Volume of intake was a very significant determinant of both the total duration and the maximum single continuous episode of GER during early postcibal esophageal pH monitoring in both groups by paired analyses. This effect was observed in infants with significant GER (n = 44) and in a subgroup of infants who were normal (n = 6).


Asunto(s)
Ingestión de Alimentos , Reflujo Gastroesofágico/etiología , Alimentos Infantiles , Esófago/fisiología , Humanos , Concentración de Iones de Hidrógeno , Lactante , Monitoreo Fisiológico , Factores de Tiempo
16.
J Pediatr Gastroenterol Nutr ; 14(1): 38-40, 1992 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-1573511

RESUMEN

Carbohydrate solutions that empty rapidly from the stomach have been shown to produce less gastroesophageal reflux (GER) during the postcibal period than more slowly emptying formulas. These observations have not been extended to complete infant formulas containing fat, carbohydrate, and protein constituents. Medium chain triglyceride has been shown to significantly accelerate gastric emptying compared to long chain triglyceride for preterm infants when investigated in commercial infant formulas. Using a previously reported acidified formula model coupled with esophageal pH probe testing, we have documented in a group of 28 infants that modification of formula by enrichment with medium chain triglyceride produced no improvement in rates of GER during the first 2 h after feeding.


Asunto(s)
Reflujo Gastroesofágico/tratamiento farmacológico , Alimentos Infantiles , Triglicéridos/uso terapéutico , Reflujo Gastroesofágico/fisiopatología , Humanos , Concentración de Iones de Hidrógeno , Lactante , Alimentos Infantiles/análisis , Recién Nacido , Factores de Tiempo
17.
J Pediatr Gastroenterol Nutr ; 5(2): 324-8, 1986.
Artículo en Inglés | MEDLINE | ID: mdl-3485710

RESUMEN

We describe a 5-year-old white girl who presented at 18 months of age with an ileal perforation and radiographic evidence of segmental intestinal narrowing. Her initial diagnosis was Crohn's disease; however, on subsequent microscopic review, her lesion consisted of mixed histiocytic and eosinophilic infiltration characteristic of histiocytosis-X. The case is unique in its clinical similarity to Crohn's disease and its paucity of extraintestinal manifestations in the face of persistent mild chronic intestinal symptoms. She remains well controlled on prednisone therapy.


Asunto(s)
Enfermedad de Crohn/diagnóstico , Histiocitosis de Células de Langerhans/diagnóstico , Enfermedades del Íleon/diagnóstico , Biopsia , Preescolar , Diagnóstico Diferencial , Femenino , Histiocitosis de Células de Langerhans/complicaciones , Histiocitosis de Células de Langerhans/patología , Humanos , Enfermedades del Íleon/etiología , Íleon/patología , Perforación Intestinal/etiología
18.
J Pediatr Gastroenterol Nutr ; 12(1): 48-51, 1991 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-2061777

RESUMEN

To facilitate the detection of postcibal gastroesophageal reflux (GER), we have constructed an infant formula from modular carbohydrate, fat, and protein components with a pH of 4 and a nutrient composition identical to standard infant formula. In comparison to standard infant formula and sugar solutions, this pH-adjusted formula demonstrates a significantly greater amount of gastroesophageal reflex during the first postcibal hour. We speculate that the greater caloric density and slower gastric emptying of regular infant formula promotes greater gastroesophageal reflux than is observed with regular dextrose feedings. This effect is obscured unless the pH of the formula is adjusted. Use of this weakly acid formula in conjunction with postcibal esophageal pH probe recording facilitates the detection and, during simultaneous apnea monitoring, potential association of symptoms with postcibal gastroesophageal reflux.


Asunto(s)
Reflujo Gastroesofágico/diagnóstico , Concentración de Iones de Hidrógeno , Alimentos Infantiles , Humanos , Lactante
19.
Am J Dis Child ; 140(10): 1062-4, 1986 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-3752016

RESUMEN

Using prolonged esophageal pH monitoring, we examined 42 infants referred for gastroesophageal reflux (GER) over a 16-month interval. Eighteen of these infants were also examined with intragastric pH monitoring following a standard formula meal. We found that prematurity and postcibal gastric acidity were significantly correlated with the amount of GER observed. Historical symptoms appeared to have little correlation with the amount of GER as measured by prolonged intraesophageal pH monitoring.


Asunto(s)
Ácido Gástrico/metabolismo , Determinación de la Acidez Gástrica/métodos , Reflujo Gastroesofágico/fisiopatología , Factores de Edad , Tampones (Química) , Reflujo Gastroesofágico/diagnóstico , Reflujo Gastroesofágico/etiología , Humanos , Lactante , Alimentos Infantiles/análisis , Recién Nacido , Enfermedades del Prematuro/diagnóstico , Enfermedades del Prematuro/etiología , Enfermedades del Prematuro/fisiopatología , Monitoreo Fisiológico
20.
Gastroenterology ; 97(3): 601-4, 1989 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-2753322

RESUMEN

In a group of 19 infants being evaluated for gastro-esophageal reflux, we investigated the effects of various carbohydrate solutions (glucose polymers, 5% dextrose in water, and 10% dextrose in water) on the rate of postcibal gastroesophageal reflux during the first 2 h after a test feeding. The high-osmolality feeding (10% dextrose in water) produced significantly more postcibal gastroesophageal reflux over the entire 2-h interval. The major difference occurred in the second postcibal hour when the amount of gastroesophageal reflux was persistently high for 10% dextrose in water in contrast to the other feedings. We speculate that more rapid gastric emptying of low-osmolality solutions may account for these differences. Clear liquid feeding composition should be standardized during pH testing. Low-osmolality glucose polymer solutions may be more easily tolerated by infants with gastro-esophageal reflux who require carbohydrate or fluid supplements.


Asunto(s)
Carbohidratos de la Dieta , Reflujo Gastroesofágico/diagnóstico , Alimentos Infantiles , Ingestión de Energía , Vaciamiento Gástrico , Glucosa , Humanos , Concentración de Iones de Hidrógeno , Lactante , Concentración Osmolar , Factores de Tiempo
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