RESUMEN
Standardization of clinical procedures has become a desirable objective in contemporary medical practice. To this effect, the Spanish Society of Parenteral and Enteral Nutrition (SENPE) has endeavoured to create clinical practice guidelines and/or documents of consensus as well as quality standards in artificial nutrition. As a result, the SENPE´s Standardization Team has put together the "Document of Consensus in Enteral Access for Paediatric Nutritional Support" supported by the Spanish Society of Pediatric Gastroenterology, Hepatology and Nutrition (SEGHNP), the National Association of Pediatric and Neonatal Intensive Care Nursery (ANECIPN), and the Spanish Society of Pediatric Surgery (SECP). The present publication is a reduced version of our work; the complete document will be published as a monographic issue. It analyzes enteral access options in the pediatric patient, reviews the levels of evidence and provides the team-members' experience. Similarly, it details general and specific indications for pediatric enteral support, current techniques, care guidelines, methods of administration and complications of each enteral access. The data published by the American Society for Parenteral and Enteral Nutrition (ASPEN) and several European Societies has also been incorporated.
Asunto(s)
Nutrición Enteral/normas , Niño , Consenso , Nutrición Enteral/instrumentación , Nutrición Enteral/métodos , Gastrostomía/efectos adversos , Humanos , Higiene , Lactante , Recién Nacido , Intubación Gastrointestinal/efectos adversos , Yeyunostomía/efectos adversos , EspañaRESUMEN
No disponible
Asunto(s)
Humanos , Trastornos Nutricionales/dietoterapia , Nutrición Enteral/métodos , Prescripciones/clasificación , Apoyo Nutricional/métodos , Intubación Gastrointestinal/métodos , Gastrostomía/métodos , Gastropexia/métodos , Yeyunostomía/métodosRESUMEN
No disponible
Asunto(s)
Adolescente , Masculino , Femenino , Humanos , Tomografía Computarizada por Rayos X , Teratoma , Pancreatitis , Recurrencia , Enfermedad Crónica , Pancreatitis , Estadificación de Neoplasias , Neoplasias OváricasAsunto(s)
Coristoma/congénito , Tejido Nervioso , Enfermedades Nasales/congénito , Coristoma/diagnóstico , Coristoma/patología , Coristoma/cirugía , Diagnóstico Diferencial , Humanos , Recién Nacido , Masculino , Enfermedades Nasales/diagnóstico , Enfermedades Nasales/patología , Enfermedades Nasales/cirugíaRESUMEN
Pancreatitis in children is uncommon, but can be associated with severe morbidity rates. Eleven patients (14 months to 9.5 years of age) with acute pancreatitis and one patient with chronic idiopathic pancreatitis beginning the second year of life, were treated over a 11-year period. Half of them had history of blunt abdominal trauma. The most frequent clinical presentations included abdominal pain and vomiting. Diagnosis of pancreatic injury was suggested by hypera-amylasemia, being the computerized tomography scan the most useful radiologic investigation. Medical treatment consisted of intravenous fluids, nasogastric suction and total parenteral nutrition. One third of the patients developed pancreatic pseudocysts (4); spontaneous resolution after observation and conservative therapy occurred in two and the others were treated by surgery. Ranson and Imrie scores can help predicting the severity of this disease in children; three of four pancreatic pseudocysts were judged to have severe pancreatitis by this criteria.
Asunto(s)
Seudoquiste Pancreático/diagnóstico por imagen , Pancreatitis/sangre , Pancreatitis/orina , Amilasas/sangre , Amilasas/orina , Niño , Preescolar , Humanos , Lactante , Páncreas/lesiones , Estudios Retrospectivos , UltrasonografíaAsunto(s)
Neoplasias de las Glándulas Suprarrenales/diagnóstico , Feocromocitoma/diagnóstico , Adolescente , Neoplasias de las Glándulas Suprarrenales/cirugía , Glándulas Suprarrenales/diagnóstico por imagen , Adrenalectomía , Niño , Femenino , Humanos , Masculino , Feocromocitoma/cirugía , Radiografía , Cintigrafía , UltrasonografíaRESUMEN
The esophageal length in the study of patients with Gastroesophageal Reflux (G.E.R.) has the importance of assuring us of the correct position of the probe/sound of the esophageal ph-metering. We carried out a prospective study which correlated the size with the location of the Lower Esophageal Sphincter (L.E.S.), and we tried an approximation, greater than the one, obtained by other methods, in the measurement of the esophageal length, to obviate the manometric study, when our only aim was to insert correctly the probe/sound of the esophageal ph-metering.