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Register a new userIndications and results therapeutic gastroendoscopy in children in AL-ASSAD University Hospital –Lattakia
استطبابات و نتائج التنظير الهضمي العلاجي عند الأطفال في مشفى الأسد الجامعي في اللاذقية
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Tishreen University ورقة بحثية
Publication date
2015
fields
Medicine
and research's language is
العربية
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Shamra Editor
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شملت الدراسة ( 77 ) مريضا قبلوا لاجراء تنظير هضمي علاجي في قسم الأطفال في مشفى الأسد الجامعي في اللاذقية خلال الفترة الممتدة مابين ( تموز 2009_ تموز 2014م), عدد الاجراءات (195) و تراوحت أعمارهم مابين (1 شهر- 16 سنة) و كان الاستطباب العلاجي الأول هو استخراج جسم أجنبي ثم توسيع التضيقات الهضمية يليه ربط دوالي أسفل المري و أخيرا استئصال البوليبات الهضمية ثم تدبير هبوط المستقيم المعند. لم تحدث أية اختلاطات في معظم الجلسات العلاجية بنسبة ( 94% ) و كانت نسبة الشفاء التام للمرضى مرتفعة (4,64%) مع بقاء نسبة (26%) من الحالات قيد المتابعة و لكنها جيدة حتى الآن , و قد يحتاج مريضان من مرضى توسيع المري الى تداخل جراحي..
The study included 77 patients admitted to Pediatric Department in AL-ASSAD University Hospital in Lattakia for doing therapeutic gastroendoscopy between ( Jul 2009-Jul 2014),number of procedures were (195) with age ranging between( 1mon-16 y) and The main indication of interventional GI endoscopy in this series was foreign body extractions, oesophageal stenosis, esophageal varices ligation followed by polyp resection and Management of rectal prolapse refractory. -There were" not any complications during therapeutic procedures (94%), and complet cure percent was high (64,4%), but (26%) of cases are followed up and good until now, there were Two patients of oesophageal dilatation may need surgical interference.
Artificial intelligence review:
Research summary
تتناول هذه الدراسة استطبابات ونتائج التنظير الهضمي العلاجي عند الأطفال في مشفى الأسد الجامعي في اللاذقية خلال الفترة من يوليو 2009 إلى يوليو 2014. شملت الدراسة 77 مريضًا تتراوح أعمارهم بين شهر و16 سنة، وتم إجراء 195 إجراءً تنظيريًا علاجيًا. كان الاستطباب العلاجي الأول هو استخراج جسم أجنبي، يليه توسيع التضيقات الهضمية، ثم ربط دوالي أسفل المريء، واستئصال البوليبات الهضمية، وأخيرًا تدبير هبوط المستقيم المعند. لم تحدث اختلاطات في 94% من الجلسات العلاجية، وكانت نسبة الشفاء التام 64.4%، بينما بقيت 26% من الحالات قيد المتابعة. أظهرت الدراسة أن التنظير الهضمي هو وسيلة آمنة وفعالة لعلاج أمراض الجهاز الهضمي عند الأطفال، مع توصيات بتفعيل دوره وتوعية الأهل بخطورة ابتلاع المواد الكاوية والأجسام الأجنبية.
Critical review
دراسة نقدية: تعتبر هذه الدراسة مهمة لأنها تسلط الضوء على أهمية التنظير الهضمي العلاجي عند الأطفال في مشفى الأسد الجامعي. ومع ذلك، يمكن تحسين الدراسة من خلال زيادة حجم العينة لتشمل عددًا أكبر من المرضى، مما قد يعطي نتائج أكثر دقة وشمولية. كما يمكن توسيع نطاق الدراسة لتشمل مقارنات مع مراكز طبية أخرى في مناطق مختلفة من البلاد، مما يعزز من مصداقية النتائج. بالإضافة إلى ذلك، يمكن تحسين توثيق الاختلاطات بشكل أكثر تفصيلًا لتقديم صورة أوضح عن المخاطر المحتملة والإجراءات الوقائية المتبعة.
Questions related to the research
-
ما هي الاستطبابات الرئيسية للتنظير الهضمي العلاجي عند الأطفال في هذه الدراسة؟
الاستطبابات الرئيسية هي استخراج جسم أجنبي، توسيع التضيقات الهضمية، ربط دوالي أسفل المريء، استئصال البوليبات الهضمية، وتدبير هبوط المستقيم المعند.
-
ما هي نسبة الشفاء التام للمرضى الذين خضعوا للتنظير الهضمي العلاجي؟
نسبة الشفاء التام كانت 64.4%.
-
هل كانت هناك أي اختلاطات خلال الجلسات العلاجية؟
لم تحدث اختلاطات في 94% من الجلسات العلاجية.
-
ما هي التوصيات التي قدمتها الدراسة لتحسين استخدام التنظير الهضمي العلاجي؟
التوصيات تشمل تفعيل دور التنظير الهضمي في تشخيص وعلاج أمراض الجهاز الهضمي عند الأطفال، وتوعية الأهل بخطورة ابتلاع المواد الكاوية والأجسام الأجنبية وضرورة التدخل الفوري.
References used
Boukthir S,Choutch B,Mahzouni M,et all- -(Interventional endoscopy in the gastrointestinal tract in children) US National Library of MedicineNational Institutes of Health Tunis- Med, 2010 Dec;88(12):920-3
Squires, Robert H. Jr.; Colletti, Richard B - Indications for Pediatric Gastrointestinal Endoscopy Journal of Pediatric Gastroenterology@ Nutrition,A Medical Position Statement of the North American Society, August 1996 - Volume 23 - Issue 2 - pp 107-110
Dr Jonathan Green,-COMPLICATIONS OF GASTROINTESTINAL ENDOSCOPY, Novmber2006,556-615
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Appendectomy is one most common procedure in emergency cases . laparoscopic
surgery has many features and development which lead courageously to appendectomy by
laparoscopic procedure.
This study was conducted on 60 patients who underwent laparosc
opic appendectomy
at Al-Assad university hospital between 2014-2016.
The average age of patients was 38 years – the proportion of meals was 58,3 % and
females was 61,4 %. The mean surgical operation time was 105 minutes .
Normal appendectomy proportion was 13,3 % . Acute appendectomy without
perforation was 75 % . The proportion for gangrenous appendectomy with perforation was
11,6 % ,
The proportion for conversions to open surgery was 16,6 % . Post operation
complications were as follows : wound infection : 6,66 % - intra abdominal abscess :5 % -
Bowel obstruction :1,66 % .
Analysis of the results revealed that the rates are within the internationally accepted
rates .
We concluded that this surgery is safe and has many features and a little
complications . We recommend applying this surgery in our hospitals .
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organizations and institutions during the past two decades. Thus, this role had impact
on
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international competency standards in Al- Assad university hospital and Al- Wattany
hospital at Lattakia.
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Lattakia. Whereas, The study sample consisted of 21 nurse managers , and 80 nurses from
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'viewpoints and nurse managers' viewpoint in both hospitals on nurse managers'
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Objective: the objective is to describe the clinical and epidemiological features and
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children with visceral leishmaniasis ,And to define the importance
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.
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University Hospital ,Latakia
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presented with fever ,common findings in physical examination were(100%) Pallor and
(97%) splenomegaly
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syndrome in 2.6% of ESS for each). We did not record CSF rhinorrhea nor
were visual disturbances seen in our cohort. Patients received symptomatic
treatment and none were referred to surgery.
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