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Hydatid Cysts Disease in Children

داء الكيسات العدارية عند الأطفال

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 Publication date 1998
  fields Medicine
and research's language is العربية
 Created by Shamra Editor




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This study was performed in children’s hospital of Damascus University which included all cases of hydatid cysts admitted to the hospital between 1/1/1994 and 1/9/1996. The number of cases totaled 47 which accounted for 1.4 to 2.4 per 1000 admission in different years.

References used
Behrman R. E., Vaughen V. C.: Nelson Text Book of Pediatrics. 15th ed., Saunders. W. B. Company 1996
Ben Salah S., et al: Hydatid Cysts in Children, Diagnostic & Therapeutic Aspects. A Propos of 1195 Cases. Ann. Pediatr. J., 36: 441-449, 1989
Deodhar M. C., et al., Solitary Pulmonary Hydatid Cyst. Indian Pediatrics Journal. 25, 683-684, 1988
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The aim of this study is to determine the prevalence of pulmonary hydatid cysts, determine the best approach of surgical treatment, and determine the outcomes of hydatid disease in, isolated or coexisting pulmonary or extrapulmonary hydatidosis. The study was conducted at the Department of Thoracic Surgery at Damascus University, between January 1993 and December 2002, on 206 patients
This study included 502 children between 0,5-15 years old. They were all subjected to duodenal biobsy for several reasons, and underwent investigations; Hb, MCV, MCH, MCHC and RDW. The prevalence of celiac disease among anemic children was higher than nonanemic patients (36,04% vs 12,14%). The mean duration of compliance was higher in both anemic children and celiac patients than in comparing groups .The mean levels of Hb,MCV,MCH and MCHC were lower in celiac group, while RDW was higher. Anemia was the most common presentation of celiac disease and it was seen in 77% among celiac children, while failure to thrive was detected in 43% of celiac group. Clinicians should consider celiac disease as a possible cause of anemia in all subjects with unexplained or refractory anemia
Aim of study: Evaluating the oral health status of children with congenital heart disease in comparison with the healthy children in Lattakia city. Materials and Methods: A total of 100 children aged between 5 and 12 years attending the pediatric clinic of AL-Assad Hospital-Lattakia were included. The study group was consisted of 50 children diagnosed with heart disease. The control group was consisted of 50 healthy children of the same age and gender. Dental caries, plaque, gingivitis and developmental enamel defects were assessed for each child in the two groups. Results: Mean dmft, gingivitis and plaque were significantly higher in the cardiac group as compared to the control group. Statistically, no significant differences were found in the comparison between the prevalence of developmental enamel defects and mean DMFT for the two groups. Conclusion: Children with congenital heart disease had a poor oral health compared to the healthy children, which increased the risk of susceptibility to bacteremia and development of infective endocarditis. Therefore, dental care for children with heart disease must be seriously considered at an early age when the first tooth erupts.
OBJECTIVES: Hydatidosis is an infectious widespread disease caused by Echinococcus granulsus. The involvement may be single, multiple or combined in different organs especially in the liver and lungs. The surgical excision is still the treatment o f choice through thoracotomy, laparotomy, thoraco-abdominal and sternotomy. The aim of this study was to introduce a new surgical approach for pulmonary hydatid cysts using video assisted thoracoscopic surgical methods. METHODS: 88 patients (age range 6-74 years) underwent surgery for single pulmonary hydatid cysts from 1996-1999. 40 were females and 48 were males. 33 had an intact cyst, 33 had a ruptured cyst to the bronchus, 7 had rupture to the pleural cavity and 15 had an infected cyst. All patients underwent a minithoracotomy with video-assisted thoracoscopy.
Several appearances were assigned in duodenum during endoscopy in patients with celiac disease, this study was conducted to determine the diagnostic value of some endoscopic markers in celiac patients in order to be used in the clinical diagnosis of the disease an additional factor supporting the diagnosis. The study included 504 children reviewed the different symptoms (failure to thrive, chronic diarrhea or constipation, unexplained anemia, weight loss), and underwent an upper gastrointestinal endoscopy. Four markers were evaluated in the second and third part of the duodenum are: scalloping, reduction of duodenal folds, nodular mucosal pattern, and chronic inflammation (punctate whitish spots) . Celiac disease was diagnosed at 123 patients, which was based on the result of the pathology biopsy taken during endoscopy, the patients ranged in age from 6 months to 15 years. Scalloping was the highest sensitivity and specificity marker of 89% ,96 % respectively. Diagnostic values for these signs in general ( 91% sensitivity, 76% specific, positive predictive value 56 %, and negative predictive value 97% ). We observed that the presence of celiac disease, as well as histological grade rating by Marsh classification respect to the existence of endoscopic markers.

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