An unexpected journey of a suction catheter in a preterm neonate

Foreign bodies are extremely rare in preterm neonates. The majority are iatrogenic. We describe a neonate of 27 weeks gestation who was found to have an 18 mm long suction catheter at the right main bronchi after resuscitation in another hospital. It was first detected by chest X-ray after endotracheal intubation. Repeat X-ray revealed the catheter moved to the stomach and migrated to the lower gastrointestinal tract in a few hours. The patient was treated conservatively and the catheter was passed out on day 14. Newborn resuscitation may result in iatrogenic foreign body in neonates. Serious complications such as respiratory compromise, perforations or abscess may occur. Early referral to a specialized tertiary center with pediatric surgical service is recommended. We hope our experience demonstrated the importance of preventing iatrogenic foreign body in clinical setting. Access to endoscopic instrumentation for foreign body removal in preterm neonates should be available at all times.published_or_final_versio

Childhood intussusception: 17-year experience at a tertiary referral centre in Hong Kong

published_or_final_versio

Pneumovesical ureteric reimplantation

Session: Saturday Afternoon at the Movie

Protocolised treatment improves the short-term outcome of biliary atresia

ISSBA Oral Session: abstract no. BA-O-3link_to_OA_fulltex

Comparing single-incision versus standard laparoscopic gastrostomy in paediatric patients - a single centre study

Session - MIS/ROBOTIC: abstract no. SS7.7BACKGROUND/PURPOSE: The objective of this study is to evaluate the outcomes of single-incision laparoscopic gastrostomy (SILG) and compare with standard laparoscopic gastrostomy (LG). METHODS: Paediatric patients (age <18 years) with gastrostomy placement (+/-concomitant fundoplication) in the past 3 years were reviewed. Demographic data, intraoperative and post-operative events (minor/major complications, initiation of feeding) were compared. RESULTS: Thirty-eight patients were identified (LG : SILG = 25 : 13). There was no significant differences between (LG vs SILG) age (5.7 vs 4.2 years, p=0.45) and body size at operation (15.3 vs 12.4 kg, p=0.36). The median operative durations for LG group (after excluding concomitant fundoplication if necessary) and SILG group were 38 mins vs 45 mins, p=0.21. There was one major complication in the LG group but none was reported in the SILG group. Seven patients (28%) in the LG group suffered from minor complications while 2 (15.4%) in the SILG group did. Gastrostomy feeding was initiated on POD 1 in majority of patients in both groups (LG: 92% vs SILG: 100%, p=0.18). CONCLUSIONS: SILG is technically feasible in paediatric patients and outcomes were comparable to LG. This approach should be considered when concomitant procedure is not required to minimize surgical trauma

Inflammatory myofibroblastic tumour in paediatric patients: a report of 2 cases and a literature review

I uppsatsen har vi undersökt köpoptioner med OMXS30 som underliggande, syftet var att se om det fanns möjligheter till att göra arbitrage. Detta innebär att de är felprissatta. Vi har i vår undersökning testat optioners nedre gräns och köp-sälj paritetsvillkoret. Resultaten tyder på att det finns ett antal tillfällen då marknaden inte är effektiv, antalet tillfällen skiljer sig åt under olika marknadsförhållanden. De slutsatser vi kan dra är att marknaden måste vara mogen och marknadens aktörer måste ha en tydlig bild om i vilken riktning marknaden är på väg för att vi ska kunna säga att optionspriserna är effektivt prissatta. När investerare agerar irrationellt och osäkerheten är hög ökar frekvensen av antalet felprissättningar på finansiella instrument, däribland optioner

Application of anchoring stitch prevents rectal prolapse in laparoscopic assisted anorectal pullthrough

Session - MIS/ROBOTIC: abstract no. SS7.2BACKGROUND/PURPOSE: We study the application of an anchoring stitch to tack the rectum to the presacral fascia and the occurrence of rectal prolapse after laparoscopic assisted anorectal pullthrough (LAARP). METHODS: Retrospective review of all children who had undergone LAARP from 2000 was performed. Patients were divided into group I with anchoring stitch and group II without anchoring stitch. RESULTS: Thirty-four patients ( group I, n = 20; group II, n = 14 ) were identified. The mean operative time was significantly shorter in group I ( 193 ± 63 minutes vs 242 ± 49 minutes, p = 0.048 ). Rectal prolapse occurred less in group I, 4 ( 20% ) vs 9 (64%) patients in group II and was statistically significant ( p = 0.008 ). Soiling occurred less in group I ( 55 % vs 79 %, p = 0.167 ). Voluntary bowel control ( 85 % vs 93 %, p = 0.499 ) and constipation ( 55 % vs 64 %, p = 0.601 ) were comparable. CONCLUSIONS: Our study showed application of anchoring stitch reduces rectal prolapse and soiling in LAARP