Stomach

28-04-2021

Gastrostomy (translation)

At the beginning of 1980, Ponsky and Gauderer had developed percutaneous endoscopic gastrostomy, opening a new approach in pediatric related to enteral feeding, especially in children with dysphagia, or inability of swallowing. This is a minimal invasive intervention that...

03-05-2021

Forrest classification for ugib

29-04-2021

Dieulafoy’s lesion

• A medical condition characterized by a large tortuous arteriole most commonly in the stomach wall (submucosal) that erodes and bleeds • Treatment-endoscopy / surgery • Endoscopic diagnosis is...

04-05-2021

Henoch-schonlein purpura

• Systemic vasculitis characterized by a classic tetrad of nonthrombocytopenic palpable purpura, arthritis, gastrointestinal, and renal involvement • The most common gastrointestinal complaint is abdominal pain • The...

03-05-2021

Crohn’s desease

• Dysphagia, aphthoid lesions in the mouth, epigastric pain, weight loss, nausea, and vomiting or blood loss • Endoscopic findings of skipped lesions such as aphthous ulcers, nodularity, thickening of mucosal folds, rigidity or...

03-05-2021

Pertrophic pyloric stenosis (hps)

• Most common cause of gastric outlet obstruction • Hypertrophy and hyperplasia of the muscular layers of the pylorus • Usually nonbilious vomiting at 4-8 weeks of age

03-05-2021

Lymphangiectasia (lae)

• Severe edema and multiple dilated lacteals in the proximal jejunum in infant with LAE • Primary protein-losing enteropathy • Numerous white-yellowish spots • The...

04-05-2021

Celiac sprue

• Mosaic pattern of the duodenal mucosa in the child with untreated celiac sprue • Upper endoscopy with at least 6 duodenal biopsies is considered the criterion standard to help establish a diagnosis of celiac disease

03-05-2021

Lymphoproliferative

Gastric bezoar must be included in differential diagnosis because it may simulate clinical symp- toms of malignancy, especially if a palpable mass or anemia is present. These symptoms are related to large trichobezoar, which may virtually occupy the entire stomach and...

03-05-2021

Gastric Tumors

Gastric gastrointestinal stromal tumor (GIST) with rapid growing. (A) Endoscopy didn’t detect any mass in the stomach. (B) Four years later, endoscopy showed round smooth elevated mass in gastric angle. (C, D) Enodoscopic subtumorial resection was performed. Tumor...

03-05-2021

Gastric foreign bodies

• Objects : coins ,toys, toy parts, magnets, batteries, safety pins, screws, marbles, bones, and food boluses • History: asymptomatic - symptoms at the time of the ingestion: retrosternal pain, cyanosis, or dysphagia, stuck in the...

04-05-2021

Gastric polyp

• A small hyperplastic gastric polyp is usually asymptomatic unless it is located near the pylorus, causing gastric outlet obstruction or anemia due to recurrent prolapse into the duodenal bulb. More often, a hyperplastic polyp in children is single, sessile, less...