Encontrados 10 documentos, a visualizar página 1 de 1
Pneumatosis Intestinalis in a Case of Acute Appendicitis
Vasconcelos-Castro, Sofia; Garcia, Maria; Estevão-Costa, JoséN/a.; N/a.
Annular Pancreas: Unusual Presentation of a Rare Malformation
Fortuna, Joana; Rodrigues, Ana Luisa; Amante, Sofia; Amaral, Rui; Estevão-Costa, José; Fragoso, Ana Catarina.; .
Complete Ureteral Duplication: Outcome of Different Surgical Approaches
Rodrigues, Isabel; Estevão-Costa, José; Fragoso, Ana CatarinaIntroduction: The surgical management of complete ureteral duplication anomalies is not consensual.Objective: To characterize the pediatric population who underwent surgery for complete ureteral duplication and assess the outcomes of different approaches.Material and Methods: Clinical records from patients treated between January 2008 and June 2014 were retrospectively reviewed. Epidemiology, diagnosis, clinica...
Omental Infarction: a Reappraisal of Conservative Management in Children
Estevão-Costa, José; Alvarenga, Ana Sofia; Fragoso, Ana Catarina; Garcia, Maria; Campos, MiguelIntroduction: Accurate recognition of omental infarction has resulted in increasing supporters of non-operative approach. In order to assess the efficacy and safety of conservative management, we surveyed the cases of omental infarction treated at a single institution.Material and Methods: Primary omental infarction treated between 2004 and 2011 were reviewed. Cases recognized by imaging studies were submitted ...
Artificial Nutrition in Children (I): Enteral Access
Estevão-Costa, JoséAppropriate nutritional support is crucial in the therapeutic approach of multiple conditions, which justifies the frequent and increasing use of specific access routes for enteral and parenteral nutrition. This article reviews the relevant literature concerning indications, procedures, effectiveness and complications of enteral access routes in children. The decision between gastric and postpyloric access, and...
Artificial Nutrition in Children (II): Parenteral Access
Estevão-Costa, JoséParenteral nutrition is crucial when the use of the gastrointestinal tract is not feasible. This article addresses the main techniques for parenteral access in children, its indications, insertion details and maintenance, and complications. The type of venous access is mainly dictated by the expected duration of parenteral nutrition and by the body weight/stature. The peripheral access is viable and advantageou...
Laparoscopic Surgery of Gastroesophageal Reflux in Children
Dias, Ana; Amaral, Marina; Trindade, Eunice; Dias, Jorge Amil; Campos, Miguel; Estevão-Costa, JoséIntroduction: Gastroeshophageal reflux is a common but usually innocuous condition in children. However, in the presence of Gastroeshophageal reflux disease, the surgical treatment (open or laparoscopic) may be indicated. This study aimed to evaluate the feasibility, effectiveness and safety of laparoscopic antireflux surgery (Nissen fundoplication) with emphasis in infants.Material and Methods: Children with g...
Transhiatal esophagectomy with gastric transposition for esophageal replacement...
Estevão-Costa, José; Fragoso, Ana Catarina; Campos, Miguel; Trindade, Eunice; Amil-Dias, JorgeDespite potential advantages of gastric transposition there are some concerns about this surgical technique of esophageal substitution in children. In the current study the morbidity and functional outcome are surveyed in a series of patients undergoing gastric transposition due to extensive post-corrosive esophageal strictures.Retrospective analysis of children proposed for esophageal replacement from Septembe...
Training in pediatric surgery.
Estevão-Costa, JoséSpecialty training is an essential stage in the educational process of a pediatric surgeon. To result in integral formation of a competent professional, the planning of curriculum programme should take into account not only the content, but also the methods, organization, setting and trainees profile. The focus should be placed in the establishment and assessment of criteria for recognition, i.e. accreditation,...
Antenatal vitamin A administration attenuates lung hypoplasia by interfering wi...
Baptista, Maria J.; Rocha, Gustavo Filipe Melo Alves; Pedrosa, Carla; Gonzaga, Sílvia; Teles, Antónia; Estevão-Costa, José; Areias, José C.Early and late lung underdevelopment in congenital diaphragmatic hernia (CDH) is likely caused by nonmechanical (directly mediated by nitrofen) and mechanical (mediated by thoracic herniation) factors, respectively. The authors investigated if vitamin A enhances lung growth because of effects on both early and late determinants of lung hypoplasia. Background/Purpose Early and late lung underdevelopment in conge...