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Costaguta G, Costaguta A, Álvarez F. Agenesis of the gallbladder: A multicenter case series and review of the bibliography. ARCH ARGENT PEDIATR 2024; 122:e202310246. [PMID: 38656883 DOI: 10.5546/aap.2023-10246.eng] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/26/2024]
Abstract
Gallbladder agenesis is a rare condition in pediatrics that is usually asymptomatic and represents a diagnostic challenge for physicians seeing these cases for the first time. Some patients may, however, present with symptoms that mimic other diseases of the bile ducts, and many of them undergo surgery due to such suspicion. Still, a timely diagnosis of gallbladder agenesis allows for medical treatment that is often sufficient to resolve the patient's problem. Although it is a benign condition, patients often present with other associated, more serious malformations and should be actively studied for a timely referral to other specialists. Here we describe our experience with the diagnosis and treatment of these patients and a brief review of the bibliography. We hope it will be helpful for physicians facing similar cases.
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Affiliation(s)
- Guillermo Costaguta
- Department of Pediatric Gastroenterology, Hepatology, and Nutrition, CHU Mère-enfant Sainte-Justine de Montréal, Montreal, Canada
| | - Alejandro Costaguta
- Department of Hepatology and Liver Transplantation, Sanatorio de Niños de Rosario, Rosario, Argentina
| | - Fernando Álvarez
- Department of Pediatric Gastroenterology, Hepatology, and Nutrition, CHU Mère-enfant Sainte-Justine de Montréal, Montreal, Canada
- Department of Pediatrics of University of Montreal, Montreal, Canada
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2
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D'Agostino D, Leta K, de Cunto C, Contreras M, Costaguta A, Furnes R, Lande H, Mulli V, Novoa JJ, Vallejos P. [Transition in chronic gastrointestinal diseases. From pediatric to adult care]. ARCH ARGENT PEDIATR 2023; 121:e202202933. [PMID: 37191634 DOI: 10.5546/aap.2022-02933] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/17/2023]
Abstract
Technological advances and the globalization of knowledge have led to a considerable increase in the number of patients with chronic gastrointestinal disease who transition from pediatric to adult care during one of the most vulnerable life stages: adolescence. The Transition Working Group of the Gastroenterology Committee of the Sociedad Argentina de Pediatría conducted an exhaustive literature search and summoned leading specialists in the most frequent chronic pathologies from all over the country to unify criteria based on evidence and experience. As a result, a series of recommendations are proposed for the whole health team (pediatrician, pediatric gastroenterologist, nutritionist, adult gastroenterologist, psychologist, and nurse) including patients and families, to facilitate the transition process, optimize follow-up, prevent complications, and improve the quality of life of patients with chronic gastrointestinal diseases.
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Affiliation(s)
- Daniel D'Agostino
- Comité de Gastroenterología, Sociedad Argentina de Pediatría, Ciudad Autónoma de Buenos Aires, Argentina
| | - Karina Leta
- Comité de Gastroenterología, Sociedad Argentina de Pediatría, Ciudad Autónoma de Buenos Aires, Argentina
| | - Carmen de Cunto
- Grupo de Trabajo de Reumatología, Subcomisión de Humanidades, Sociedad Argentina de Pediatría, Ciudad Autónoma de Buenos Aires, Argentina
| | - Mónica Contreras
- Comité de Gastroenterología, Sociedad Argentina de Pediatría, Ciudad Autónoma de Buenos Aires, Argentina
| | - Alejandro Costaguta
- Comité de Gastroenterología, Sociedad Argentina de Pediatría, Ciudad Autónoma de Buenos Aires, Argentina
| | - Raquel Furnes
- Comité de Gastroenterología, Sociedad Argentina de Pediatría, Ciudad Autónoma de Buenos Aires, Argentina
| | - Hilda Lande
- Unidad de Fibrosis Quística. Hospital de Niños Víctor J. Vilela. Rosario, Argentina
| | - Valeria Mulli
- Grupo de Trabajo de Sexualidad y Diversidad de Género, Sociedad Argentina de Pediatría, Ciudad Autónoma de Buenos Aires, Argentina
| | - Juan J Novoa
- Comité de Gastroenterología, Sociedad Argentina de Pediatría, Ciudad Autónoma de Buenos Aires, Argentina
| | - Patricia Vallejos
- Comité de Gastroenterología, Sociedad Argentina de Pediatría, Ciudad Autónoma de Buenos Aires, Argentina
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3
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Costaguta G, Costaguta A, Lipsich J, Oxilia HG, Álvarez F. Congenital syphilis and hepatic infarction, a not previously reported association. A pediatric case report. ARCH ARGENT PEDIATR 2023:e202202719. [PMID: 36706010 DOI: 10.5546/aap.2022-02719.eng] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
Congenital syphilis is caused by Treponema pallidum infection of the fetus during pregnancy. Symptoms are variable. While endothelial damage is common, it is not usually present in congenital cases. Here we report the case of a 42-day-old infant hospitalized due to an abdominal mass. Imaging studies confirmed the presence of an injury in the left lobe of the liver without mass effect. Biopsies showed changes compatible with infarction and neonatal hepatitis. The patient's and his mother's serologies confirmed the diagnosis of congenital syphilis, and he was treated with intravenous penicillin. The liver is protected from ischemic injury by its double irrigation, but the accumulation of harmful agents may have caused this unusual presentation. Three months later, the patient was symptom-free, and the control MRI showed atrophy of the left lobe, while the rest of the parenchyma was unchanged.
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Affiliation(s)
- Guillermo Costaguta
- Department of Pediatric Gastroenterology, Hepatology, and Nutrition, Centre Hospitalier Universitaire Mère-Enfant SainteJustine, Montreal, Canada
| | - Alejandro Costaguta
- Unit of Liver and Liver Transplantation, Sanatorio de Niños, Rosario, Argentina
| | - José Lipsich
- Department of Imaging Studies, Hospital de Pediatría S.A.M.I.C. Prof. Dr. Juan P. Garrahan, City of Buenos Aires, Argentina
| | - Héctor G Oxilia
- Department of Imaging Studies, Sanatorio de Niños, Rosario, Argentina
| | - Fernando Álvarez
- Department of Pediatric Gastroenterology, Hepatology, and Nutrition, Centre Hospitalier Universitaire Mère-Enfant SainteJustine, Montreal, Canada
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Acosta J, Galimberti A, Marziali F, Costaguta A, Bessone F, Tanno H, Gardiol D, Reggiardo MV, Cavatorta AL. Zoonotic transmission of hepatitis E virus in a pig farmer from Argentina: A case report. Zoonoses Public Health 2021; 69:235-241. [PMID: 34941019 DOI: 10.1111/zph.12902] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2021] [Revised: 11/05/2021] [Accepted: 12/02/2021] [Indexed: 11/26/2022]
Abstract
Hepatitis E virus (HEV) is a public health concern due to its zoonotic transmission to human, being pigs a highly recognized reservoir. We previously demonstrated HEV genotype 3 infections in pig herds from the highest commercial active region from Argentina. Here, we present a case of acute symptomatic hepatitis E in an elderly man with occupational exposure to pigs who referred regular consumption of pork and sausages. HEV infection in this patient was demonstrated by serological methods, as well as by HEV RNA detection in serum and stool samples using the HEV/MS2 duplex RT-qPCR, formerly optimized in our laboratory. We further detected HEV RNA in pig faeces from the patient´s farm. To confirm the potential role of swine in the transmission, we performed a phylogenetic analysis of all HEV RNA derived from both, the patient and the pig samples. A 303 nt region within the HEV 5 'ORF2 was amplified by nested RT-PCR and subsequently sequenced. Phylogenetic analysis showed that the strains isolated from the farmer and from his pigs presented a nucleotide identity of 100%. These results support the zoonotic transmission of circulating HEV strains and confirm this epidemiological association for the first time in Argentina.
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Affiliation(s)
- Julián Acosta
- Facultad de Ciencias Bioquímicas y Farmacéuticas, Instituto de Biología Molecular y Celular de Rosario-CONICET, Universidad Nacional de Rosario, Rosario, Argentina
| | - Alceo Galimberti
- Facultad de Medicina, Hospital Provincial del Centenario, Universidad Nacional de Rosario, Rosario, Argentina
| | - Federico Marziali
- Facultad de Ciencias Bioquímicas y Farmacéuticas, Instituto de Biología Molecular y Celular de Rosario-CONICET, Universidad Nacional de Rosario, Rosario, Argentina
| | | | - Fernando Bessone
- Facultad de Medicina, Hospital Provincial del Centenario, Universidad Nacional de Rosario, Rosario, Argentina
| | - Hugo Tanno
- Facultad de Medicina, Hospital Provincial del Centenario, Universidad Nacional de Rosario, Rosario, Argentina
| | - Daniela Gardiol
- Facultad de Ciencias Bioquímicas y Farmacéuticas, Instituto de Biología Molecular y Celular de Rosario-CONICET, Universidad Nacional de Rosario, Rosario, Argentina
| | - María Virginia Reggiardo
- Facultad de Medicina, Hospital Provincial del Centenario, Universidad Nacional de Rosario, Rosario, Argentina
| | - Ana Laura Cavatorta
- Facultad de Ciencias Bioquímicas y Farmacéuticas, Instituto de Biología Molecular y Celular de Rosario-CONICET, Universidad Nacional de Rosario, Rosario, Argentina
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Mendizabal M, Dip M, Demirdjian E, Lauferman L, Lopez S, Minetto J, Costaguta A, Rumbo C, Malla I, Sanchez MC, Halac E, Cervio G, Cuarterolo M, Galoppo M, Imventarza O, Bisgniano L, D'Agostino D, Rubinstein F. Changing Etiologies and Prognostic Factors in Pediatric Acute Liver Failure. Liver Transpl 2020; 26:268-275. [PMID: 31606931 DOI: 10.1002/lt.25658] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/02/2019] [Accepted: 09/29/2019] [Indexed: 02/07/2023]
Abstract
After the implementation of universal hepatitis A virus vaccination in Argentina, the outcome of pediatric acute liver failure (PALF) remains unknown. We aimed to identify variables associated with the risk of liver transplantation (LT) or death and to determine the causes and short-term outcomes of PALF in Argentina. We retrospectively included 135 patients with PALF listed for LT between 2007 and 2016. Patients with autoimmune hepatitis (AIH), Wilson's disease (WD), or inborn errors of metabolism (IEM) were classified as PALF-chronic liver disease (CLD), and others were classified as "pure" PALF. A logistic regression model was developed to identify factors independently associated with death or need of LT and risk stratification. The most common etiologies were indeterminate (52%), AIH (23%), WD (6%), and IEM (6%). Overall, transplant-free survival was 35%, whereas 50% of the patients underwent LT and 15% died on the waiting list. The 3-month risk of LT or death was significantly higher among patients with pure PALF compared with PALF-CLD (76.5% versus 42.5%; relative risk, 1.8 [1.3-2.5]; P < 0.001), and 3 risk factors were independently associated with worse outcome: international normalized ratio (INR) ≥3.5 (odds ratio [OR], 3.1; 95% confidence interval [CI], 1.3-7.2]), bilirubin ≥17 mg/dL (OR, 4.4; 95% CI, 1.9-10.3]), and pure PALF (OR, 3.8; 95% CI, 1.6-8.9). Patients were identified by the number of risk factors: Patients with 0, 1, or ≥2 risk factors presented a 3-month risk of worse outcome of 17.6%, 36.6%, and 82%, respectively. In conclusion, although lacking external validation, this simple risk-staging model might help stratify patients with different transplant-free survival rates and may contribute to establishing the optimal timing for LT.
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Affiliation(s)
- Manuel Mendizabal
- Hepatology and Liver Transplant Unit, Hospital Universitario Austral, Pilar, Argentina
| | | | | | | | | | | | | | | | - Ivone Malla
- Hepatology and Liver Transplant Unit, Hospital Universitario Austral, Pilar, Argentina.,Hospital Garrahan, Buenos Aires, Argentina
| | - María Camila Sanchez
- Pediatric Gastroenterology and Hepatology Division, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | | | | | | | - Marcela Galoppo
- Hospital de Niños Dr. Ricardo Gutiérrez, Buenos Aires, Argentina
| | | | - Liliana Bisgniano
- Instituto Nacional Central Unico Coordinador de Ablación e Implante, Buenos Aires, Argentina
| | - Daniel D'Agostino
- Pediatric Gastroenterology and Hepatology Division, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
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6
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Marziali F, Acosta J, Bolatti E, Mirazo S, Skejich P, Silva P, Brassard J, Costaguta A, Gardiol D, Cavatorta AL. Detection of HEV in naturally infected swine from central Argentina by an optimized HEV/MS2 duplex RT-qPCR. Zoonoses Public Health 2019; 66:729-738. [PMID: 31259469 DOI: 10.1111/zph.12620] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2019] [Revised: 05/17/2019] [Accepted: 06/01/2019] [Indexed: 12/27/2022]
Abstract
Hepatitis E virus (HEV) is currently considered as a global health concern due to the recognition of its zoonotic transmission to humans, mainly from swine, and its association with the development of severe cases of hepatitis in human risk populations. The lack of updated data on HEV state of infection in swineherds of Argentina, and the necessity of robust technologies for its detection in complex biological samples, positions HEV as an emerging issue in public health. Here, we have optimized a RT-qPCR with internal control for a more precise and accurate HEV RNA detection in swine stool samples. We implemented this optimized molecular tool to analyse the current epidemiological scenario of HEV infection in swine from the core region of commercial activity of Argentina. A total of 135 stool samples were collected from 16 different farms and tested for HEV presence, resulting in 11 positive cases (8.1%). Phylogenetic analysis demonstrated that all of them correspond to HEV genotype 3 and that different subtypes circulate in the region. Moreover, two of the detected strains presented a high nucleotide similarity with a previously identified isolate from human sewage discharges, suggesting the zoonotic transmission of HEV to humans. Collectively, this work provides a better understanding of HEV epidemiology in Argentina while contributes to the improvement of HEV detection technologies.
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Affiliation(s)
- Federico Marziali
- Facultad de Ciencias Bioquímicas y Farmacéuticas, Instituto de Biología Molecular y Celular de Rosario-CONICET, Universidad Nacional de Rosario, Rosario, Argentina
| | - Julian Acosta
- Facultad de Ciencias Bioquímicas y Farmacéuticas, Instituto de Biología Molecular y Celular de Rosario-CONICET, Universidad Nacional de Rosario, Rosario, Argentina
| | - Elisa Bolatti
- Facultad de Ciencias Bioquímicas y Farmacéuticas, Instituto de Biología Molecular y Celular de Rosario-CONICET, Universidad Nacional de Rosario, Rosario, Argentina
| | - Santiago Mirazo
- Sección Virología, Facultad de Ciencias, Universidad de la República, Montevideo, Uruguay
| | - Patricia Skejich
- Cátedra de Intr. A los Sistemas de Producción Agropecuarios, Facultad de Ciencias Agrarias, Universidad Nacional de Rosario, Zavalla, Argentina
| | - Patricia Silva
- Cátedra de Nutrición Animal, Facultad de Ciencias Agrarias, Universidad Nacional de Rosario, Zavalla, Argentina
| | - Julie Brassard
- Saint-Hyacinthe Research and Development Centre, Agriculture and Agri-Food Canada, Quebec, Quebec, Canada
| | - Alejandro Costaguta
- Servicio de Gastroenterología y Hepatología, Sanatorio de Niños/Fundación Dr. J.R.Villavicencio, Rosario, Argentina
| | - Daniela Gardiol
- Facultad de Ciencias Bioquímicas y Farmacéuticas, Instituto de Biología Molecular y Celular de Rosario-CONICET, Universidad Nacional de Rosario, Rosario, Argentina
| | - Ana Laura Cavatorta
- Facultad de Ciencias Bioquímicas y Farmacéuticas, Instituto de Biología Molecular y Celular de Rosario-CONICET, Universidad Nacional de Rosario, Rosario, Argentina
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7
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Gondolesi GE, Bitetti L, Rumbo C, Sueiras I, Lobos FD, Lieber G, Oxilia H, Villavicencio R, Costaguta A, Barros Schelotto P. Pediatric living donor liver transplant in a recipient with biliary atresia and portal vein duplication-How did we manage it? Pediatr Transplant 2019; 23:e13356. [PMID: 30676683 DOI: 10.1111/petr.13356] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/08/2018] [Accepted: 12/17/2018] [Indexed: 11/30/2022]
Abstract
Portal vein malformations might occur during the embryonic period, as a consequence of abnormal remodeling of vitelline veins during embryonic life. Patients suffering from biliary atresia are particularly prone to have vascular malformations; although being the most frequent indication for liver transplantation in the pediatric age, portal vein duplication has not been so far associated with biliary atresia, and to the best of our knowledge, there is no-written evidence describing how to manage it when it is first diagnosed while performing a pediatric liver transplant. Therefore, we present a recent case from our group, describing the intraoperative diagnosis of a double portal system in a patient with biliary atresia and failed Kasai. We aim to describe its surgical management, understanding that it is a real challenge to find them unexpectedly during the surgical procedure in the setting of cirrhosis and portal hypertension, particularly in small patients; therefore, by reporting this case, we aim to make readers aware about the chance of finding it, and how to managed it, to include this approach as part of the surgical armamentarium.
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Affiliation(s)
- Gabriel E Gondolesi
- Unidad de Trasplante Hepático, Hospital Universitario Fundación Favaloro, Buenos Aires, Argentina
| | - Lisandro Bitetti
- Unidad de Trasplante Hepático, Sanatorio de Niños, Grupo Oroño, Rosario, Argentina
| | - Carolina Rumbo
- Unidad de Trasplante Hepático, Hospital Universitario Fundación Favaloro, Buenos Aires, Argentina
| | - Ines Sueiras
- Unidad de Trasplante Hepático, Sanatorio de Niños, Grupo Oroño, Rosario, Argentina
| | - Fernando David Lobos
- Unidad de Trasplante Hepático, Hospital Universitario Fundación Favaloro, Buenos Aires, Argentina
| | - Gonzalo Lieber
- Unidad de Trasplante Hepático, Sanatorio de Niños, Grupo Oroño, Rosario, Argentina
| | - Héctor Oxilia
- Unidad de Trasplante Hepático, Sanatorio de Niños, Grupo Oroño, Rosario, Argentina
| | | | - Alejandro Costaguta
- Unidad de Trasplante Hepático, Sanatorio de Niños, Grupo Oroño, Rosario, Argentina
| | - Pablo Barros Schelotto
- Unidad de Trasplante Hepático, Hospital Universitario Fundación Favaloro, Buenos Aires, Argentina
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8
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Pais AB, Candarle P, Ferrer M, Costaguta A, Tabacco O. [Colorectal adenocarcinoma in a 5 year old girl]. ARCH ARGENT PEDIATR 2015; 113:e333-5. [PMID: 26593811 DOI: 10.5546/aap.2015.e333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2015] [Accepted: 07/02/2015] [Indexed: 11/12/2022]
Abstract
Colorectal adenocarcinoma is exceptional in children, generally diagnosed in advanced stages, with worse prognosis. We report the case of a 5 year old girl with isolated hematochezia lasting two months without other findings, in whom a colorectal adenocarcinoma was confirmed by colonoscopy. Staging revealed localized disease, extending to perisigmoid fat and a few adjacent ganglia. She was treated by laparoscopic resection and adjuvant chemotherapy, being free of disease at 21 moths of follow-up.
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Affiliation(s)
- Alejandro B Pais
- Servicio de Gastroenterologia, Hepatología y Nutrición, Sanatorio de Niños
| | - Pablo Candarle
- Servicio de Gastroenterologia, Hepatología y Nutrición, Sanatorio de Niños
| | - Marisol Ferrer
- Servicio de Anatomía Patológica, Sanatorio Parque, Rosario, Santa Fe, Argentina
| | | | - Omar Tabacco
- Servicio de Anatomía Patológica, Sanatorio Parque, Rosario, Santa Fe, Argentina
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Abstract
Autoimmune hepatitis is a severe liver disease in which ~10% of patients do not respond to standard treatment. We describe a new rescue therapy using anti-CD20 monoclonal antibodies (rituximab). Complete remission was obtained and maintained by using low doses of immunosuppressive drugs with repeated anti-CD20 infusions.
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Affiliation(s)
- Daniel D'Agostino
- Pediatric Gastroenterology-Hepatology Division, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
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11
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Costaguta A, Alvarez F. [Portal hypertension in pediatrics: II: Hemorrhagic complications]. ARCH ARGENT PEDIATR 2010; 108:337-42. [PMID: 20672192 DOI: 10.1590/s0325-00752010000400008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2010] [Accepted: 04/12/2010] [Indexed: 11/22/2022]
Abstract
Bleeding from esophageal varices is the most severe complication of portal hypertension, and should be managed in specially trained centers. Vasoactive drugs, mainly octreotide, plus endoscopic treatment are able to control bleeding in 90% of the cases. Rescue treatments like TIPS and surgery should be immediately available for those who do not stop bleeding or have varices difficult to manage.
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Affiliation(s)
- Alejandro Costaguta
- Unidad de Hígado y Trasplante Hepático, Sanatorio de Niños, Rosario, Argentina.
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12
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Costaguta A, Alvarez F. [Portal hypertension in pediatrics. I: pathophysiology and clinical aspects]. ARCH ARGENT PEDIATR 2010; 108:239-242. [PMID: 20544139 DOI: 10.1590/s0325-00752010000300010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2010] [Accepted: 04/19/2010] [Indexed: 05/29/2023]
Abstract
Portal hypertension causes serious and life-threatening complications. It is produced by increased resistance to blood flow through the portal axis, with a gradient to inferior vena cava higher than 5 mmHg. When this is 10 to 12 mmHg there is risk of bleeding from esophageal varices. In pediatric patients two different models exist: prehepatic (without liver disease), and intrahepatic (with liver disease), with different etiologies and prognosis. Doppler ultrasound, and liver function tests allow the distinction between them. Pediatricians should learn to recognize accurately the syndrome in order to approach the patients in a timely manner.
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Affiliation(s)
- Alejandro Costaguta
- Unidad de Hígado y Trasplante Hepático, Sanatorio de Niños, Rosario, Argentina.
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13
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Galoppo MC, D'Agostino D, Costaguta A. [Prevalence and natural history]. Acta Gastroenterol Latinoam 2005; 35 Suppl 1:S32-S33. [PMID: 20214294] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
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14
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Olives JP, Bontems P, Costaguta A, Fritscher-Ravens A, Gilger M, Narkewickz M, Ni YH, Spolidoro J, Thomson M. Advances in endoscopy and other diagnostic techniques: Working Group report of the second World Congress of Pediatric Gastroenterology, Hepatology, and Nutrition. J Pediatr Gastroenterol Nutr 2004; 39 Suppl 2:S589-95. [PMID: 15184757 DOI: 10.1097/00005176-200406002-00003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
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15
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Affiliation(s)
- S Fuster
- Gastroenterology Center, Sanatorio de Niños, Rosario, Argentina
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