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Gastroenterology

Parenteral nutrition

20 Jan, 08 | by Ian Wacogne

96 children were identified as being on long term parenteral nutrition in one UK region - West Yorkshire - with favourable outcomes noted.  Here.

Cystic Fibrosis

8 Oct, 07 | by Ian Wacogne

In analysis of 315 children diagnosed with cystic fibrosis at one week via screening, a subgroup with severe mutations developed pancreatic insufficiency over time.  Here.

ACE washouts

8 Oct, 07 | by Ian Wacogne

In a double blind, crossover trial in four children undergoing anterograde continence enema (ACE) washouts, water and twice normal saline caused electrolyte disturbances, whereas normal saline did not.  Here.

Prognostic factors in liver failure

8 Oct, 07 | by Ian Wacogne

In a retrospective chart review of 210 Argentinian children with liver failure, the King’s College criteria were sensitive and specific in predicting outcome. Here.

Rotavirus immunisation

8 Oct, 07 | by Ian Wacogne

An economic analysis of rotavirus infection in Hong Kong concludes that if the cost of the immunisation were between US$40 and 92, then it would be cost effective.  Here.

Abdominal Pain

12 Sep, 07 | by Ian Wacogne

In a prospective study of 1411 young people aged 11 to 14, 22% developed abdominal pain at one year which persisted to 4 years, with previous somatic symptom reporting being a predictor. Here.

Crohn’s Disease

29 Aug, 07 | by BMJ Group

A more palatable alertnative to liquid diet, polymeric feed, didn’t improve adherence to diet, but did reduce the need for nasogastric feeds.  Here.

Isolated raised aminotransferases

1 Aug, 07 | by BMJ Group

In a series of 72 infants investigated and followed because of raised isolated aminotransferases, no further causes were found after baseline investigation and most resolved spontaneously after a year. Here.

Constipation

1 Aug, 07 | by BMJ Group

51 children with chronic constipation were randomised to polyethylene glycol 3350 plus electrolytes or placebo, with a crossover design and washout period. The treatment group had fewer constipation symptoms and no increase in side effects. Here.

Cyclical Vomiting Syndrome

11 Jul, 07 | by BMJ Group

In follow up of a series of 41 children with cyclical vomiting syndrome, 60% reported resolution of vomiting, many within weeks of the diagnosis. Somatic symptoms were common in children with and without vomiting. Here

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