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https://www.ncbi.nlm.nih.gov/pubmed/29176474

Neonatal Jaundice

J Pediatr Gastroenterol Nutr. 2017 Nov 22. doi: 10.1097/MPG.0000000000001843. [Epub ahead of print]

Mitchell E, Ranganathan S, McKiernan P, Squires RH, Strauss K, Soltys K, Mazariegos G, Squires JE.

Abstract

BACKGROUND:
Crigler-Najjar syndrome type I (CNI) arises from biallelic variants of UGT1A1 that abrogate UGT1A1 activity resulting in unconjugated hyperbilirubinemia. Historically, liver parenchyma in CNI was considered structurally and histologically normal. Recent review of CNI liver explants revealed fibrosis. Our aim was to investigate the association between hepatic histology and disease phenotype in CNI.

METHODS:

Published on: 
Nov-2017

https://www.ncbi.nlm.nih.gov/pubmed/29187144 NAFLD

BMC Gastroenterol. 2017 Nov 29;17(1):135. doi: 10.1186/s12876-017-0677-7.

Rajindrajith S, Pathmeswaran A, Jayasinghe C, Kottahachchi D, Kasturiratne A, de Silva ST, Niriella MA, Dassanayake AS, de Silva AP, de Silva HJ.

Abstract

BACKGROUND:
Nonalcoholic fatty liver disease (NAFLD) is a common problem across the world. We aimed to determine the prevalence of NAFLD and its associations in Sri Lankan adolescents living in an urban Sri Lankan community.

METHOD:

Published on: 
Nov-2017

https://www.ncbi.nlm.nih.gov/pubmed/29176477 Portal Hypertension

J Pediatr Gastroenterol Nutr. 2017 Nov 22. doi: 10.1097/MPG.0000000000001841. [Epub ahead of print]

Adami MR, Kieling CO, Schwengber FP, Hirakata VN, Vieira SMG.

Abstract

OBJECTIVE:
Esophageal variceal bleeding is a severe complication of portal hypertension. The standard diagnostic screening test and therapeutic procedure for esophageal varices is endoscopy, which is invasive in pediatric patients. This study aimed to evaluate the role of noninvasive parameters as predictors of large varices in children with intrahepatic portal hypertension.

METHODS:

Published on: 
Nov-2017

https://www.ncbi.nlm.nih.gov/pubmed/29183422

S Afr Med J. 2017 Nov 6;107(10):12130.
Tyraskis A, Durkin N, Davenport M.

Abstract
Congenital vascular anomalies of the liver include a range of malformations of the portal venous, hepatic arterial and venous systems. Congenital portosystemic shunts and arteriovenous malformations make up the two most frequent such malformations. While infantile haemangiomas of the liver, endothelial tumours characterised by vascular proliferation should also be considered, as a proportion of them form prenatally. Evidence to support treatment strategies for these infants and children has been mainly based on small case series. In this review, we explore classification, clinical presentation, investigation and treatment strategies.

Published on: 
Nov-2017

https://www.ncbi.nlm.nih.gov/pubmed/29201126

Iran J Child Neurol. 2017 Fall;11(4):66-70.

Honar N, Shakibazad N, Serati Shirazi Z, Dehghani SM, Inaloo S.

Abstract

OBJECTIVE:
Tyrosinemia type 1 is a hereditary disorder with liver, kidney and nervous system involvement. Neurological crises can occur in tyrosinemic patients without treatment or when treatment stops. Here we report three children that developed diaphragmatic paralysis after discontinuation of nitisinone. In patients with tyrosinemia type 1, combined treatment with nitisinone and a low-tyrosine diet have prevented neurological crises. The purpose of this article was to express the importance of taking nitisinone (NTBC) for tyrosinemia diseases and risks of inadvertent discontinuation.

MATERIALS & METHODS:

Published on: 
Nov-2017

https://www.ncbi.nlm.nih.gov/pubmed/29183423
Biliary atresia

S Afr Med J. 2017 Nov 6;107(10):12131.

De Maayer T, Lala SG, Loveland J, Okudo G, Mohanlal R, Hajinicolaou C.

Abstract

BACKGROUND:
Without timely surgical intervention, most children with biliary atresia (BA) are not expected to live beyond 2 years of age. The initial intervention, the Kasai hepatoportoenterostomy (KPE), aims to achieve biliary drainage. Liver transplantation (LT) is performed if jaundice fails to clear or when biliary cirrhosis occurs. In under-resourced South African (SA) academic state hospitals, KPE procedures are the standard of care for the majority of children with BA, but LT is becoming more routinely available.

OBJECTIVES:

Published on: 
Nov-2017

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