Search

Your search keyword '"Chatoorgoon, Kaveer"' showing total 26 results
Start Over Author "Chatoorgoon, Kaveer"
26 results on '"Chatoorgoon, Kaveer"'

10. Screening Laboratory Testing in Asymptomatic Minor Pediatric Blunt Trauma Leads to Unnecessary Needle Sticks

Author

Badru, Faidah, primary, Osei, Hector, additional, Munoz-Abraham, Armando Salim, additional, Saxena, Saurabh, additional, Breeden, Robert, additional, Piening, Nicholas, additional, Starr, David, additional, Xu, Perry, additional, Greenspon, Jose, additional, Fitzpatrick, Colleen M., additional, Villalona, Gustavo A., additional, and Chatoorgoon, Kaveer, additional

Published
2019
Full Text
View/download PDF

24. Unnecessary Imaging, Not Hospital Distance, or Transportation Mode Impacts Delays in the Transfer of Injured Children

Author

Chatoorgoon, Kaveer, primary, Huezo, Karen, additional, Rangel, Erika, additional, François, Nathaly, additional, Schweer, Lynn, additional, Daugherty, Margot, additional, Koehn, Margie, additional, Ricketts, Crystal, additional, Brown, Rebeccah L., additional, Garcia, Victor F., additional, and Falcone, Richard A., additional

Published
2010
Full Text
View/download PDF

26. Redo pull-through in Hirschsprung's [corrected] disease for obstructive symptoms due to residual aganglionosis and transition zone bowel.

Author

Lawal TA, Chatoorgoon K, Collins MH, Coe A, Peña A, and Levitt MA

Subjects
Adolescent, Biopsy, Child, Child, Preschool, Diagnostic Errors, Enterocolitis pathology, Enterocolitis surgery, Female, Hirschsprung Disease diagnosis, Humans, Intestinal Obstruction diagnosis, Male, Postoperative Complications diagnosis, Postoperative Complications prevention & control, Rectum pathology, Rectum surgery, Reoperation methods, Digestive System Surgical Procedures methods, Hirschsprung Disease pathology, Hirschsprung Disease surgery, Intestinal Obstruction surgery, Postoperative Complications surgery
Abstract

Background: Reoperations in Hirschsprung disease may be required for residual aganglionosis or transition-zone bowel found at the distal pull-through. We aimed to review the management of patients who had this complication and offer suggestions on how to avoid it., Methods: Ninety-three patients with Hirschsprung disease were referred to our institution with recurrent problems after a pull-through done elsewhere. All required reoperations with a variety of indications, and of these, 25 had residual aganglionosis/transition-zone histology. This was the only indication for redo in 16 children., Results: Children (range, 2-17 years) presented 6 to 66 months after the initial pull-through. The predominant symptoms were enterocolitis (n = 9 [56%]), constipation (n = 7 [44%]), failure to thrive (n = 5 [31%]), and impaction (n = 4 [25%]). The rectal biopsy performed as part of their post pull-through work up showed hypertrophic nerves (n = 16), absent ganglion cells (n = 6), and normal ganglion cells (n = 10). The original frozen-section biopsy, determining the level of the pull-through, only sampled the seromuscular layer in 3 children, leading to misdiagnosis. Reoperations involved a transanal resection (n = 15) and a posterior sagittal approach (n = 1). In all cases, obstructive symptoms were resolved, and no patient has had recurrent enterocolitis., Conclusion: Patients' post pull-through with recurrent obstructive symptoms may have residual aganglionosis or transition-zone bowel. Reoperation can result in the resolution of these symptoms. A full-thickness biopsy at the time of the initial pull-through to include the mucosa and submucosa may increase the possibility of identifying hypertrophic nerves., (Copyright © 2011 Elsevier Inc. All rights reserved.)

Published
2011
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results