[Surgical treatment of gastroesophageal reflux by celioscopy in children].
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Biomedical subjects
Publications and source records attributed to G Terrier.
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Hypertrophic pyloric stenosis is the commonest condition requiring abdominal surgery in infancy. The Fredet-Ramstedt pyloromyotomy gives a very rare morbidity rate as shown by a review of 300 personal cases. The diagnostic value of sonography is gaining significance over contrast roentgenography, a pyloric diameter of more than 14 mm and a muscular thickness of more than 4 mm being required for the diagnosis. Over the last 18 months, we performed extramucosal pyloromyotomies using laparoscopy in 19 infants. This new surgical technique using laparoscopy with precautionary measures for the pneumoperitoneum appears to be very promising and should become a widespread technique in the future.
The intriguing historical exploration of the anatomy of the ethmoid and ethmoidal cells is described. Despite continuing research, the ethmoid remains a puzzling topic.
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The intra luminal diverticulum of the duodenum is normally detected when the patient is adult. A better knowledge of that pathology allows an early diagnosis. The observation of a child 11 years old is here related. The clinics, roentgenographic and signs are stated precisely according to the survey of the observations already publiced.
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111 patients are studied in order to find possible relations between the endoscopic images and histopathological findings in the chronic maxillary sinusitis. The clasification of the different types of sinusitis is based on the aspect of the mucosa (normoplastic, hypoplastic, polypous, polypoido-polypous) and on the histological features (lymphoplasmocytic, eosinophilic, eosino-lymphoplasmocytic infiltration, low cellularity). The confrontation of the sinusoscopic and histopathological observations give interesting information, such as differenciation between stabilized and evolutive sinusitis, simple and complicated inflammation. This information facilitates our therapeutic choice.
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