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Biomedical subjects

M Carcassonne

Publications and source records attributed to M Carcassonne.

At least 55 records · Page 3Linked to original sources

[Gastric bleeding and accessory pancreas in children (author's transl)].

Discussing one case of accessory pancreas associated with gastric bleeding ulceration in a child of 3 years old the authors stress the following points: --Interest of fibroscopic exploration in bleeding period to discover the real reason of bleeding: the pancreatic tumor in the gastric wall, and the ulceration. --The possible relationship between AP and gastric bleeding, as soon as the tumor resection avoids any bleeding recurrence.

Child, Preschool↗

[Acute non-traumatic pancreatitis in childhood. Report of 9 cases (author's transl)].

The authors report 9 cases of acute non traumatic pancreatitis in children. The most common symptom in their patients is atypical abdominal pain often associated with vomiting (5 cases) and shock (4 cases). Among laboratory investigations: --High serum amylase level (average: 1 045 UI/l) is constant, associated with hypocalcemia and hyperglycemia in 3 patients. --Radiographic findings on plain film of the abdomen are diagnostic in 4 cases. --Abdominal ultrasound is the most reliable test and positive in the only patient on which performed. Among etiologies, drug induced pancreatitis is the most common (5 cases) due to combined Prednisone-L-Asparaginase (4 patients): --A duodenal ulcer and a case of choletithiasis are reported. --In 2 patients no determinant factors are found. A good response to parenteral nutrition, gastric suction and antisecretory agents is observed in 7 cases. 2 leukemic patients died shortly after the acute episode.

Acute Disease↗

[Therapeutic problems in neurological bladder in the child (author's transl)].

On the basis of a retrospective review of 116 cases of neurological bladder in children, consisting essentially of patients with spina bifida and meningomyelocoele, the authors consider their present attitude to this problem. They take a simple neurological classification as a basis, and the various forms of treatment (cutaneous ureteric transplantation, physiotherapy, divulsion, sphincterotomy, anti-reflux plastic procedures, treatment of incontinence) are reviewed in terms of method, indications and results.

Adolescent↗

Extradural hematomas in infants.

This study reports 19 cases of extradural hematomas in infants for their relative frequency in head injury of children, their clinical findings, their particular evolution and the therapeutic problems specific to this age.

Carotid Arteries↗

Long-term results in treatment of biliary atresia.

The 10-year follow-up results of operation for biliary atresia from 11 pediatric surgical clinics are evaluated; 638 cases were analyzed. The results for non-correctable biliary atresia before Kasaï's operation were uniformly bad, and even now only a very small percentage of the cases is cured.

Child↗

Reconstruction of previously diverted urinary tract in children.

We tried to reconstruct partly or completely the urinary tract in nine patients who underwent, some years before, attempts at urinary diversion, for severe urinary tract diseases, using the intestine as an ureteral or a bladder subtitute. Our aim was to do a two-stage procedure, trying to reconstruct one normal side without the use of bowel, then within 6 mo to reevaluate the reconstructed side and, if correct, to do a transureteroureterostomy from the diverted side into the reconstructed side. Two patients were operated on this way and cured. We then advanced to a more aggressive approach with a one-stage procedure. Two more patients were operated on and cured. We then attempted reconstruction in patients when the ureter was no longer available. Two patients were operated on using a tapered and reimplanted piece of small bowel in the bladder and cured. Next we came to the patients in whom neither ureter nor bladder was available. Two patients were undiverted from an ileal loop and transformed into an ureterosigmoidostomy with transureterostomy, with achievement of continence. Finally, when neither ureter, nor bladder, nor even rectum was available, one patient on hemodialysis for a nonfunctioning Duhamel rectal bladder was converted into a functioning ileal loop and freed from dialysis. Technical points are discussed, focused on a two-stage procedure with one reimplantation and a transureteroureterostomy. When a permanent diversion must be done, today, for rare indications, we prefer to perform a sigmoid conduit.

Adolescent↗