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Biomedical subjects

S Ekkelkamp

Publications and source records attributed to S Ekkelkamp.

42 records · Page 3Linked to original sources

[Anorectal abnormalities].

An insight in the genesis of anorectal abnormality, combined with a painstaking diagnostic examination leading to a justifiable, well-considered therapeutic procedure, may spell hope and better prospects to approximately 35 children that are born with this abnormality in The Netherlands each year. Subsequently, the function of the anorectoplasty has to be evaluated at regular check-ups. Coupled with a sound understanding of the defaecation mechanism, this should lead to uniformity in the treatment and sustenance of a child with anorectal abnormality, which will reduce the burden of this handicap for both parents and child to a minimum.

Anal Canal↗

Bilateral eventration of the diaphragm.

A case history is presented of a child with bilateral eventration of the diaphragm. In view of the absence of musculature and because there are no signs of neurological disorders, we would call this a bilateral congenital diaphragmatic hernia. The patient was operated upon successfully. Pathogenesis and literature of this very rare anomaly are discussed briefly.

Diaphragmatic Eventration↗

[Dyspnea caused by tracheal stricture following operative treatment of esophageal atresia].

This report describes eight children with esophageal atresia who developed 'dyspnea spells' during feeding. These spells were caused by a combination of tracheomalacia and tracheal compression. One patient in addition had a vascular ring. Common characteristics in these patients were: low birth weight, other congenital abnormalities and a short esophagus. The diagnosis was confirmed endoscopically. Operative therapy consisted of hemithymectomy and aortopexy. In six patients the symptoms disappeared completely, the two other children improved. The operation appears an effective means of dealing with severe dyspnea spells in children after correction of esophageal atresia.

Aorta, Thoracic↗

[Complications following pyloromyotomy for hypertrophic pyloric stenosis].

In this series of 114 patients with infantile hypertrofic pyloric stenosis all were treated operatively, in eight cases perforations of the mucosa occurred, seven patients were referred to us after inadequate pyloromyotomy had been performed elsewhere. They did well after an adequate pyloromyotomy at reoperation. The conclusion is that pyloromyotomy is a most rewarding treatment for IHPS, that complications are rare and if occurring, can be dealt with without any lasting harm to the patient.

Gastric Mucosa↗