Inflammatory bowel disease (IBD) may adversely affect physical, psychological, and social well-being. Integrating patient-reported outcomes (PROs) into clinical practice is crucial for comprehensive management. To evaluate the responsiveness utility of Patient-Reported Outcomes Measurement Information System (PROMIS) instruments, compared with standard assessment tools in pediatric CD patients. A longitudinal, prospective study 31 Crohn's (CD) patients aged 8-17 years recruited from a...

This study aims to evaluate and compare the perspectives of pediatric Crohn's disease (CD) patients their parents/caregivers concerning global physical, emotional, social health as well health-related quality life (HRQQL), using both Patient-Reported Outcomes Measurement Information System (PROMIS) IMPACT III questionnaire. In a cross-sectional study, 31 dyads CD (aged 8-17 years) were recruited from an outpatient Pediatric Gastroenterology Center. Participants completed PROMIS (Global...

Morbidity related to childhood battery ingestions (BI) has increased recently due the expanding use of larger lithium cells. A prompt endoscopic removal is vital prevent severe complications in cases esophageal batteries (EB).A retrospective, descriptive study admissions for BI requiring a tertiary hospital's pediatric emergency department (Jan. 2011/Dec. 2020).We had 35 cases, with an increasing incidence last 6 years; median age, 26 m (8 m-10 years), witnessed ingestion 86%. On X-ray: 14...

Increasing evidence in adults demonstrates efficacy and safety of IV iron inflammatory Bowel disease (IBD) associated deficiency anemia; however, pediatric patients is yet scarce no previous study has included a long follow-up. This aimed to evaluate (primary end point), the need re-treatment (secondary this setting.Prospective recruitment (40 months); PCDAI determined before after treatment; anemia defined according WHO criteria; treatment sucrose ferric carboxymaltose. Primary secondary...

There is a recognized increase of lifelong surgery risk in Crohn disease (CD). Outcome data concerning children, particularly the biological era, are limited. To characterize clinical profile and outcome children adolescents with CD who underwent surgical intervention, single tertiary referral center. Retrospective, cross-sectional study, including pediatric patients undergoing intra-abdominal last 11 years. Included eight 50 total (16%); six female; median age at diagnosis 12.0 years; Paris...

This study evaluated the clinical utility of Patient-Reported Outcomes Measurement Information System (PROMIS

Bezoars are masses or concretions of indigestible materials found in the gastrointestinal tract, usually stomach. Case reports childhood gastric bezoars (particularly phytobezoars) rare. In this age group they represent a therapeutic challenge, because combination hard consistency and great size. The present report concerns an 8-year-old boy with history high fruit intake, presenting abdominal complaints due to large phytobezoar. Successful endoscopic fragmentation coupled suction removal...

Anemia is a common extraintestinal manifestation of inflammatory bowel disease (IBD), both in pediatric and adult patients. Iron deficiency the main cause anemia patients with IBD. clinically relevant comorbidity, impact on patients' quality life it should be timely diagnosed adequately treated. Currently, an active treatment approach recommended strategy, evidence showing efficacy safety intravenous iron formulations. However, age remains scarce no clinical recommendations exist for...

<title>Abstract</title> <bold>Objectives: </bold>This study evaluates the clinical utility of Patient-Reported Outcomes Measurement Information System (PROMIS®) by comparing it with objective data and validated health-related quality life (HRQOL) measures in pediatric Crohn’s disease (CD) patients. <bold>Study Design: </bold>Cross-sectional study. Pediatric CD patients (aged 8-17 years) were enrolled prospectively over eight months from an outpatient gastroenterology center. We assessed...

Este artículo se centra en los conflictos uninormativos, es decir, que tienen su origen una (y sólo una) norma jurídica. fenómeno no puede remontarse a la noción generalizada de conflicto normativo, ya normativos requieren superposición entre dos o más normas (y, por tanto, refieren únicamente denominados plurinormativos). tiene objetivos principales. Por un lado, determinar si uninormativos pueden enmarcarse concepto (necesariamente amplio) y qué manera. otro, demostrar mecanismos...

Introdução: A transplantação renal é a terapêutica de eleição na criança com doença crónica terminal, evidenciando impacto positivo sobrevida e qualidade vida dos doentes. Não é, no entanto, isenta complicações, algumas importante morbilidade. Os autores pretendem caracterizar o perfil complicações pós em doentes pediátricos (até 18 anos).Material Métodos: Análise retrospectiva submetidos seguidos Unidade Nefrologia Pediátrica entre Setembro 1995 Agosto 2010. Dados obtidos processos...

AIMS: To report a case of pharyngeal-cervical-brachial variant Guillain-Barré syndrome, which is characterized by rapidly progressive bulbar palsy with upper limb, neck and oropharyngeal involvement. It rare disorder in childhood most cases have been described adolescents.CASE DESCRIPTION: A seven year-old-boy presented dysarthria, hoarseness, dysphagia, facial diplegia bilateral limb weakness. These symptoms started two weeks after gastrointestinal infection. Nerve conduction studies were...

Introduction: Exclusive enteral nutrition (EEN) is recommended as first line therapy for mild to moderate Crohn’s disease (CD) induce remission in pediatric patients. It involves the use of a whole protein formula given exclusively six eight weeks. Aims: To report preliminary experience tertiary care center Portugal, concerning efficacy and tolerance EEN patients with CD. Materials methods: Retrospective descriptive study CD who received induction between January/2014 June/2019. Clinical...

A retrospective analysis of admissions to the pediatric emergency department that required endoscopy was performed, evaluate if changes in lifestyle and hospital practices imposed by pandemic had an impact on frequency profile endoscopy. The first 6 months (Group A) were compared with homologous period previous year B). Eight-nine cases analyzed. Most endoscopies occurred children under age two (28%) most these Group (p = 0.009). More foreign bodies removed 0.026). There no statistically...

Venomous snakebites are relatively rare in Portugal. Pediatric victims present with greater severity and at risk of fatal complications. Clinical management protocols the gold standard care worldwide. We report two cases venomous adder bites pediatric patients. Based on a literature review we also discuss clinical treatment protocol that ensures multidisciplinary updated practice by medical teams. A mordedura de ofídio venenoso é uma situação rara em Quando ocorre idade pediátrica apresenta...

Introducao: A ingestao de causticos em idade pediatrica e frequente pode associar-se a elevada morbilidade nesta faixa etaria. Este estudo pretendeu avaliar o conhecimento dos cuidadores sobre esta tematica contribuir para prevencao primaria destes acidentes. Metodos: Estudo observacional, descritivo longitudinal dirigido aos que recorreram um servico urgencia hospitalar dois centros saude junho julho 2014. Os preencheram questionario receberam folheto informativo. Resultados: Foram...