- Congenital gastrointestinal and neural anomalies
- Pelvic floor disorders treatments
- Anorectal Disease Treatments and Outcomes
- Urological Disorders and Treatments
- Intestinal Malrotation and Obstruction Disorders
- Diverticular Disease and Complications
- Esophageal and GI Pathology
- Gastrointestinal disorders and treatments
- Hernia repair and management
- Congenital Anomalies and Fetal Surgery
- Gastrointestinal motility and disorders
- Pediatric Urology and Nephrology Studies
- Sarcoma Diagnosis and Treatment
- Urinary and Genital Oncology Studies
- Congenital Diaphragmatic Hernia Studies
- Abdominal Surgery and Complications
- Pediatric Hepatobiliary Diseases and Treatments
- Airway Management and Intubation Techniques
- Pectus Deformity Diagnosis and Treatment
- Clinical Nutrition and Gastroenterology
- Congenital Heart Disease Studies
- Teratomas and Epidermoid Cysts
- Tracheal and airway disorders
- Liver Disease and Transplantation
- Ureteral procedures and complications
Hospital Universitario La Paz
2015-2025
ERNICA
2025
Comunidad de Madrid
2020-2025
ERN GUARD-Heart
2025
Temple Street Children's University Hospital
2024
Ochsner Health System
2022
Neurosciences Institute
2022
Trinity College Dublin
2022
University of California, San Francisco
2022
Global Brain Health Institute
2022
Aim of the Study mTOR inhibitors are showing promising results in management vascular anomalies. Although current controlled trials remain to be completed, many individual experiences being published. We present our series children with complex anomalies treated sirolimus. Patients and Methods A retrospective review 41 patients sirolimus between January 2011 December 2015 was performed: 15% (n = 6) had tumors (4 kaposiform hemangioendotheliomas, 1 PTEN) 85% 35) malformations (13 generalized...
Abstract Aim There is a knowledge gap regarding which patients with anorectal malformations (ARMs) are at highest risk of prolapse (AP), and factors predispose to AP in ARM. The aims the study were define frequency after ARM reconstruction, explore factors. Method Data from ARM‐Net registry inserted between 2007 2023 used. Inclusion criteria reconstruction performed, no stoma 1‐year follow‐up all data available follow‐up. statistics used univariable multivariable logistic regression models....
BackgroundMany patients with anorectal malformations (ARM) need a bowel management program (BMP) to manage lifelong problems of fecal incontinence or severe constipation. We aimed evaluate the sustainability results in such program.MethodsA single-institution retrospective review was performed children ARM who attended our BMP (2015–2019). Standardized definitions and validated tools were used assess continence (Baylor Continence Scale), constipation (Cleveland Constipation Scoring System),...
Ganglioneuroma (GN) is a benign, differentiated variety of neurogenic tumor. It often asymptomatic and may be diagnosed by serendipity. Surgical removal the treatment choice. However, it has been suggested that postoperative complications sequelae might outweigh benefits this approach. The purpose present study was to examine these issues in large experience neural tumors.Patients treated between 1992 2012 were retrospectively reviewed. Modern imaging, measurement catecholamine metabolite...
Aim Short bowel syndrome (SBS) is the leading cause of intestinal failure (IF) in pediatric population. Our aim was to review long-term outcome ultrashort (USBS) an Intestinal Rehabilitation Unit (IRU). Patients and Methods Retrospective study patients with USBS (defined as < 10 cm remnant small bowel) treated between 2000 2015. Demographic data, clinical, treatment variables including parenteral nutrition (PN), surgical techniques, transplantation (IT) were analyzed. Results Out 250...
objectives were to investigate the relations between associated anomalies and ARM types, timing of reconstructive surgery. Subjects data collectionARM patients under 18 years age treated in one ARM-Net Consortium registered registry until 1 March 2023 included.Each centre has a lead paediatric surgeon who is responsible for patient registration collection at their respective centre.Patient are de-identified pseudonymized before collection.Surgeons can only re-identify own with personal...
Abstract Introduction Reconstructive techniques for cloaca, anorectal malformations (ARM), and Hirschsprung disease (HD) may require intestinal flaps on vascular pedicles vaginal reconstruction and/or colonic pull-throughs. Visual assessment of tissue perfusion is typically the only modality used. We investigated utility intraoperative indocyanine green fluorescence angiography (ICG-FA) hypothesized that it would be more accurate than surgeon's eye. Materials Methods Thirteen consecutive...
ABSTRACT Aim This study aimed to develop a universally applicable core set of quality indicators for Hirschsprung's disease care through consensus‐driven process, standardise and improve across Europe. Methods A modified Delphi method was used achieve consensus among healthcare professionals (HPs) patient representatives (PRs) Participants completed three rounds anonymous surveys, rating care. systematic literature review informed the initial item list. Results were analysed using predefined...
Anal dilations (AD) following posterior sagittal anorectoplasty (PSARP) can have a psychological impact on patients and caregivers. We present our long-term results after changing the postoperative AD protocol to improve patient selection avoid unnecessary ADs. A retrospective study of undergoing PSARP in institution from 2018 2023 was carried out. Demographic variables, ARM types, intraoperative Hegar (IH) (PH) size 3 weeks, need for dilations, follow-up were reviewed. Protocol change...
Congenital portosystemic shunt (CPSS) is a rare entity without insufficiency in treatment issues. The aim of this article to show our experience the heterogeneity condition.A retrospective study 25 CPSS period 1995 2014 was conducted. Description morphology, clinical impact, and given.According imaging techniques (IT), apparently intrahepatic 14 patients, extrahepatic 10 mixed 1 patient. In children, IT showed hepatic portal circulation. total shunts which radiological examination performed,...