Arhiva autor

S.G. Aprodu

Latest posts by S.G. Aprodu (see all)

Articole semnate de acelasi autor in Revista Romana de Pediatrie:

The Evaluation of Prenatal Hydronephrosis and Postnatal Management

SELECT ISSUE

Revista Romana de PEDIATRIE | Volumul LXI, Nr. 3, An 2012
ISSN 1454-0398  |  e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

Indexed

DOI - Crossref
Similarity Check by iThenticate, worldwide No 1 professional plagiarism checking system
DOAJ
Ebsco Host - Medline
Google Academic
Semantic Scholar

HIGHLIGHTS

ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

The published medical research literature is a global public good. Medical journal editors have a social responsibility to promote global health by publishing, whenever possible, research that furthers health worldwide.

Partners

Partners

The Evaluation of Prenatal Hydronephrosis and Postnatal Management

, and

ABSTRACT

The prenatal ultrasound advent has markedly changed the evaluation and management of hydronephrosis. If the classical solution to hydronephrosis was the surgical correction based on the premise that pelvic dilatation means pelvic obstruction, nowadays a more conservative approch is reccomended. Even so, the great dilemma remains to differentiate the clinically significant hydronephrosis from the transient one and to choose the optimal way to manage this cases.

Key words: hydronephrosis, prenatal diagnose, ultrasound

Full text | PDF

EVALUAREA HIDRONEFROZEI ANTENATALE SI MANAGEMENTUL POSTNATAL

SELECT ISSUE

Revista Romana de PEDIATRIE | Volumul LXI, Nr. 3, An 2012
ISSN 1454-0398  |  e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

Indexed

DOI - Crossref
Similarity Check by iThenticate, worldwide No 1 professional plagiarism checking system
DOAJ
Ebsco Host - Medline
Google Academic
Semantic Scholar

HIGHLIGHTS

ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

The published medical research literature is a global public good. Medical journal editors have a social responsibility to promote global health by publishing, whenever possible, research that furthers health worldwide.

Partners

Partners

EVALUAREA HIDRONEFROZEI ANTENATALE SI MANAGEMENTUL POSTNATAL

, and

REZUMAT

Evoluţia diagnosticului prenatal a adus modificări importante în evaluarea şi managementul hidronefrozei. Dacă soluţia clasică implica intervenţie chirurgicală corectoare plecând de la premiza că dilatarea pielică înseamnă obstrucţie, în prezent abordarea conservatoare este regula. Marea provocare este reprezentată în continuare de diferenţierea hidronefrozei clinic semnificative de cea tranzitorie şi alegerea căii optime de management al acestor cazuri.

Cuvinte cheie: hidronefroză, diagnostic prenatal, ecografie

Full text | PDF

Portal hypertension in children

SELECT ISSUE

Revista Romana de PEDIATRIE | Volumul LXII, Nr. 3, An 2013
ISSN 1454-0398  |  e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

Indexed

DOI - Crossref
Similarity Check by iThenticate, worldwide No 1 professional plagiarism checking system
DOAJ
Ebsco Host - Medline
Google Academic
Semantic Scholar

HIGHLIGHTS

ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

The published medical research literature is a global public good. Medical journal editors have a social responsibility to promote global health by publishing, whenever possible, research that furthers health worldwide.

Partners

Partners

Portal hypertension in children

, and

ABSTRACT

The diagnosis and medical and surgical therapy of portal hypertension in children have suffered numerous changes over the last decades, being accompanied by an improvement in the prognosis of these patients. The etiology of portal hypertension occurrence has also undergone many changes consisting of an increase in the number of cases of hypertension of hepatic involvement, to the detriment of those with pre-hepatic involvement. This may be account for by higher rates of survival in patients suffering from conditions responsible for the occurrence of hepatic portal vein occlusion (biliary and hepatic atresia in the neonates, etc). An accurate and early diagnosis of these conditions, as well as the proper etiology and portal vein blocking site identification, will allow an accurate medical and/or surgical approach, an increase in the life quality and survival rates of these patients.

Key words: portal hypertension, Budd Chiari syndrome, hypersplenism, portal cavernoma

Full text | PDF

HIPERTENSIUNEA PORTALA LA COPIL

SELECT ISSUE

Revista Romana de PEDIATRIE | Volumul LXII, Nr. 3, An 2013
ISSN 1454-0398  |  e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

Indexed

DOI - Crossref
Similarity Check by iThenticate, worldwide No 1 professional plagiarism checking system
DOAJ
Ebsco Host - Medline
Google Academic
Semantic Scholar

HIGHLIGHTS

ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

The published medical research literature is a global public good. Medical journal editors have a social responsibility to promote global health by publishing, whenever possible, research that furthers health worldwide.

Partners

Partners

HIPERTENSIUNEA PORTALA LA COPIL

, and

REZUMAT

Diagnosticul şi tratamentul medical şi chirurgical al hipertensiunii portale la copil a cunoscut multiple modificări în ultimele decade, cu o îmbunătăţire în ceea ce priveşte prognosticul acestor pacienţi. De asemenea, etiologia apariţiei hipertensiunii portale a suferit numeroase schimbări prin creşterea proporţiei cazurilor de hipertensiune de cauză hepatică, în detrimentul celor de cauză prehepatică, datorită creşterii supravieţuirii în cazul unor afecţiuni ce sunt responsabile de apariţia obstrucţiei portale hepatice (atrezia de căi biliare, hepatite neonatale etc). Diagnosticul corect şi precoce al acestor situaţii, ca şi identificarea corespunzătoare a etiologiei şi localizării barajului portal vor duce la o abordare medicală şi/sau chirurgicală corectă, cu creşterea calităţii vieţii şi supravieţuirii acestor pacienţi.

Cuvinte cheie: hipertensiune portală, sindrom Budd Chiari, hipersplenism, cavernom portal, ciroză

Full text | PDF

COLECISTITA ACUTA ALITIAZICA LA COPIL – PREZENTARE DE CAZ

SELECT ISSUE

Revista Romana de PEDIATRIE | Volumul LXII, Nr. 4, An 2013
ISSN 1454-0398  |  e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

Indexed

DOI - Crossref
Similarity Check by iThenticate, worldwide No 1 professional plagiarism checking system
DOAJ
Ebsco Host - Medline
Google Academic
Semantic Scholar

HIGHLIGHTS

ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

The published medical research literature is a global public good. Medical journal editors have a social responsibility to promote global health by publishing, whenever possible, research that furthers health worldwide.

Partners

Partners

COLECISTITA ACUTA ALITIAZICA LA COPIL – PREZENTARE DE CAZ

, , and

REZUMAT

Colecistita acută perforată alitiazică, frecventă la adult, este o entitate rar întâlnită la copil. Simptomatologia clinică necaracteristică, aspectele imagistice frecvent neconcludente, fac ca diagnosticul de colecistită acută alitiazică să fie deseori stabilit intraoperator. Această condiţie trebuie totuşi să fie evocată în cadrul diagnosticului diferenţial al unui sindrom peritonitic la copil.

Cuvinte cheie: colecistită acută alitiazică, peritonită

Full text | PDF

ACUTE ACALCULOUS CHOLECYSTITIS WITH GALLBLADDER PERFORATION IN CHILDREN – CASE REPORT

SELECT ISSUE

Revista Romana de PEDIATRIE | Volumul LXII, Nr. 4, An 2013
ISSN 1454-0398  |  e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

Indexed

DOI - Crossref
Similarity Check by iThenticate, worldwide No 1 professional plagiarism checking system
DOAJ
Ebsco Host - Medline
Google Academic
Semantic Scholar

HIGHLIGHTS

ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

The published medical research literature is a global public good. Medical journal editors have a social responsibility to promote global health by publishing, whenever possible, research that furthers health worldwide.

Partners

Partners

ACUTE ACALCULOUS CHOLECYSTITIS WITH GALLBLADDER PERFORATION IN CHILDREN – CASE REPORT

, , and

ABSTRACT

Although relatively common in adult pathology, acute acalculous cholecystitis with gallbladder perforation is a rather infrequent entity in pediatric practice. In many cases, its unspecific clinical symptoms and the often inconclusive medical imagining results lead to the diagnosis of acute acalculous cholecystitis being set intraoperatively. Nevertheless, this condition should be considered when setting the differential diagnosis of a peritonitis syndrome in children.

Key words: acute acalculous cholecystitis, peritonitis

Full text | PDF

COMPLICATII SEVERE IN CAZUL UNEI INGESTII ACCIDENTALE DE BATERIE (PREZENTARE DE CAZ)

SELECT ISSUE

Revista Romana de PEDIATRIE | Volumul LXIII, Nr. 2, An 2014
ISSN 1454-0398  |  e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

Indexed

DOI - Crossref
Similarity Check by iThenticate, worldwide No 1 professional plagiarism checking system
DOAJ
Ebsco Host - Medline
Google Academic
Semantic Scholar

HIGHLIGHTS

ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

The published medical research literature is a global public good. Medical journal editors have a social responsibility to promote global health by publishing, whenever possible, research that furthers health worldwide.

Partners

Partners

COMPLICATII SEVERE IN CAZUL UNEI INGESTII ACCIDENTALE DE BATERIE (PREZENTARE DE CAZ)

, , , , , , and

REZUMAT

Ingestia anumitor categorii de corpi străini la copii poate provoca complicaţii periculoase şi grave, ducând la morbiditate crescută în rândul acestora. Prezentăm un caz de ingestie de baterie sub formă de disc la o fetiţă în vârstă de 2 ani, cu impactare la nivelul porţiunii superioare a esofagului cervical, extrasă în serviciul ORL, dar complicată ulterior cu fistulă traheoesofagiană şi pneumonie de aspiraţie, iar pe termen lung cu stenoză esofagiană înaltă ce a necesitat dilataţii endoscopice.

Cuvinte cheie: baterie, copil, fistulă traheo-esofagiană, stenoză esofagiană

Full text | PDF

SEVERE COMPLICATIONS OF A DISK BATTERY INGESTION (CASE REPORT)

SELECT ISSUE

Revista Romana de PEDIATRIE | Volumul LXIII, Nr. 2, An 2014
ISSN 1454-0398  |  e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

Indexed

DOI - Crossref
Similarity Check by iThenticate, worldwide No 1 professional plagiarism checking system
DOAJ
Ebsco Host - Medline
Google Academic
Semantic Scholar

HIGHLIGHTS

ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

The published medical research literature is a global public good. Medical journal editors have a social responsibility to promote global health by publishing, whenever possible, research that furthers health worldwide.

Partners

Partners

SEVERE COMPLICATIONS OF A DISK BATTERY INGESTION (CASE REPORT)

, , , , , , and

ABSTRACT

Certain categories of foreign bodys ingestion in children can cause dangerous and severe complications leading to increased morbidity rates among them. We report a case of disk battery ingestion in a 2 year old girl, with impaction in the upper cervical esophagus, extracted in otolaryngology service but complicated afterwards with tracheo-oesophageal fistula and aspiration pneumonia and by long-term effect with high esophageal stenosis that required endoscopic dilatation.

Keywords: battery, child, tracheo-esophageal fistula, esophageal stenosis

Full text | PDF

ENTEROCOLITA ULCERO-NECROTICA: DATE CLINICE SI POSIBILITATI DE TRATAMENT

SELECT ISSUE

Revista Romana de PEDIATRIE | Volumul LXIII, Nr. 4, An 2014
ISSN 1454-0398  |  e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

Indexed

DOI - Crossref
Similarity Check by iThenticate, worldwide No 1 professional plagiarism checking system
DOAJ
Ebsco Host - Medline
Google Academic
Semantic Scholar

HIGHLIGHTS

ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

The published medical research literature is a global public good. Medical journal editors have a social responsibility to promote global health by publishing, whenever possible, research that furthers health worldwide.

Partners

Partners

ENTEROCOLITA ULCERO-NECROTICA: DATE CLINICE SI POSIBILITATI DE TRATAMENT

, , , and

ABSTRACT

Obiective. Identificarea corelaţiilor între evoluţia clinică a nou-născuţilor cu enterocolita ulceronecrotică (EUN) şi stadiul de boală, factorii de risc asociaţi, respectiv tipul de tratament utilizat.

Material şi metodă. S-a realizat un studiu retrospectiv pe o perioadă de 6 ani pe baza cazuisticii Centrului Regional de Terapie Intensivă Neonatală „Cuza Voda“ şi s-au identificat 205 cazuri de enterocolită ulceronecrotică dintr-un total de 6.183 de nou-născuţi îngrijiţi aici. Bolnavii au fost împărţiţi în loturi de studiu în funcţie de vârsta de gestaţie (VG), respectiv greutatea la naştere (GN). Protocolul de analiză s-a realizat pe baza unei fişe de lucru care a cuprins datele epidemiologice ale pacienţilor, factorii de risc, tipul alimentaţiei, vârstă în momentul diagnosticului, stadiul de boală conform clasificării Bell, modalitatea de tratament (medical, chirurgical sau mixt), complicaţiile înregistrate şi evoluţia pacienţilor. Prelucrarea statistică a datelor s-a făcut utilizând programul SPSS Statistics 20.

Rezultate. Enterocolita ulceronecrotică a avut o frecvenţă de 3,3% în lotul studiat şi a fost diagnosticată la nounăscuţii prematuri în 75,6% dintre cazuri. VG medie în grupul de studiu a fost de 33 săptămâni. GN medie a fost de 1.896 g, cu 43% dintre cazuri în grupul cu greutate foarte mică la naştere (VLBW) şi 31,2% în grupul cu greutate mică la naştere (LBW). Incidenţa procentuală a factorilor de risc a fost următoarea în ordinea frecvenţei: persistenţa canalului arterial 19,5%, asfixia perinatală 13,7%, detresa respiratorie 100% dintre cazuri. 75,5% dintre cazuri au fost tratate şi externate din CRTIN, 16,6% dintre cazuri au fost transferate în Clinica de Chirurgie Pediatrică a Spitalului „Sf. Maria“ şi 3,9% au decedat la CRTIN. Din cele 34 de cazuri transferate, 19 cazuri au fost tratate chirurgical: 8 cazuri cu drenaj peritoneal (DP), 8 cazuri cu laparotomie primara (LAP) şi 3 cazuri cu LAP şi DP. Rata supravieţuirii în acest grup a fost 2,4%, iar pentru grupul cu tratament medical a fost 4,9%.

Concluzii. Prematuritatea se corelează statistic cu stadii avansate de enterocolită în momentul diagnosticului. Modalitatea de tratament chirurgical aleasă (drenaj peritoneal sau laparotomie) nu influenţează rezultatele, iar alimentaţia enterală precoce cu formula de lapte este cel mai important factor de risc pentru apariţia EUN, urmat de vârsta de gestaţie şi greutatea foarte mică la naştere.

Cuvinte cheie: enterocolită ulceronecrotică, nou-născut, posibilităţi de tratament

Full text | PDF

NEONATAL NECROTIZING ENTEROCOLITIS: CLINICAL DATA AND TREATMENT POSSIBILITIES

SELECT ISSUE

Revista Romana de PEDIATRIE | Volumul LXIII, Nr. 4, An 2014
ISSN 1454-0398  |  e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

Indexed

DOI - Crossref
Similarity Check by iThenticate, worldwide No 1 professional plagiarism checking system
DOAJ
Ebsco Host - Medline
Google Academic
Semantic Scholar

HIGHLIGHTS

ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

The published medical research literature is a global public good. Medical journal editors have a social responsibility to promote global health by publishing, whenever possible, research that furthers health worldwide.

Partners

Partners

NEONATAL NECROTIZING ENTEROCOLITIS: CLINICAL DATA AND TREATMENT POSSIBILITIES

, , , and

ABSTRACT

Objectives. The aim of this paper is to identify the correlations between the clinical evolution of the neonates with necrotizing enterocolitis (NEC) and the stage of disease, associated risk factors and the type of treatment used.

Material and methods. A 6 years retrospective study was performed based on reviewing the casuistry of the Regional Centre of Neonatal Intensive Care Unit (NICU) „Cuza Voda” and 205 cases of necrotizing enterocolitis were identified from a total number of 6183 neonates admitted there. Patients were divided in to study groups based on the gestational age (GA) and birth weight (BW). The analysis protocol was realized based on a working sheet that included the epidemiological data of the patients, the risk factors, type of nutrition, age at diagnosis, stage of disease according to Bell classification, type of treatment (medical, surgical or combined), complications and the general evolution. The statistical data processing was performed in SPSS Statistics 20 program.

Results. NEC had a frequency of 3.3% is the study group and was diagnosed in premature newborns in 75.6% of cases. The mean GA for the study group was 33 weeks. The mean BW was 1896 g with 43% of the cases in very low birth weight (VLBW) group and 31.2% in low birth weight (LBW) group. The percentage incidence of the risk factors was as follows: persistence of ductusarteriossus 19.5%, perinatal asphyxia 13.7% and respiratory distress 100% of cases. 75.5% were treated and discharged from NICU, 16.6% were transferred to Pediatric Surgery Department „Sf. Maria” and 3.9% died in NICU. From the 34 cases transferred19 cases were surgically treated: 8 cases with peritoneal drainage (PD), 8 cases with primary laparotomy (LAP) and 3 cases with PD and LAP. The survival rate in this group was 2.4% and for the medically treated group was 4.9%.

Conclusions. Prematurity is statistically correlated with encountering advanced stages of enterocolitis at the time of diagnosis. The option for surgical treatment (peritoneal drainage or laparotomy) does not influence the results and early enteral feeding with formula is the most important risk factor for NEC followed by age of gestation and very low birth weight.

Keywords: necrotizing enterocolitis, newborn, treatment possibilities

Full text | PDF