• Although uncommon and seldom experienced, intestinal perforation is a well-known complication of Hirschsprung's disease (HD). (springeropen.com)
  • We present a combination technique composed of tangential cecostomy at the perforated portion and postoperative care with a transanal indwelling tube, which was used in the treatment of a 3-day-old boy with cecal perforation with long-segment Hirschsprung's disease. (springeropen.com)
  • We review the Japanese literature and emphasize the usefulness of this combination technique by blowhole tangential cecostomy and transanal tube insertion for neonatal cecal perforation in patients with HD in today's early definitive operation era. (springeropen.com)
  • The authors herein report a case of cecal perforation in a 3-day-old male neonate with HD who was successfully treated with a temporary tangential cecostomy on the perforated site and management with an indwelling transanal tube, which enabled stable postoperative care followed by a definitive operation at 1 month of age. (springeropen.com)
  • This case is reported to highlight this surgical strategy of choice for cecal perforation in neonates with HD, which is especially useful in the earlier definitive operation era. (springeropen.com)
  • During laparotomy, perforation at the lateral cecal wall was detected with panperitoneal purulent ascites (Fig. 2 ). (springeropen.com)
  • Using a multicenter database in Korea, Lee and colleagues investigated the clinical characteristics of colonic pseudo-obstruction (CPO) and the factors associated with the response to medical treatment and found that younger age at the time of diagnosis, abdominal distention as a chief complaint, and greater cecal diameter were independently associated with poor responses to medical treatment. (medscape.com)
  • Echinacea angustifolia is well studied, commonly utilized world-wide as a preventative or remedy for the common cold, and has great potential as a therapeutic agent in many disease modalities. (iastate.edu)
  • Although oral 5-ASA preparations are commonly used, adult meta-analyses suggest that these preparations do not have a clinically important treatment effect on active Crohn disease and are not superior to placebo for the maintenance of remission in Crohn disease. (medscape.com)
  • Patients with mild disease are treated with preparations of 5-aminosalicylic acid (5-ASA), antibiotics, and nutritional therapy. (medscape.com)
  • Adolescents with CD (including those with mildly to moderately active or inactive disease) have a nutritional risk, which makes it important to conduct nutritional assessments in such patients. (biomedcentral.com)
  • [ 20 ] A dramatic reversal of malnutrition and a change in growth velocity can be expected in all children treated with adequate nutrition in conjunction with medical therapy to control symptoms of Crohn disease. (medscape.com)
  • 2,3) As mentioned previously, turkeys suffer from a much higher mortality rate than chickens, with the latter being better able to control the disease but still suffering decreased productivity. A recent publication showed that chickens mount a more effective innate immune response to H. meleagridis in the ceca than do turkeys resulting in better control of parasite numbers in chickens. (askjpc.org)
  • Like other nutraceutical, E. angustifolia is documented anecdotally to cure or reduce symptoms related to countless maladies and diseases without sound scientific proof. (iastate.edu)
  • If no response occurs or if the disease is more severe than was initially thought, corticosteroid and immunomodulatory therapy with 6-mercaptopurine (6-MP) or methotrexate (MTX) is attempted. (medscape.com)