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Journal of Tropical Pediatrics Aug 2019The study was conducted to determine the correlation between infantile colic and maternal breastfeeding self-efficacy, breastfeeding success and breast milk amount.
AIM
The study was conducted to determine the correlation between infantile colic and maternal breastfeeding self-efficacy, breastfeeding success and breast milk amount.
MATERIALS AND METHODS
This descriptive study included 154 mothers, with infants of age between 3 weeks and 6 months who were diagnosed with infantile colic and who were admitted to the paediatric outpatient clinics of a hospital located in northern Turkey.
RESULT
A negative correlation was found between 'parent-infant interaction + problem infant' and 'immature gastrointestinal system' subscales of the Infantile Colic Scale (ICS) and the total mean scores of mothers on the Breastfeeding Self-Efficacy Scale. In addition, correlation analysis showed a statistically significant negative correlation between mean scores of mothers in breastfeeding success and subscale and total mean scores of ICS.
CONCLUSION
The breastfeeding self-efficacy and breastfeeding success is low in mothers of infants with infantile colic.
Topics: Adult; Breast Feeding; Colic; Female; Food Hypersensitivity; Humans; Infant; Infant, Newborn; Male; Milk, Human; Mothers; Self Efficacy; Turkey
PubMed: 30137617
DOI: 10.1093/tropej/fmy054 -
Archivos Argentinos de Pediatria Oct 2022Functional gastrointestinal disorders (FGIDs) are characterized by symptoms attributable to the gastrointestinal tract that cannot be explained by the presence of... (Review)
Review
Functional gastrointestinal disorders (FGIDs) are characterized by symptoms attributable to the gastrointestinal tract that cannot be explained by the presence of structural or biochemical abnormalities. During the first year of life, FGIDs can cause great discomfort in infants and concern in their parents. The diagnosis of FGIDs is based on clinical criteria determined by experts and on a comprehensive case-taking process and physical exam to rule out organic causes. The objective of this update is to describe strategies for the management of the most frequent FGIDs during the first year of life: colics, regurgitations, dyschezia, and constipation, in light of new pathophysiological insights, to avoid unnecessary tests and medications.
Topics: Colic; Constipation; Gastrointestinal Diseases; Humans; Infant; Prevalence; Vomiting
PubMed: 36190220
DOI: 10.5546/aap.2022.eng.346 -
Equine Veterinary Journal Sep 2022Standing flank laparotomy can be an alternative to ventral midline laparotomy in horses with colic. Standing flank laparotomy avoids general anaesthesia, provides...
BACKGROUND
Standing flank laparotomy can be an alternative to ventral midline laparotomy in horses with colic. Standing flank laparotomy avoids general anaesthesia, provides excellent access to some regions of the abdominopelvic cavity and costs less than ventral midline laparotomy.
OBJECTIVE
To report a series of cases of peritoneal and intestinal diseases other than SC diseases managed with standing flank laparotomy.
STUDY DESIGN
Retrospective case series.
METHODS
Records from equids with colic subjected to standing flank laparotomy at five hospitals (2003-2020) were reviewed. Descriptive data analysis was performed.
RESULTS
Thirty horses (sixteen survived to discharge), six ponies (four survived) and one donkey (euthanised) were subjected to standing flank laparotomy via the left flank (n = 31), right flank (n = 2) or both flanks (n = 4). The primary disease affected the peritoneum (0/5 survived), SI (5/9 survived) and caecum and/or LC (15/23 survived). Enterotomy was performed in four animals (all survived). Partial typhlectomy was performed in one horse (euthanised). Resection-anastomosis of the SI or LC was performed in three animals (one survived). Three animals had intraoperative complications that negatively affected the outcome: Two ponies had intolerance to abdominopelvic exploration; one mare had spontaneous exteriorisation of a long segment of the SI leading to a large tear in the mesentery. In seven cases, severe/extensive lesions found during standing flank laparotomy warranted immediate euthanasia. The survival rate was 54%. All owners were satisfied with the decision to perform standing flank laparotomy.
MAIN LIMITATIONS
The retrospective design, lack of a control group, small number of cases and lack of standardised protocols between hospitals.
CONCLUSIONS
Although ventral midline laparotomy is the standard of care for horses with colic, standing flank laparotomy is a viable approach for some types of colic. Systemic administration of analgesics may not produce sufficient peritoneal analgesia, which can lead to intolerance to abdominopelvic exploration during standing flank laparotomy in horses with colic and may negatively affect the outcome.
Topics: Anesthesia, General; Animals; Colic; Female; Horse Diseases; Horses; Laparotomy; Retrospective Studies
PubMed: 34482568
DOI: 10.1111/evj.13511 -
Medical Principles and Practice :... 2021The aim of the study was to retrospectively evaluate the prevalence of reported and unreported potentially important incidental findings (PIFs) in consecutive...
OBJECTIVE
The aim of the study was to retrospectively evaluate the prevalence of reported and unreported potentially important incidental findings (PIFs) in consecutive nonenhanced abdominal CTs performed specifically for renal colic in the urgent setting.
METHODS
One radiologist, blinded to the finalized report, retrospectively re-evaluated nonenhanced abdominal CTs performed from January to December 2017 on adult patients from the emergency department with the specific request of urgent evaluation for renal colic, searching for PIFs.
RESULTS
The CTs of 312 patients were included in the study. Thirty-eight findings were reported in 38 different CTs, whereas the re-evaluation added 47 unreported findings in 47 different CTs, adding to total of 85 findings (27%). The difference in the proportion of reported and unreported PIFs between the original report and re-evaluation was significant (p < 0.001). No significant difference was found between the age of patients with and without reported findings. The proportion of potentially important findings did not vary significantly among the 3 shifts in the original report and in re-evaluation. The most frequent findings, both reported and unreported, were pleural effusion, lymphadenopathies, and liver nodules.
CONCLUSIONS
Potentially important additional findings are frequently present in urgent nonenhanced abdominal CTs performed for renal colic, and many are not described in the finalized reports. Radiologists should take care not to underreport PIFs even in the urgent setting because of the possible consequences on the patient's health and in order to avoid legal issues, while at the same time satisfying the need for timely and efficient reporting.
Topics: Adult; Aged; Aged, 80 and over; Female; Humans; Incidental Findings; Male; Middle Aged; Nephrolithiasis; Prevalence; Renal Colic; Retrospective Studies; Tomography, X-Ray Computed
PubMed: 33721865
DOI: 10.1159/000515852 -
The Veterinary Clinics of North... Feb 2021Fluid analysis is an important part of the diagnostic work-up of equine patients presenting with disorders of the nervous system, musculoskeletal system, and abdominal... (Review)
Review
Fluid analysis is an important part of the diagnostic work-up of equine patients presenting with disorders of the nervous system, musculoskeletal system, and abdominal cavity. Proper specimen handling and processing are paramount for complete and accurate interpretation of fluid samples. Normal cerebrospinal fluid is a low-cellularity, low-protein fluid requiring specific sample handling to ensure accurate results. Joint and abdominal fluid analyses are completed in practice or submitted for analysis to a reference laboratory. This article discusses fluid sample handling and processing considerations for the equine practitioner and reviews cytologic evaluation of normal and abnormal cerebrospinal, synovial, and peritoneal fluid samples.
PubMed: 33618950
DOI: 10.1016/j.cveq.2021.01.002 -
Journal of Veterinary Emergency and... Nov 2020To determine an abdominal pressure cutoff value for intra-abdominal hypertension (IAH) in the horse and characterize IAH in horses with acute colic.
OBJECTIVE
To determine an abdominal pressure cutoff value for intra-abdominal hypertension (IAH) in the horse and characterize IAH in horses with acute colic.
DESIGN
Prospective clinical cohort.
SETTING
University teaching hospital.
ANIMALS
Nine healthy adult horses and 56 horses with acute colic.
INTERVENTIONS
Ventral intra-abdominal pressure (IAP) was measured in triplicate at end expiration and averaged. Each colic case was classified as medical or surgical and large intestine (LI) or small intestine (SI). Management and final outcome (alive, euthanized, or died) were recorded. IAH was defined as ≥32 mm Hg (mean + 2 SDs of ventral IAP in control horses). Proportions of horses with and without IAH for different lesions were expressed as fractions and percentages. Differences in IAP between groups were determined using ANOVA with post-testing or t-tests. Odds ratio for management strategy (ie, need for medical or surgical) in horses with IAH was performed using Fisher's exact test. P < 0.05 was considered significant.
MEASUREMENTS AND MAIN RESULTS
IAP was higher in horses with colic compared to controls (P = 0.025). Over 18 months, 30.4% of horses with colic had IAH (n = 10 LI lesions, n = 7 SI lesions). Horses with LI medical lesions had the highest IAP of all lesions (mean 36.5 mm Hg). IAH horses with medical lesions were 15 times more likely to survive than IAH horses requiring surgery (P = 0.03).
CONCLUSIONS
Acute colic in horses is associated with an increased ventral IAP compared with healthy controls. IAH does exist in horses with colic, notably LI medical lesions, and is associated with nonsurvival in horses that require surgery.
Topics: Animals; Case-Control Studies; Colic; Female; Horse Diseases; Horses; Humans; Intra-Abdominal Hypertension; Male; Odds Ratio; Prevalence; Prospective Studies
PubMed: 33030800
DOI: 10.1111/vec.13006 -
The Veterinary Clinics of North... Aug 2023Laparoscopy can be valuable in the diagnosis and treatment of specific types of colic in horses. Most commonly, it is used for horses with chronic recurrent colic for... (Review)
Review
Laparoscopy can be valuable in the diagnosis and treatment of specific types of colic in horses. Most commonly, it is used for horses with chronic recurrent colic for further diagnosis, such as by taking biopsies or to perform treatment. Laparoscopy is also often used for prevention of colic, for example, by closing the nephrosplenic space or epiploic foramen. There are fewer indications for laparoscopy in acute colic, though in some cases the technique can be useful for diagnosis, after which the procedure is converted to a hand-assisted laparoscopy. However, manipulation of the intestine is limited compared with an open laparotomy.
Topics: Horses; Animals; Colic; Retrospective Studies; Horse Diseases; Laparoscopy
PubMed: 37198055
DOI: 10.1016/j.cveq.2023.03.003 -
Surgical Endoscopy Sep 2022Patients undergoing elective laparoscopic cholecystectomy (ELLC) represent a heterogeneous group making it challenging to stratify risk. The aim of this paper is to...
INTRODUCTION
Patients undergoing elective laparoscopic cholecystectomy (ELLC) represent a heterogeneous group making it challenging to stratify risk. The aim of this paper is to identify pre-operative factors associated with adverse peri- and post-operative outcomes in patients undergoing ELLC. This knowledge will help stratify risk, guide surgical decision making and better inform the consent process.
METHODS
All patients who underwent ELLC between January 2015 and December 2019 were included in the study. Pre-operative data and both peri- and post-operative outcomes were collected retrospectively from multiple databases using a deterministic records-linkage methodology. Patients were divided into groups based on clinical indication (i.e. biliary colic versus cholecystitis) and adverse outcomes were compared. Multivariate regression models were generated for each adverse outcome using pre-operative independent variables.
RESULTS
Two-thousand one hundred and sixty-six ELLC were identified. Rates of peri- and post-operative adverse outcomes were significantly higher in the cholecystitis versus biliary colic group and increased with number of admissions of cholecystitis (p < 0.05). Rates of subtotal (29.5%), intra-operative complication (9.8%), post-operative complications (19.6%), prolonged post-operative stay (45.9%) and re-admission (16.4%) were significant in the group of patients with ≥ 2 admissions with cholecystitis.
CONCLUSION
Our data demonstrate that patients with repeated biliary admission (particularly cholecystitis) ultimately face an increased risk of a difficult ELLC with associated complications, prolonged post-operative stay and readmissions. These data provide robust evidence that individualised risk assessment and consent are necessary before ELLC. Strategies to minimise recurrent biliary admissions prior to LC should be implemented.
Topics: Bile Duct Diseases; Cholecystectomy; Cholecystectomy, Laparoscopic; Cholecystitis; Cholecystitis, Acute; Colic; Gallbladder Diseases; Humans; Length of Stay; Retrospective Studies
PubMed: 35024925
DOI: 10.1007/s00464-021-08986-x -
Acta Paediatrica (Oslo, Norway : 1992) Sep 2020The aim of this review was to evaluate the evidence for interventions for infantile colic. (Review)
Review
AIM
The aim of this review was to evaluate the evidence for interventions for infantile colic.
METHODS
This was a systematic review based on a literature search in December 2017 for articles published during 2007-2017 about preventive and treatment interventions for infantile colic in infants. The review included original randomised controlled trials (RCTs) and meta-analyses with at least 20 infants in each study group that were assessed according to GRADE criteria.
RESULTS
The review found moderately strong evidence that administration of Lactobacillus reuteri DSM 17938 shortened the crying duration, with positive evidence from three out of four national contexts. There were four RCTs of acupuncture, all with no or minimal effect on crying duration. All studies reviewed with a follow-up until or beyond three months of age show a quite steep decline over time in crying duration in both treatment and control groups.
CONCLUSION
Lactobacillus reuteri DSM 17938 is a promising treatment for infantile colic with moderately strong evidence in this review, but studies in more populations are needed. Acupuncture is not an effective treatment for infantile colic. Systematic support strategies to parents with infantile colic are important knowledge gaps.
Topics: Colic; Crying; Humans; Infant; Limosilactobacillus reuteri; Probiotics; Treatment Outcome
PubMed: 32150292
DOI: 10.1111/apa.15247 -
Abdominal Radiology (New York) Jul 2021The descending branch of the left colic artery (dLCA) is under-recognized and has not been clearly defined. The dLCA is often confused with the sigmoid artery (SA)...
PURPOSE
The descending branch of the left colic artery (dLCA) is under-recognized and has not been clearly defined. The dLCA is often confused with the sigmoid artery (SA) originating from the left colic artery (LCA). We clarified the anatomical characteristics of the dLCA and searched for surrogate measures to identify it.
METHODS
Arterial phase, venous phase, and three-dimensional images of abdominal arteries were created in 411 patients using contrast-enhanced computed tomography (CT). We analyzed the branching patterns of the inferior mesenteric artery (IMA) based on CT. The dLCA was defined as the artery originating from the LCA that flows into the marginal artery along the descending colon. We tested three candidate diagnostic measures for the dLCA using positional relationships and the segment length of vessels.
RESULTS
Arteries from the LCA were present in 360 patients, among which 459 dLCAs and 165 SAs were identified in 333 and 146, respectively. By the first measure of identifying the artery with its root lateral to the inferior mesenteric vein (IMV) as the dLCA, the sensitivity, specificity, and accuracy rate were 94%, 87%, and 92%, respectively. The second measure of identifying the artery with its root higher than the root of the IMA as the dLCA and the third of identifying the artery with its root located > 27.6 mm from the root of LCA as the dLCA yielded lower accuracy rates (69% and 89%, respectively).
CONCLUSION
Our study demonstrated that dLCAs are prevalent (93%) and may be easily found lateral to the IMV in clinical practice.
Topics: Arteries; Humans; Imaging, Three-Dimensional; Mesenteric Artery, Inferior; Mesenteric Veins; Tomography, X-Ray Computed
PubMed: 33555389
DOI: 10.1007/s00261-021-02969-1