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Problems of the diagnosis and therapeutic approach to congenital anomalies of the gastrointestinal tract


, : Problems of the diagnosis and therapeutic approach to congenital anomalies of the gastrointestinal tract. Problemy Pediatrii 30: 98-105

A series of 384 children, from birth to 3 years of age with congenital anomalies of the gastrointestinal tract comprise the study group. Analysis of the clinical case material featured the basic diagnostic problems: early and accurate diagnosis, adequate choice of the least invasive and most effective diagnostic methods with distinct preference of contrast-free X-ray techniques, adequate interpretation of the effect of accompanying anomalies on the basic pathologic process. Late diagnosis of the basic anomaly was recorded in 76.9 percent of the children in this series. Of the therapeutic approach problems, debated were those associated with determination of the optimal time for the surgical intervention. It should be individualized depending on the type of basic anomaly, the time when the diagnosis was reached at, the presence of accompanying anomalies and complications. The different operative techniques are discussed, preference being given to those with which best postoperative results were obtained.

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