Annals of Pediatric Gastroenterology and Hepatology ISPGHAN

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2019 | April-June | Volume 1 | Issue 2

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Message from Editorial Board

Dr Shrish Bhatnagar, Dr Rajeev Khanna, Dr Rishi Bolia, Dr Yogesh Waikar

Message from Editorial Board

[Year:2019] [Month:April-June] [Volume:1] [Number:2] [Pages:1] [Pages No:00 - 00]

   DOI: 10.5005/apgh-1-2-ii  |  Open Access |  How to cite  | 

287

Reflection

Dr Surender K Yachha

Way Forward for Trainees in Pediatric Gastroenterology and Hepatology in India

[Year:2019] [Month:April-June] [Volume:1] [Number:2] [Pages:2] [Pages No:1 - 2]

   DOI: 10.5005/jp-journals-11009-0009  |  Open Access |  How to cite  | 

328

Clinicopathological Conference Report

Rishi Bolia, Sadhna Lal, K.K Prasad

An Infant with Colitis

[Year:2019] [Month:April-June] [Volume:1] [Number:2] [Pages:8] [Pages No:3 - 10]

   DOI: 10.5005/jp-journals-11009-0010  |  Open Access |  How to cite  | 

405

CASE REPORT

Suraj Uppalapati, Prashant Kanni, Praveen Mathew, Manjunath Patil, Praveen Kumar

Primary Diffuse Large B Cell Lymphoma of Colon Presenting as Chronic Diarrhea in a 3 Year Old Child - Case Report

[Year:2019] [Month:April-June] [Volume:1] [Number:2] [Pages:5] [Pages No:11 - 15]

Keywords: GI Lymphoma, Chronic Diarrhea

   DOI: 10.5005/jp-journals-11009-0011  |  Open Access |  How to cite  | 

Abstract

A 3 year old baby boy presented to hospital with a 2 months history of watery diarrhea (8- 10 episodes per day) associated with abdominal pain, weight loss and swelling of face and limbs. Rehydration and electrolytic balance were restored with intravenous fluid therapy along with cover of antibiotics but diarrhea was worsening. Patient was planned for gastroscopy and ileo- colonoscopy with biopsies from duodenum and ileum. Gastroscopy was normal but colonoscopy showed ileal scalloping and transverse colon showed short segment stricture of approx. 5 cms with multiple ulcers. CT imaging showed a structuring mass involving the transverse colon and few adjacent jejunal loops with enlarged lymph nodes. Histopathological examination of the biopsies from transverse colon showed dense lymphoid aggregates. Hence Bone marrow aspiration and IHC panel of markers were advised. BMA was normal but IHC staining revealed Primary Diffuse large B cell Lymphoma of large intestine.

330

CASE REPORT

Ishaq Malik, Jan Muzzafar, A Koul Kesar

Dysphagia Lusoria due to Aberrant Right Subclavian Artery

[Year:2019] [Month:April-June] [Volume:1] [Number:2] [Pages:3] [Pages No:16 - 18]

Keywords: Dysphagia, Subclavian Artery

   DOI: 10.5005/jp-journals-11009-0012  |  Open Access |  How to cite  | 

Abstract

Dysphagia Lusoria is dysphagia secondary to an aberrant right subclavian (ARSA) artery that traverses behind esophagus. We present a 11-year-old female complaining of weight loss and dysphagia. The diagnosis was pointed by barium swallow followed by endoscopy and CT angiography confirmed it. The combination of the common carotid origins and the retroesophageal course of the aberrant vessel frequently contribute to symptoms in the absence of an aneurysm of the aberrant vessel. Several surgical techniques for the aberrant vessel have been described, but we did an open ligation and transposition to the right carotid artery.

414

CASE REPORT

Saba Anwar, Vivek Dewan, Shivani Deswal, Shikha Singh, Rahul Titotia, K VaniNarayani

Aerophagia - An Interesting Cause of Recurrent Abdominal Distension

[Year:2019] [Month:April-June] [Volume:1] [Number:2] [Pages:3] [Pages No:19 - 21]

Keywords: Aerophagia, Abdominal Distension

   DOI: 10.5005/jp-journals-11009-0013  |  Open Access |  How to cite  | 

Abstract

Functional aerophagia involves excessive air swallowing causing progressive abdominal distension. It can present in children dealing with stress and anxiety. Early recognition and diagnosis of aerophagia is required to avoid unnecessary, expensivediagnostic investigations. Neuro cognitive evaluation and behavior therapy are accepted management strategies.

412

CASE REPORT

Srikanth Kadyada Puttaiah, Babu Ram Thapa

Fatal Outcome of Perforating Lower Esophageal Button Battery in a Child

[Year:2019] [Month:April-June] [Volume:1] [Number:2] [Pages:3] [Pages No:22 - 24]

Keywords: Button Battery, Perforation

   DOI: 10.5005/jp-journals-11009-0014  |  Open Access |  How to cite  | 

Abstract

Impacted button battery (BB) in the esophagus can be fatal unless managed emergently. We encountered a 2-year-old male child with respiratory distress from three weeks. Chest-X-ray suggested a radiopaque foreign body, which was confirmed to be esophageal BB during esophagoscopy and subsequently removed. Corrosive nature of BB had perforated the lower esophagus leading to pyopericardium and pyothorax. In spite of appropriate antibiotics and surgical drainage, child died of sepsis. High index of suspicion to identify esophageal BB in cases of unexplained cardio-respiratory symptoms can be helpful in early aggressive intervention.

339

Social Edge

Moinak Sen Sarma

Corrosive and Button Battery Ingestion in Children

[Year:2019] [Month:April-June] [Volume:1] [Number:2] [Pages:3] [Pages No:25 - 27]

   DOI: 10.5005/jp-journals-11009-0015  |  Open Access |  How to cite  | 

328

Journal Watch

Dr. Yogesh Waikar

Journal Watch

[Year:2019] [Month:April-June] [Volume:1] [Number:2] [Pages:3] [Pages No:28 - 30]

   DOI: 10.5005/jp-journals-11009-0016  |  Open Access |  How to cite  | 

314

Publications by ISPGHAN Members

Publications by ISPGHAN Members March – May, 2019

[Year:2019] [Month:April-June] [Volume:1] [Number:2] [Pages:3] [Pages No:31 - 33]

   DOI: 10.5005/jp-journals-11009-0017  |  Open Access |  How to cite  | 

313

ISPGHAN Kaleidoscope

Dr Bikrant Bihari Lal, Dr. Natwar Parwal

ISPGHAN Kaleidoscope

[Year:2019] [Month:April-June] [Volume:1] [Number:2] [Pages:2] [Pages No:34 - 35]

   DOI: 10.5005/jp-journals-11009-0018  |  Open Access |  How to cite  | 

347

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