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rdf:type |
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lifeskim:mentions |
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pubmed:issue |
2
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pubmed:dateCreated |
1992-4-10
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pubmed:abstractText |
Cystic fibrosis patients born with meconium ileus (MI) have had an improved outcome over the last three decades. The authors reviewed the impact of surgical management and long-term nutritional care on the survival of patients with MI. Of the 59 cases of MI seen from 1959 to 1989, 48 cases were managed operatively using either the Bishop-Koop ileostomy (BK), the Mikulicz ileostomy, primary resection and anastomosis (RA), or ileostomy. Six-month survival of MI has improved from 37% to 100%. Nonoperative cases (n = 11) had 100% long-term survival. The RA survivors required less late operative intervention (20%) as compared with other surgical patients (81%). A comparison of serial growth percentiles of CF patients with MI with those of their non-MI CF peers showed similar long-term decreases. These data confirm: (1) There is an improved survival for MI independent of the surgical procedure; (2) The BK ileostomy is an effective and time-tested MI treatment; (3) Primary resection and anastomosis in selected cases may have a lower surgical morbidity rate; and (4) Meconium ileus does not adversely affect the long-term nutritional outcome of CF patients.
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pubmed:commentsCorrections |
http://linkedlifedata.com/resource/pubmed/commentcorrection/1546905-13403593,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1546905-13633369,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1546905-14027456,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1546905-14237408,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1546905-2475911,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1546905-2715890,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1546905-2742486,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1546905-2866385,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1546905-3026171,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1546905-3655979,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1546905-3660242,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1546905-4033505,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1546905-4049243,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1546905-4050869,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1546905-420153,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1546905-4621870,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1546905-492796,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1546905-4932660,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1546905-4968812,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1546905-5023467,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1546905-5277488,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1546905-5502892,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1546905-551149,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1546905-5778338,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1546905-5932631,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1546905-609986
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pubmed:language |
eng
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pubmed:journal |
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pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
0003-4932
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pubmed:author |
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pubmed:issnType |
Print
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pubmed:volume |
215
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
179-85
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pubmed:dateRevised |
2010-9-7
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pubmed:meshHeading |
pubmed-meshheading:1546905-Chi-Square Distribution,
pubmed-meshheading:1546905-Cystic Fibrosis,
pubmed-meshheading:1546905-Female,
pubmed-meshheading:1546905-Humans,
pubmed-meshheading:1546905-Ileal Diseases,
pubmed-meshheading:1546905-Infant,
pubmed-meshheading:1546905-Infant, Newborn,
pubmed-meshheading:1546905-Intestinal Obstruction,
pubmed-meshheading:1546905-Male,
pubmed-meshheading:1546905-Meconium,
pubmed-meshheading:1546905-Nutritional Status,
pubmed-meshheading:1546905-Retrospective Studies,
pubmed-meshheading:1546905-Survival Analysis,
pubmed-meshheading:1546905-Treatment Outcome
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pubmed:year |
1992
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pubmed:articleTitle |
Management and survival of meconium ileus. A 30-year review.
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pubmed:affiliation |
Department of Surgery, Children's Hospital of Philadelphia, PA 19104.
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pubmed:publicationType |
Journal Article
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