Nelson Textbook of Pediatrics

Intestinal Atresia, Stenosis, and Malrotation

Approximately 1 in 1,500 children is born with intestinal obstruction. Obstruction may be partial or complete, and it may be characterized as simple or strangulating. Luminal contents fails to progress in an aboral direction in simple obstruction, whereas blood flow…

Pyloric Stenosis and Other Congenital Anomalies of the Stomach

Hypertrophic Pyloric Stenosis Asim Maqbool Chris A. Liacouras Hypertrophic pyloric stenosis occurs in 1-3/1,000 infants in the United States. It is more common in whites of northern European ancestry, less common in blacks, and rare in Asians. Males (especially firstborns) are affected…

Ingestions

Foreign Bodies in the Esophagus Seema Khan The majority (80%) of accidental foreign-body ingestions occur in children, most of whom are 5 yr of age or younger. Older children and adolescents with developmental delays and those with psychiatric disorders are also at…

Esophageal Varices

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Esophageal Perforation

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Eosinophilic Esophagitis, Pill Esophagitis, and Infective Esophagitis

Eosinophilic Esophagitis Eosinophilic esophagitis (EoE) is a chronic esophageal disorder characterized by esophageal dysfunction and infiltration of the esophageal epithelium by ≥15 eosinophils per high-power field. The diagnostic criteria has recently been updated as a result of the consensus conference…

Gastroesophageal Reflux Disease

Gastroesophageal reflux disease (GERD) is the most common esophageal disorder in children of all ages. Gastroesophageal reflux (GER) signifies the retrograde movement of gastric contents across the lower esophageal sphincter (LES) into the esophagus, which occurs physiologically every day in…

Hiatal Hernia

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Dysmotility

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