Browsing by Author "Pattillo, Juan Carlos"

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    ADULT-TO-PEDIATRIC LIVING DONOR LIVER TRANSPLANT IN RECIPIENTS >20 KG: A CASE SERIES OF FULL LEFT LOBE GRAFTS
    (2024) Ortiz, Catalina; Meira-Jr, Jose Donizeti; Pattillo, Juan Carlos; Vinuela, Eduardo; Jarufe, Nicholas; Martinez, Jorge; Briceno, Eduardo; Dib, Martin
    BACKGROUND: Chile presents one of the lowest organ donation rates, resulting in pediatric Walter de Biase 1 , Claudemiro 1 , Eduardo Gu liver waitlist mortality rates up to 38.1%. Live donor liver transplantation is one of the main alternatives Fabricio Ferreira 3 ,Paulo 3 to decrease waitlist mortality, mostly utilized in our country for small children up to 20 kg. AIMS: The aim of this study was to report a three-case series of adult-to-pediatric living donor liver transplantation using a full left lobe graft. METHODS: We report three cases of children with more than 20 kg who received complete left hemi-grafts in different clinical scenarios. The indications and techniques- Racional: O tratamento de escolha para pacientes com hipertens & atilde;o portal adopted are discussed. RESULTS: Three children, two girls and one boy, aged 11, 7, and 3 years, esquistossom & oacute;tica com sangramento de varizes h a desconex & atilde;o & aacute;zigo-portal mais were transplanted. The indications for transplant were fulminant hepatitis of autoimmune etiology, esplenectomia (DAPE) associada & agrave; terapia endosc & oacute;pica. Porhm, estudos mostram aumento hepatoblastoma, and chronic liver failure due to autoimmune hepatitis, respectively. The evolution was satisfactory in all three children, and to date, all are well, approximately 12-24 months after the do calibre das varizes em alguns pacientes durante o seguimento em longo prazo. Objetivo: transplant. CONCLUSIONS: The use of a living donor left lateral segment (segments 2 and 3) has been Avaliar oimpactodaDAPE e tratamento endosc & oacute;picop & oacute;s-operat & oacute;rionocomportamento successfully employed in pediatric liver transplantation. However, it is only suitable for infants and lowdas varizes esof & aacute;gicas e recidiva hemorr & aacute;gica, de pacientes esquistossom & oacute;ticos. Mhtodos: weight children. This approach using the whole left hemi-liver graft contributes to the reduction of Foram estudados 36 com a cinco distribu & iacute;dos em small-for-size syndrome, mortality rate, and waiting times associated with deceased donors.
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    Laparoscopic Pancreatic Necrosectomy in a Child with Severe Acute Pancreatitis
    (MARY ANN LIEBERT, INC, 2012) Pattillo, Juan Carlos; Funke, Ricardo
    Acute pancreatitis (AP) in children usually follows a mild course but occasionally may be severally problematic. We report the case of a 12-year-old boy with severe AP who was managed with repeated laparoscopic pancreatic necrosectomy. Three weeks later he represented with a pancreatic pseudocyst that was treated with endoscopic gastrocystotomy. His abdominal pain persisted and a subsequent magnetic resonance cholangiopancreatogram showed multiple gallbladder and common bile duct (CBD) stones that were missed on previous imaging investigations. He underwent laparoscopic cholecystectomy with transcystic exploration of the CBD. The patient is currently well, more than 2 years following the definitive corrective surgery. To the best of our knowledge, this is the first case of laparoscopic pancreatic necrosectomy in a child.
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    Per oral endoscopic myotomy (POEM) in pediatric patients with esophageal achalasia: First Latin-American experience
    (2021) Saez, Josefina; Mejia, Ricardo; Pattillo, Juan Carlos; Vuletin, Fernando; Monrroy, Hugo; Jaime, Francisca; Sharp, Allan
    Background: Achalasia is the most common primary motor disorder of the esophagus, but its incidence in pediatric patients is low. Laparoscopic Heller myotomy (LHM) is the current surgical standard of care treatment. Per-oral endoscopic myotomy (POEM) has emerged as a safe and effective therapeutic alternative in adult patients. We herein report the outcomes of a cohort of pediatric patients with achalasia treated by POEM at a Chilean medical center. Methods: This is a retrospective analysis of prospectively collected data on children who underwent POEM for esophageal achalasia. Clinical follow-up was evaluated by recording the Eckardt score, a high-resolution esophageal manometry (HREM) three months after the procedure, and an annual upper gastrointestinal endoscopy.