Browsing by Author "Zavala, Alejandro"

Now showing 1 - 3 of 3
  • No Thumbnail Available
    Item
    Chylothorax in congenital diaphragmatic hernia
    (2010) Zavala, Alejandro; Campos, Jose-Manuel; Riutort, Cecilia; Skorin, Ilona; Godoy, Loreto; Faunes, Miriam; Kattan, Javier
    Following surgical repair of congenital diaphragmatic hernia (CDH), chylothorax can be present in 7-28% of the cases. It has been associated with prenatal diagnosis, the use of ECMO and prosthetic patches during reparatory surgery. The objective is to present a neonatal unit experience in handling this complication and the search for predictive factors for its appearance in our patients.
  • No Thumbnail Available
    Item
    Improvement of survival in infants with congenital diaphragmatic hernia in recent years: effect of ECMO availability and associated factors
    (2010) Kattan, Javier; Godoy, Loreto; Zavala, Alejandro; Faunes, Miriam; Becker, Pedro; Estay, Alberto; Fabres, Jorge; Toso, Paulina; Urzua, Soledad; Becker, Jorge; Cerda, Jaime; Gonzalez, Alvaro
    Survival of patients with congenital diaphragmatic hernia (CDH) depends both on non-modifiable congenital conditions and on modifiable pre and postnatal management. ECMO improves survival up to 80% in neonates with CDH in the best ECMO centers worldwide. The first Neonatal ECMO Program in Chile was started in our University in 2003. Our objective is to determine the impact of a Neonatal ECMO Program in a level III NICU on newborns with CDH.
  • No Thumbnail Available
    Item
    Litiasis biliar en niños: un estudio clínico-morfológico
    (2003) Harris Diez, Paul Richard; Chateau, Bernardita; Miquel, Juan Francisco; Zavala, Alejandro; Montes, Patricio; Herrera, José Miguel; Zúñiga, Sergio; Larraín, Francisco; Santos, Marcela; Contador, Mónica
    Background: The use of ultrasonography increased the frequency of diagnosis of cholelithiasis in childhood. Aim: To determine the clinical and laboratory features and follow up of children with biliary stones. Patients and methods: Twenty six children (13 male, aged 1 month to 14 years) were prospectively enrolled. Results: Nine children had a past medical history of factors potentially predisposing to stones. A clinical presentation with vomiting (50%), abdominal pain (46%) and jaundice (23%) was the most common indication for surgery. The diagnosis was based on abdominal ultrasound in all children. Cholecystectomy was performed in 15 children (laparoscopy in 13 and open surgery in 2). Children who underwent surgery were older than those who did not undeago surgery (p < 0.001), but they did not have differences in liver function tests. Eight children had pigmented stones and seven had cholesterol stones. Conclusions: In our patients, neither family history nor laboratory tests were useful in the diagnosis as well as hi the clinical decision of surgery, which was based on symptoms. The presence of cholesterol stones in a high proportion of these children may be a unique situation in Chile considering the high prevalence of this disease in the adult population.