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Article: Association of Helicobacter pylori in Children With Self-Hand Hygiene, Maternal Hand Hygiene, Cooking, and Feeding Practices.

Thorat, Janhavi V / Tambolkar, Sampada / Chitale, Mukta M / Biradar, Vishnu / Jadhav, Renuka S

2024 Volume 16, Issue 3, Page(s) e56554

Abstract: Background and ... ...

Abstract	Background and objective
Language	English
Publishing date	2024-03-20
Publishing country	United States
Document type	Journal Article
ZDB-ID	2747273-5
ISSN	2168-8184
ISSN	2168-8184
DOI	10.7759/cureus.56554
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Reply to Dr. Chung and colleagues.

Dashatwar, Parag / Biradar, Vishnu / Bapaye, Amol

Endoscopy

2022 Volume 54, Issue 5, Page(s) 526

Language	English
Publishing date	2022-04-21
Publishing country	Germany
Document type	Letter ; Comment
ZDB-ID	80120-3
ISSN	1438-8812 ; 0013-726X
ISSN (online)	1438-8812
ISSN	0013-726X
DOI	10.1055/a-1782-7656
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Zs.MO 162: Show issues

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Article: Reply to Dr. Chung and colleagues

Dashatwar, Parag / Biradar, Vishnu / Bapaye, Amol

Endoscopy

2022 Volume 54, Issue 05, Page(s) 526–526

Language	English
Publishing date	2022-04-21
Publisher	Georg Thieme Verlag KG
Publishing place	Stuttgart ; New York
Document type	Article
ZDB-ID	80120-3
ISSN	1438-8812 ; 0013-726X
ISSN (online)	1438-8812
ISSN	0013-726X
DOI	10.1055/a-1782-7656
Database	Thieme publisher's database

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Zs.A 669: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
Zs.MO 162: Show issues

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Article ; Online: Initial experience with per-rectal endoscopic myotomy for Hirschsprung's disease: medium and long term outcomes of the first case series of a novel third-space endoscopy procedure.

Bapaye, Amol / Dashatwar, Parag / Biradar, Vishnu / Biradar, Shital / Pujari, Rajendra

Endoscopy

2021 Volume 53, Issue 12, Page(s) 1256–1260

Abstract: Introduction: Hirschsprung's disease (HSCR) is congenital aganglionosis affecting the hindgut and presents with constipation. Surgical pull-through is the current standard treatment but causes morbidity. Per-rectal endoscopic myotomy is a novel third- ... ...

Abstract	Introduction: Hirschsprung's disease (HSCR) is congenital aganglionosis affecting the hindgut and presents with constipation. Surgical pull-through is the current standard treatment but causes morbidity. Per-rectal endoscopic myotomy is a novel third-space endoscopy technique for treating short-segment (SS)-HSCR. Methods: Retrospective study of SS-HSCR patients diagnosed on history, contrast enema, rectal biopsies, and anorectal manometry, and treated by PREM. The aganglionic segment was mapped before PREM was performed using third-space endoscopy principles. Stool frequency and laxative usage before and after PREM were compared. Results: Nine patients (age 7.5 [± 5.2] years; 7 male) underwent PREM during a 4-year period. Mean aganglionic segment length was 6.3 cm, mean procedure time 96.1 minutes, and mean length of hospital stay 2.5 days. Median follow-up was 17 months (range 9-58 months). Stool frequency was 1/4.4 days before vs. 1/1.2 days after PREM ( Conclusions: PREM is a safe and effective minimally invasive procedure to treat SS-HSCR and results in long-term response.
MeSH term(s)	Child ; Digestive System Surgical Procedures ; Endoscopy ; Hirschsprung Disease/surgery ; Humans ; Male ; Myotomy ; Retrospective Studies
Language	English
Publishing date	2021-03-02
Publishing country	Germany
Document type	Journal Article
ZDB-ID	80120-3
ISSN	1438-8812 ; 0013-726X
ISSN (online)	1438-8812
ISSN	0013-726X
DOI	10.1055/a-1332-6902
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Zs.MO 162: Show issues

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Article ; Online: Current practices in the management of corrosive ingestion in children: A questionnaire-based survey and recommendations.

Bolia, Rishi / Sarma, Moinak Sen / Biradar, Vishnu / Sathiyasekaran, Malathi / Srivastava, Anshu

Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology

2021 Volume 40, Issue 3, Page(s) 316–325

Abstract: Background and aim: Corrosive ingestion causes significant morbidity in children with no standard guidelines regarding management. This survey aimed to understand practices adopted by gastroenterologists, identify lacunae in evaluation and management ... ...

Abstract	Background and aim: Corrosive ingestion causes significant morbidity in children with no standard guidelines regarding management. This survey aimed to understand practices adopted by gastroenterologists, identify lacunae in evaluation and management and suggest a practical algorithm. Methods: Indian gastroenterologists participated in an online survey (65 questions) on managing corrosive ingestion. When ≥ 50% of respondents agreed on a management option, it was considered as 'agreement'. Results: Ninety-eight gastroenterologists (72 pediatric) who had managed a total of ~ 2600 corrosive ingestions in the last 5 years responded. The commonest age group affected was 2-5 years (61%). Majority of ingestion was accidental (89%) with 80% due to improper corrosive storage. Ingestion of alkali and acid was equally common (alkali 41%, acid 39%, unknown 20%). History of inducing-vomiting after ingestion by community physicians was present in 57%. There was an agreement on 77% of questions. The respondents agreed on endoscopy (70%) and chest X-ray (67%) in all, irrespective of symptoms. Endoscopy was considered safe on days 1-5 after ingestion (91%) and relatively contraindicated thereafter. The consensus was to use acid suppression, always (59%); steroids, never (68%) and antibiotics, if indicated (59%). Feeding was based on endoscopic findings: oral in mild injuries and nasogastric (NG) in others. Eighty percent placed a NG tube under endoscopic guidance. Stricture dilatation was considered safe after 4 weeks of ingestion. Agreement on duration of acid suppression and stricture management (dilatation protocol and refractory strictures) was lacking. Conclusion: Corrosive ingestion mostly affects 2-5-year olds and is accidental in majority. It can be potentially prevented by proper storage and labelling of corrosives. An algorithm for management is proposed.
MeSH term(s)	Burns, Chemical/etiology ; Burns, Chemical/therapy ; Caustics/toxicity ; Child ; Child, Preschool ; Eating ; Endoscopy, Gastrointestinal ; Esophageal Stenosis/chemically induced ; Esophageal Stenosis/therapy ; Humans ; Surveys and Questionnaires
Chemical Substances	Caustics
Language	English
Publishing date	2021-05-15
Publishing country	India
Document type	Journal Article
ZDB-ID	632595-6
ISSN	0975-0711 ; 0254-8860
ISSN (online)	0975-0711
ISSN	0254-8860
DOI	10.1007/s12664-021-01153-z
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Article: Initial experience with per-rectal endoscopic myotomy for Hirschsprung’s disease: medium and long term outcomes of the first case series of a novel third-space endoscopy procedure

Bapaye, Amol / Dashatwar, Parag / Biradar, Vishnu / Biradar, Shital / Pujari, Rajendra

Endoscopy

2020 Volume 53, Issue 12, Page(s) 1256–1260

Abstract: Introduction : Hirschsprung’s disease (HSCR) is congenital aganglionosis affecting the hindgut and presents with constipation. Surgical pull-through is the current standard treatment but causes morbidity. Per-rectal endoscopic myotomy is a novel third- ... ...

Abstract	Introduction : Hirschsprung’s disease (HSCR) is congenital aganglionosis affecting the hindgut and presents with constipation. Surgical pull-through is the current standard treatment but causes morbidity. Per-rectal endoscopic myotomy is a novel third-space endoscopy technique for treating short-segment (SS)-HSCR. Methods : Retrospective study of SS-HSCR patients diagnosed on history, contrast enema, rectal biopsies, and anorectal manometry, and treated by PREM. The aganglionic segment was mapped before PREM was performed using third-space endoscopy principles. Stool frequency and laxative usage before and after PREM were compared. Results : Nine patients (age 7.5 [± 5.2] years; 7 male) underwent PREM during a 4-year period. Mean aganglionic segment length was 6.3 cm, mean procedure time 96.1 minutes, and mean length of hospital stay 2.5 days. Median follow-up was 17 months (range 9–58 months). Stool frequency was 1/4.4 days before vs. 1/1.2 days after PREM ( P = 0.0004). Mean laxative usage was 5.4 units of laxative (UL) before vs. 0.4 UL after PREM ( P = 0.0002). No laxatives were used by 6/9 patients after PREM. The single adverse effect seen (anal stenosis) was treated with dilatation. Conclusions : PREM is a safe and effective minimally invasive procedure to treat SS-HSCR and results in long-term response.
Language	English
Publishing date	2020-12-08
Publisher	Georg Thieme Verlag KG
Publishing place	Stuttgart ; New York
Document type	Article
ZDB-ID	80120-3
ISSN	1438-8812 ; 0013-726X
ISSN (online)	1438-8812
ISSN	0013-726X
DOI	10.1055/a-1332-6902
Database	Thieme publisher's database

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Article ; Online: Low Osmolarity Oral Rehydration Salt Solution (LORS) in Management of Dehydration in Children.

Mohanty, Nimain / Thapa, Babu Ram / Mathai, John / Pai, Uday / Mohanty, Niranjan / Biradar, Vishnu / Jog, Pramod / Prabhu, Purnima

Indian pediatrics

2021 Volume 58, Issue 3, Page(s) 266–272

Abstract: Justification: The IAP last published the guidelines "Comprehensive Management of Diarrhea" in 2006 and a review in 2016. The WHO in 2002 and the Government of India in 2004 recommended low osmolarity rehydration solution (LORS) as the universal ... ...

Abstract	Justification: The IAP last published the guidelines "Comprehensive Management of Diarrhea" in 2006 and a review in 2016. The WHO in 2002 and the Government of India in 2004 recommended low osmolarity rehydration solution (LORS) as the universal rehydration solution for all ages and all forms of dehydration. However, the use of LORS in India continues to be unacceptably low at 51%, although awareness about ORS has increased from a mere 14% in 2005 to 69% in 2015. Availability of different compositions of ORS and brands in market added to the confusion. Process: The Indian Academy of Pediatrics constituted a panel of experts from the fields of pediatrics, pediatric gastroenterology and nutrition to update on management of dehydration in children with particular reference to LORS and issue a current practice guideline. The committee met twice at CIAP HQ to review all published literature on the aspect. Brief presentations were made, followed by discussions. The draft paper was circulated by email. All relevant inputs and suggestions were incorporated to arrive at a consensus on this practice guideline. Objectives: To summarize latest literature on ORT and empower pediatricians, particularly those practicing in rural areas, on management of dehydration by augmenting LORS use. Recommendations: It was stressed that advantages of LORS far out-weigh its limitations. Increased use of LORS can only be achieved by promoting better awareness among public and health-care providers across all systems of medicine. LORS can also be useful in managing dehydration in non-diarrheal illness. More research is required to modify ORS further to make it safe and effective in neonates, severe acute malnutrition, renal failure, cardiac and other co-morbidities. There is an urgent need to discourage production and marketing all forms of ORS not in conformity with WHO approved LORS, under a slogan "One India, one ORS".
MeSH term(s)	Child ; Dehydration/therapy ; Diarrhea/therapy ; Fluid Therapy ; Humans ; Infant ; Infant, Newborn ; Osmolar Concentration ; Rehydration Solutions/therapeutic use
Chemical Substances	Rehydration Solutions
Language	English
Publishing date	2021-03-13
Publishing country	India
Document type	Journal Article
ZDB-ID	402594-5
ISSN	0974-7559 ; 0019-6061
ISSN (online)	0974-7559
ISSN	0019-6061
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Article ; Online: Pediatric living donor intestine transplant following an atypical complication of COVID-19: A unique case report from India.

Chaubal, Gaurav / Hatimi, Hunaid / Nanavati, Aditya / Deshpande, Apoorv / Andankar, Parmanand / Biradar, Vishnu / Gupte, Parijat / Hanchnale, Pavan / Bhalerao, Suryabhan / Tambe, Shrinivas

American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons

2021 Volume 21, Issue 12, Page(s) 4079–4083

Abstract: Coronavirus disease-19 (COVID-19) infection causing severe gastrointestinal complications is rare. A 9-year-old child after recovering from mild COVID-19 infection developed small bowel gangrene due to superior mesenteric artery thrombosis. He required ... ...

Abstract	Coronavirus disease-19 (COVID-19) infection causing severe gastrointestinal complications is rare. A 9-year-old child after recovering from mild COVID-19 infection developed small bowel gangrene due to superior mesenteric artery thrombosis. He required resection of entire necrotic small bowel along with caecum causing ultra-short bowel syndrome. Reverse transcriptase-polymerase chain reaction (RT-PCR) done on the resected specimen was positive for COVID-19. He was maintained on individualized parenteral nutrition for 3 months. A living donor intestinal transplant was performed using 200 cm of ileum donated by the patient's father. The graft function was satisfactory and was not complicated with thrombosis, infection, reactivation of latent COVID-19 or rejection. He could be weaned off completely from parenteral nutrition by postoperative day 21. The donor had an uneventful recovery. Six month follow-up was satisfactory with the child achieving complete enteral autonomy as well as target goal nutrition. Thrombotic phenomena associated with COVID-19 infection can affect larger vessel-like superior mesenteric artery leading to small bowel gangrene. Intestine transplant could be done safely after 3 months of recovery from COVID-19 without any adverse outcomes. Further studies are required to establish optimal timing and safety of small bowel transplant in this situation.
MeSH term(s)	COVID-19 ; Child ; Humans ; Intestines/surgery ; Living Donors ; Male ; SARS-CoV-2 ; Short Bowel Syndrome/etiology ; Short Bowel Syndrome/surgery ; Treatment Outcome
Language	English
Publishing date	2021-09-09
Publishing country	United States
Document type	Case Reports
ZDB-ID	2060594-8
ISSN	1600-6143 ; 1600-6135
ISSN (online)	1600-6143
ISSN	1600-6135
DOI	10.1111/ajt.16798
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Article ; Online: Monosegment Liver Allografts for Liver Transplantation in Infants Weighing Less Than 6 kg: An Initial Indian Experience.

Chaubal, Gaurav / Nanavati, Aditya J / Biradar, Vishnu / Tambe, Shrinivas / Hatimi, Hunaid / Deshpande, Apurv / Hanchnale, Pavan / Bhalerao, Suryabhan

Transplantation proceedings

2021 Volume 53, Issue 5, Page(s) 1670–1673

Abstract: Background: Living donor liver transplantation in small infants is a significant challenge. Liver allografts from adults may be large in size. This is accompanied by problems of graft perfusion, dysfunction, and the inability to achieve primary closure ... ...

Abstract	Background: Living donor liver transplantation in small infants is a significant challenge. Liver allografts from adults may be large in size. This is accompanied by problems of graft perfusion, dysfunction, and the inability to achieve primary closure of the abdomen. Monosegment grafts are a way to address these issues. Methods: Two recipients in our cohort weighed less then 6 kg. The prospective left lateral segments from their donors were large for size. Therefore, monosegment 2 liver grafts were harvested. Data regarding the preoperative, intraoperative, and postoperative events in the donor and the recipient were recorded. Results: We were able to achieve significant reduction in the sizes of the grafts harvested. The donors underwent surgery and hospital stay uneventfully. The recipients had normal graft perfusion and no graft dysfunction, and we could achieve primary abdominal closure. One recipient had self-limiting bile leak postoperatively. Conclusions: Monosegment 2 liver allografts are safe and effective for use in living donor liver transplantation in small infants weighing less than 6 kg.
MeSH term(s)	Adult ; Allografts ; Body Weight ; Female ; Humans ; India ; Infant ; Length of Stay ; Liver/anatomy & histology ; Liver/surgery ; Liver Transplantation ; Living Donors ; Male ; Middle Aged ; Prospective Studies
Language	English
Publishing date	2021-02-08
Publishing country	United States
Document type	Journal Article
ZDB-ID	82046-5
ISSN	1873-2623 ; 0041-1345
ISSN (online)	1873-2623
ISSN	0041-1345
DOI	10.1016/j.transproceed.2021.01.005
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Article ; Online: Therapeutic coil embolization of dominant shunt in hepatopulmonary syndrome enhances post-liver transplant respiratory recovery.

Sonavane, Amey D / Bagde, Abhijit / Raut, Vikram / Marar, Shaji / Sawant, Ambreen / Shah, Ketul / Raj, Amruth / Thorat, Ashok / Chaksota, Harshit / Biradar, Vishnu / Vasanth, Suresh / Nagral, Aabha / Mirza, Darius

Pediatric transplantation

2020 Volume 24, Issue 6, Page(s) e13729

Abstract: Coil embolization of the atypical enlarged pulmonary artery/arteriole with visible shunting may improve hypoxemia in patients with hepatopulmonary syndrome (HPS). When used selectively in cases with large shunts, either pre- or post-liver transplantation ...

Abstract	Coil embolization of the atypical enlarged pulmonary artery/arteriole with visible shunting may improve hypoxemia in patients with hepatopulmonary syndrome (HPS). When used selectively in cases with large shunts, either pre- or post-liver transplantation (LT), it can aid an early recovery and reduce morbidity. We present a case where a large intrapulmonary shunt was embolized preoperatively to improve hypoxemia associated with HPS and enhance post-operative recovery.
MeSH term(s)	Arterioles/surgery ; Ascites ; Child, Preschool ; Embolization, Therapeutic/methods ; End Stage Liver Disease/surgery ; Hepatopulmonary Syndrome/surgery ; Humans ; Hypertension, Portal ; Hypoxia/metabolism ; Hypoxia/surgery ; Liver Cirrhosis/physiopathology ; Liver Transplantation/methods ; Male ; Methylenetetrahydrofolate Reductase (NADPH2)/genetics ; Mutation ; Postoperative Period ; Pulmonary Artery/surgery ; Tomography, X-Ray Computed ; Treatment Outcome
Chemical Substances	MTHFR protein, human (EC 1.5.1.20) ; Methylenetetrahydrofolate Reductase (NADPH2) (EC 1.5.1.20)
Language	English
Publishing date	2020-05-21
Publishing country	Denmark
Document type	Case Reports
ZDB-ID	1390284-2
ISSN	1399-3046 ; 1397-3142
ISSN (online)	1399-3046
ISSN	1397-3142
DOI	10.1111/petr.13729
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