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By M. Höllwarth, E. Uray (auth.), Primarius Professor Dr. Peter Wurnig, Dr. Ingrid Klos (eds.)

In 1968 the 1st contacts have been prepared with the publishing condo of city & Schwarzenberg about the institution of a periodical to be produced in English with the purpose of publishing vital medical paintings in pediatric surgical procedure and similar disciplines. i presumed specifically of sure first-class inaugural disser­ tations and theses. while city & Schwarzenberg promised to begin any such sequence, I recruited Peter Rickham, then in Liverpool and now in Zurich, and Jean Prevot of Nancy as govt editors. We selected the identify development in Pediatric surgical procedure - Fortschritte del' Kinderchirurgie - Acquisitions en Chirurgie Enfantile because the identify of our new sequence. the 1st quantity was once released in 1970, via one other sixteen volumes through the subsequent 14 years. on the recommendation of Michael city, we became from the book of lengthy papers to theme-based volumes, which proved to be terribly beneficial. Mr. city, the pinnacle of city & Schwarzenberg, advised us in 1982 that his enterprise might not take care of development in Pediatric surgical procedure. With the contract of Mr. city, we needed to search for one other' writer and located Springer-Verlag, who agreed to proceed publishing growth in Pediatric surgical procedure within the licensed lay-out. We cordially thank Dietrich G6tze of Springer-Verlag for his precious help. This quantity (No. 18) is the 1st of development in Pediatric surgical procedure to seem lower than the suggestions of Springer-Verlag. we wish to convey our due to Mr. city and Dr.

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Zusammenfassung Anhand von 3 Fallen resezierter Barrett-Ulzera des Osophagus im Kindesalter (Endobrachyosophagus mit Barrett-Ulkus) werden die morphologischen Veranderungen beschrieben. Sie sind in allen Fallen nahezu identisch, auch im Vergleich mit den entsprechenden Veranderungen beim Erwachsenen. Der Zustand wird als Stadium III oder Stadium IV der Refluxosophagitis aufgefaBt, wobei die Stadien I-III des kurzen Osophagus den Stadien I-IV der Refluxosophagitis nach Savary entsprechen. Auf die Schwierigkeit, das BarrettUlkus selbst zu diagnostizieren, wird hingewiesen, da es typischerweise in nahezu allen Fallen unterhalb der Stenose gelegen und daher endoskopisch nur sehr schwer oder gar nicht einsehbar ist.

D Resected specimen of esophagus. j' submucosal weal and destruction of muscularis; cJ gastric epithelium; 4' penetrating ulcer (Barrett's ulcer) 46 P. Wurnig et al. a b Fig. 2. , a 4-year-old boy. I). , a 14-mo-old girl. No improvement after gastrostomy and myotomy. Eventual perforation of a penetrating ulcer during attempted myotomy Discussion In the original publication of Barrett (1951) the esophagus of a 13-year-old boy showed the intrathoracically situated normal gastric mucous membrane (Fig.

L 5 E :::J Z >10 Age (years) Fig. I. Age distribution in 65 children upon whom esophagogastrocopy was performed in 1982 1 University Clinic of Pediatric Surgery, Karl-Marx-University Leipzig, Oststr. 21-25, DDR- 705 Leipzig Progress in Pediatric Surgery, Vol. 18 Ed. by P. Wnrnig © Springer-Verlag Berlin Heidelberg 1985 39 Endoscopic Findings in Reflux Esophagitis in Childhood Table 1. Esophagogastroscopies performed in 1982 Indicat ion 'sophagcnl varico. i. Numbcr of paticnts Patients with csophagitis 12 3 2 Il ypcrtrophic pyloric stcnosis Rn iralta syndromc II Lyc Ie.

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