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      Carta al Editor 1: Lectura clínica de una sentencia judicial: algunas precisiones sobre el análisis de la profesora Couceiro

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          Most cited references 6

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          Infantile hypertrophic pyloric stenosis: a review.

           R Spicer (1982)
          Infantile hypertrophic pyloric stenosis is a relatively common condition and there is some recent evidence that the incidence is increasing in this country. Gastric outlet obstruction is caused by hypertrophy of the pyloric smooth muscle and the clinical presentation is with non-bilious vomiting starting at the age of 3-4 weeks. The diagnosis can usually be made by palpation of the hypertrophied pylorus. Operation has now superseded medical treatment as the treatment of choice but meticulous assessment and correction of fluid and electrolyte imbalance is essential preoperatively. The operation of pyloromyotomy as described by Ramstedt in 1912 is simple and effective, but attention to detail is necessary if minimal morbidity and zero mortality are to be achieved. Untreated, the mortality is high but, after successful treatment, these babies are healthy and normal, so that treatment is both worth while and gratifying. The aetiology is obscure; a polygenic pattern of inheritance has been shown to be a predisposing factor, but the postnatal precipitating factors are less defined. Early hopes that the hormone gastrin might prove to be the key have not been sustained by more recent research, but the role of other gastrointestinal hormones awaits clarification.
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            Lectura clínica de una sentencia judicial: el derecho a la vida y su aplicación en la toma de decisiones clínicas

            En el año 2009 se conoce el caso de un niño afectado de leucemia aguda linfoblástica. Es tratado con buen resultado y se obtiene la remisión completa, pero más tarde aparece una recidiva. Los padres no otorgan su consentimiento para el tratamiento, generando un conflicto que llega al mundo judicial y da lugar a dos fallos de gran interés para los profesionales de la salud. Por una parte se señala qué signfica en la práctica clínica el derecho a la vida. Por otra, se desarrolla el proceso de toma de decisiones sobre los menores con base en la teoría del menor maduro, un hito jurispridencial en Chile. Con el propósito de contribuir a esclarecer el significado de la sentencia de la Corte de Apelaciones de Valdivia, se expone su contenido en términos clínicos y se concluye con las aportaciones más significativas.
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              Los límites de la interpretación judicial. De nuevo sobre los casos trágicos

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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Journal
                rcp
                Revista chilena de pediatría
                Rev. chil. pediatr.
                Sociedad Chilena de Pediatría (Santiago )
                0370-4106
                July 2013
                : 84
                : 4
                : 453-454
                Affiliations
                [1 ] Universidad del Desarrollo Chile
                Article
                S0370-41062013000400013
                10.4067/S0370-41062013000400013

                http://creativecommons.org/licenses/by/4.0/

                Product
                Product Information: SciELO Chile
                Categories
                PEDIATRICS

                Pediatrics

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