Pediatric Gastroenterology-II 

Thank you, that's very nice of you to say

اسال العظيم رب العرش العظيم ان يدخلك الفردوس الاعلي

ameen

ameen

You are very welcome. Good luck in your exam. Thanks.

Thank you!

You are very welcome, thank you... This is true, this is one of the surgical options, it can be performed with laparoscopic, open, or transanal techniques, The ability to perform a single-stage pull-through procedure largely depends on the availability, experience, and capabilities of the staff pathologist because aganglionic intestine must not be in the pull-through segment, it is not medically suitable in cases of sepsis due to enterocolitis, massive distention of ganglionic bowel.

Thank you!

@@pediatricboardalastminuter1892عاوزين نتابع حضرتك ع الفيس

You are most welcome

محمد بن حسن القحطاني Thank you very much for the nice comment, very glad you liked it.

You are very welcome!

You are very welcome!

Images are blur.

Thank you so much Dr. Thomas for your feedback, you are absolutely right. The granulomas of Crohn's disease do not show "caseation", a cheese-like appearance on microscopic examination characteristic of granulomas associated with infections, such as tuberculosis. I just added annotation to this video correcting this mistake. Thanks again

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Thank you

+Batsy Moon Not dictated yet. Thanks.

Thanks

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Will do my best!

Thanks

Piyush Soni . Thank for your question:Maternal vitamin B12 status and risk of neural tube defects in a population with high neural tube defect prevalence and no folic Acid fortification. Molloy AM1, Kirke PN, Troendle JF, Burke H, Sutton M, Brody LC, Scott JM, Mills JL. @19255021 1Schools of Medicine, Trinity College Dublin, School of Medicine, Dublin 2, Ireland. amolloy@tcd.ie Abstract OBJECTIVE: Folic acid fortification has reduced neural tube defect prevalence by 50% to 70%. It is unlikely that fortification levels will be increased to reduce neural tube defect prevalence further. Therefore, it is important to identify other modifiable risk factors. Vitamin B(12) is metabolically related to folate; moreover, previous studies have found low B(12) status in mothers of children affected by neural tube defect. Our objective was to quantify the effect of low B(12) status on neural tube defect risk in a high-prevalence, unfortified population.METHODS: We assessed pregnancy vitamin B(12) status concentrations in blood samples taken at an average of 15 weeks' gestation from 3 independent nested case-control groups of Irish women within population-based cohorts, at a time when vitamin supplementation or food fortification was rare. Group 1 blood samples were from 95 women during a neural tube defect-affected pregnancy and 265 control subjects. Group 2 included blood samples from 107 women who had a previous neural tube defect birth but whose current pregnancy was not affected and 414 control subjects. Group 3 samples were from 76 women during an affected pregnancy and 222 control subjects.RESULTS: Mothers of children affected by neural tube defect had significantly lower B(12) status. In all 3 groups those in the lowest B(12) quartiles, compared with the highest, had between two and threefold higher adjusted odds ratios for being the mother of a child affected by neural tube defect. Pregnancy blood B(12) concentrations of 300 ng/L (221 pmol/L) before becoming pregnant. Improving B(12) status beyond this level may afford a further reduction in risk, but this is uncertain.

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Piyush Soni . You are very welcome!