Παιδιατρική | Τόμος 74 • Τεύχος 1 • Ιανουάριος - Φεβρουάριος - Μάρτιος 2011

  • Published on
    09-Mar-2016

  • View
    230

  • Download
    8

Embed Size (px)

DESCRIPTION

Τριμηνιαία έκδοση της Ελληνικής Παιδιατρικής Εταιρείας

Transcript

<ul><li><p> 74 1 -- 2011 74 1 -- 2011</p><p>www.paediatriki.edu.grwww.paediatriki.edu.grISSN 0377-2551ISSN 0377-2551</p><p>Volume 74 Number 1 January-February-March 2011Volume 74 Number 1 January-February-March 2011</p></li><li><p>Trimonthly publication of the Greek Paediatric Society</p><p>PresidentA. Constantopoulos</p><p>Editorial Board</p><p>Members S. Andronikou M. Anthracopoulos P. Augoustides-Savvopoulou G. Varlamis E. Galanakis L. Thomaidou M. Kanariou A. Kattamis S. Kitsiou-Tzeli A. Papadopoulou V. Papaevagelou A. Siamopoulou-Mavridou A. Syrigou-Papavasiliou E. Charmandari </p><p>Manuscript submission</p><p>e-mail: hps@ath.forthnet.gr Instructions to authors: http://www.e-child.gr/paediatriki/ iae.pdf</p><p>Manuscript Editing</p><p>English EditingS. Nakou</p><p>Publisher</p><p>K. Griveas</p><p>Publishing Coordinator</p><p>C &amp; C International S.A.1A Pierias St. GR - 144 51, MetamorfossiTel.: +30 210 68 89 100 Fax: +30 210 68 44 777</p><p>Owner</p><p>Greek Paediatric Society</p><p>92 Michalakopoulou St.GR - 115 28, AthensTel.: +30 210 7771 140+30 210 7771 663Fax: +30 210 7758 354e-mail: hps@ath.forthnet.gr </p><p>Annual SubscriptionAll foreign countries: US $ 50</p><p>PaediatrikiVolume 74 Number 1 January-February-March 2011</p><p> LETTER FROM THE BOaRd OF diREcTORs</p><p> A. Constantopoulos </p><p>REViEW aRTicLEs</p><p> 1 European Paediatric Society (EPA/UNEPSA). The interactive role of the German Paediatricians. J.H.H. Ehrich, G. Gaedicke</p><p> 5 Vascular complications after kidney transplantation in children S. Kykalos, G.C. Sotiropoulos, B. Kranz, U. Vester, P.F. Hoyer</p><p> 9 Hypertension and obesity in children and adolescents S. Stabouli, V. Kotsis</p><p> 18 Early growth disturbances and development of the metabolic syndrome V. Giapros, S. Andronikou</p><p> 26 The role of B type natriuretic peptide in congenital heart disease . Kavga, G. Varlamis</p><p> 34 The effect on atherogenic factors of a programme modifying dietary and physical exercise habits in overweight and obese children O. Filippou, C. Vliora, M. Dolianiti, K. aranasiou, S. Papadakou-Lagogianni</p><p> 43 The protective role of breastfeeding against pyelonephritis in infants with urinary tract infection D. Doganis, D. Delis, M. Mavrikou, G. Issaris, A. Martirosova, L. Stamoyiannou, K. Siafas </p><p> 48 Hereditary spherocytosis in newborn infants. Case report S. Mouskou, A. Nika, N. Mastrantonaki, G. Kourakis</p><p>cLiNicaL QUiZ</p><p> 54 Clinical quiz A. Papadopoulou</p><p>NEWs FROM THE iNTERNET</p><p> 55 Topics of Pediatric Allergy in Pediatriki P. Maggina</p><p> PROcLaMaTiON</p><p>Contents</p></li><li><p> E E</p><p>. </p><p> E</p><p>M. . . - . . . . A. K. K-. . . - . -. </p><p>e-mail: hps@ath.forthnet.gr : http://www.e-child.gr/paediatriki/ iae.pdf</p><p> E</p><p>E . </p><p>E</p><p>K. </p><p>C &amp; C International .. 1 144 51 MT.: 210 68 89 100Fax: 210 68 44 777</p><p>I</p><p>E E</p><p>M 92A 115 28T.: 210 7771 140 </p><p>210 7771 663Fax: 210 7758 354e-mail: hps@ath.forthnet.gr </p><p>E : 40E, : 20 </p><p> 74 1 -- 2011</p><p>ISSN 0377-2551</p><p> O ..</p><p> . </p><p>aNa</p><p> 1 (EPA/UNEPSA). J.H.H. Ehrich, G. Gaedicke</p><p> 5 Vascular complications after kidney transplantation in children S. Kykalos, G.C. Sotiropoulos, B. Kranz, U. Vester, P.F. Hoyer </p><p> 9 . , . </p><p> 18 . , . </p><p> 26 - (BNP) . , . </p><p> 34 , . , . , . , . , . - </p><p> 43 . , . , . , . , . M, . , . </p><p> 48 . . , . , . , . </p><p> 54 . </p><p> 55 . </p></li><li><p>iv E EdITOrIAl BOArd</p><p> , , </p><p> , , </p><p> -, M , </p><p> , , </p><p> , , </p><p> , , </p><p> , , </p><p> , - O, </p><p> -, , </p><p> , - , </p><p> , , </p><p> -, , </p><p> -, , </p><p> , , </p><p>Section Editors</p><p>Stella Andronikou, Neonatology, Ioannina</p><p>Michael Anthracopoulos, Pneumonology, Patras</p><p>Persefoni Avgoustides-Savvopoulou, Metabolic Disorders, Thessaloniki</p><p>George Varlamis, Cardiology, Thessaloniki</p><p>Emmanouil Galanakis, Ethics and Deontology, Heraklion</p><p>Loretta Thomaidou, Developmental Pediatrics, Athens</p><p>Maria Kanariou, Immunology, Athens</p><p>Antonis Kattamis, Haematology - Oncology, Athens</p><p>Sophia Kitsiou-Tzeli, Genetics, Athens</p><p>Alexandra Papadopoulou, Gastroenterology - Nutrition, Athens</p><p>Vassiliki Papaevagelou, Infectious Diseases, Athens </p><p>Antigoni Siamopoulou-Mavridou, Rheumatology, Ioannina</p><p>Antigone Syrigou-Papavasiliou, Neurology, Athens</p><p>Evangelia Charmandari, Endocrinology, Athens</p></li><li><p>v E EdITOrIAl BOArd</p><p> MeMbers of the InternatIonal edItorIal board</p><p>Alexis Arzimanoglou, Paris, France</p><p>Ellis D. Avner, Milwaukee, USA</p><p>Swati Bhave, New Delhi, India</p><p>Alberto Bissot, Panama, Panama</p><p>David Branski, Jerusalem, Israel</p><p>Francesco Chiarelli, Chieti, Italy</p><p>Chok-Wan Chan, Hong Kong, China</p><p>Denis Daneman, Toronto, Canada</p><p>Jochen Ehrich, Hannover, Germany</p><p>Demetrius Ellis, Pittsburgh, USA</p><p>Yoshikatsu Eto, Tokyo, Japan</p><p>Richard N. Fine, Stony Brook, USA</p><p>Margaret C. Fisher, Philadelphia, USA</p><p>Raif Geha, Boston, USA</p><p>Adenike Grange, Lagos, Nigeria</p><p>Judith G. Hall, Vancouver, Canada</p><p>Patricia Hamilton, London, UK</p><p>Enver Hasanoglu, Ankara, Turkey</p><p>Christer Holmberg, Helsinki, Finland</p><p>Lewis B. Holmes, Boston, USA</p><p>Peter Hoyer, Essen, Germany</p><p>Jan Janda, Prague, Czech Republic</p><p>Jan Kimpen, Ultrecht, Netherlands</p><p>Craig B. Langman, Chicago, USA </p><p>John Manis, Boston, USA</p><p>Manuel Moya, Alicante, Spain</p><p>Hugh O'Brodovich, Toronto, Canada</p><p>Ross Petty, Vancouver, Canada</p><p>Willem Proesmans, Leuven, Belgium</p><p>Jose Ramet, Antwerp, Belgium</p><p>Nikolai Shabalov, St. Petersburg, Russia</p><p>Alan Sinaiko, Minneapolis, USA</p><p>Nick J. Spencer, Coventry, UK</p><p>Alfred Tenore, Udine, Italy</p><p>Alkis Togias, Bethesda, USA</p><p>Eva Tsalikian, Iowa City, USA</p><p>Catherine Weil-Olivier, Paris, France</p><p>Max Zach, Graz, Austria</p><p>Zheng-Yan Zhao, Hangzhou, China</p><p>Johannes Zschocke, Heidelberg, Germany</p></li><li><p>www.pediatric-congress.gr</p><p>pedcongress@candc-group.com</p><p> 10-12 2011Costa Navarino, </p><p>49o 80 </p><p> 92 115 28 .: 210 7771 140, 210 7771 663: 210 7758 354e-mail: hps@ath.forthnet.grwebsite: www.e-child.gr</p><p> :</p><p>www.CandC-group.com</p><p>E. pedcongress@candc-group.com. 210 68 89 130 F. 210 68 44 777www.pediatric-congress.gr 1A, 144 51 M </p><p>Association ManagementProfessional Congress OrganiserEvents &amp; Destination ManagementStrategy &amp; Communication</p><p>ME </p><p>KTX 49ou Pediatrikou.indd 1 1/5/11 12:00:37 PM</p></li><li><p> o .. letter froM the board of dIrectors</p><p> 2011 . 80 , . - 25 1931 . - 1943 1973, 1993 2002. </p><p> () , 20 - . 80 , , , .</p><p> 1931 26 , - , 2.500. 3.000 , - .</p><p> , 49 10-12 (Hotel Costa Navarino) - . , -, , , -, , .. </p><p> - , - .</p><p> ,</p><p>vii</p></li><li><p>Scientific ProgrammeIncluding an exciting mix of lectures, round tables, symposia, Professor meetings, practical &amp; interactive courses, the Scientific Programme has been designed to stimulate collaborative research and exchange of national experiences in fields that range from primary to secondary care, promote the need of harmonization of practices across Europe and offer dynamic insights on the use of guidelines in paediatrics practice.</p><p>Topics include Advanced updating regarding common problems in </p><p>the practice of primary and secondary care Areas of increasing importance requiring an open </p><p>mind towards cooperation between paediatricians and other specialists</p><p> Major causes of death in children</p><p> Science and the humanities Genetic and environmental determinants Immigration and integration in Europe Technology: opportunity and risks Diversities and analogies in paediatric care in Europe</p><p>Book of Abstracts published as a supplement in Evidence Based Child Health: A Cochrane Review Journal.</p><p>Individual MembershipThe 5th Europaediatrics 2011 in Vienna is the first to welcome individual members of EPA/UNEPSA. The individual membership is offered at a privileged 50 annual fee and encompasses a set of attractive benefits including reduced registration fees to Europaediatrics. Visit www.epa-unepsa.org for more information.</p><p>Important DatesDeadline for Abstract submission . . . . . . . . . . . . . . .10 March 2011Deadline for Early Registration . . . . . . . . . . . . . . . . . .10 March 2011Deadline for Late Registration. . . . . . . . . . . . . . . . . . .15 June 2011</p><p>www.europaediatrics2011.orgcontact us: europaediatrics2011@candc-group.com</p><p>Hosted by:</p><p>Organised by:</p><p>Austria Center Vienna</p><p>The Europaediatrics congress is the highlight of the activities of the European Paediatric Association (EPA/UNEPSA). Taking place every </p><p>two years, it aspires to be the meeting point of paediatricians not only from Europe but from all over the world.</p><p>KTX_EUROPAEDIATRICS_21X28_new.indd 1 12/15/10 5:31:05 PM</p></li><li><p>1 ANNOUNCEMENT</p><p>1 Childrens Hospital, Hannover Medical School </p><p>2 Charit Hospital, University Hospital Berlin</p><p>:Prof. Dr. med. Jochen HH Ehrich, Abteilung fr Pdiatrische Nieren-, Leber- und Stoffwechselerkrankungen, Kinderklinik der Medizinischen Hochschule, Carl Neuberg Str. 1, 30625 HannoverProf. (em.) Dr. med. Gerhard Gaedicke, Dieter Scheffner Fachzentrum fr Medizinische Hochschullehre der Charit, Charit Platz 1, 10117 Berlin</p><p> (UNEPSA/EPA) : </p><p>Jochen H.H. Ehrich1, Gerhard Gaedicke2</p><p> (EPA), - (UNEPSA), 1976 Klaus Betke, - Haunerschen Kinderspital ( 1), , Bertil Lindquist ( 2). , , - EPA/UNEPSA.</p><p> Betke - EPA/UNEPSA , 1976. - , Betke - . 1984 - EPA/UNEPSA - Patzer Erfurt, - , . 1978 Betke Lindquist, - , </p><p> - , , - (IPA). - . UNEPSA , , - - . , EPA/UNEPSA - - (/WHO), (CoE) (IPA), - . - - . UNEPSA, , - - </p><p> 1. Klaus Betke , Gertrud, 95 , 2009 .</p><p> 2. Bertil Lindquist () Jean Rey .</p><p> 2011;74:1-4</p></li><li><p>2Paediatriki 2011;74:1-4</p><p>J. H.H. Ehrich, G. Gaedicke</p><p> . 30 - -, , . - , - , - . </p><p> 1986 Eberhardt Schmidt UNEPSA Jean Rey , Timothy Chambers . - 1994. - , , , , . - -, - . - 1990, EPA/UNEPSA . </p><p> 1994, Armido Rubino (), Jochen Ehrich (), Manuel Katz (Beer Sheva), Jan Janda () Gerhard Gaedicke () (http://www.epa-unepsa.org/), -/. EPA/UNEPSA, Manuel Moya () Newsletter (http://www.epa-unepsa.org/newsletters).</p><p> - EPA/UNEPSA - , . EUROPAEDIATRICS . Johannes Brodehl . 2009, .. , (Excellence in Paediatrics -</p><p> 2009, 2010). EUROPAEDIATRICS 2000 , 1.700 . 2009 </p><p>-</p><p>....</p><p>-</p><p>E 3. EPA/UNEPSA </p></li><li><p>3 2011;74:1-4</p><p> , 3.525 60 . EUROPAEDIATRICS - , 23-26 2011 (http://www.europaediatrics2011.org/).</p><p> 2005 2008 Armido Rubino - . UNEPSA EPA/UNEPSA - (), , . () 2008. 47 - ( 3), 37 - EPA/UNEPSA, - . . Evidence-based Child Health: A Cochrane Review Journal, -. - - . -, EPA - - , - -. , EPA/UNEPSA , , . , 200 , , . , EPA/UNEPSA - - -, . - </p><p> , - , , , - . 1998, - ( 1), (2) - -: 1) , 2) 3) - (GP). - , . - - , . EPA 2010 - , . - EPA , 44 , 160 . - Europaediatrics 2009 , , . EPA - 46 - , . </p><p> EPA/UNEPSA - - , , . 1% - , (3). , - , - </p><p> 1. EPA/UNEPSA</p><p>1. .</p><p>2. .3. .4. .5. </p><p>.6. . 7. .</p></li><li><p>4Paediatriki 2011;74:1-4</p><p>J. H.H. Ehrich, G. Gaedicke</p><p> - . </p><p> 29 , Mehmed Vural -, , /-, (4). - 14 29 15 -. - , - - . </p><p> , , Eva Olah Debrecin , - I III - . EPA/UNEPSA - (ESPR) - .</p><p> -, EPA/UNEPSA -. - , EPA - , , - . </p><p>EPA/UNEPSA , / -. - , EPA (5). - - -. , EPA/UNEPSA . , 2010 - EPA/UNEPSA - , - , - - . </p><p> 1. Betke K, Ehrich JH, Janda J, Katz M, Rubino A. Thirty </p><p>years of the Union of National European Paediatric Societies and Associations (UNEPSA). Eur J Pediatr. 2007; 166:349-57</p><p> 2. Katz M, Rubino A, Collier J, Rosen J, Ehrich JH. Demography of pediatric primary care in Europe: delivery of care and training. Pediatrics. 2002;109:788-96.</p><p> 3. Ehrich JH, El Gendi AA, Drukker A, Janda J, Stefanidis C, Verrier-Jones K, Collier J, Katz M. Demography of paediatric renal care in Europe: organization and delivery. Nephrol Dial Transplant. 2005;20:297-305.</p><p> 4. Ercan O, Alikasifoglu M, Erginoz E, Janda J, Kabicek P, Rubino A, Constantopoulos A, Ilter O, Vural M. Demo-graphy of adolescent health care delivery and training in Europe. Eur J Pediatr. 2009;168:417-26. </p><p> 5. Barak S, Rubino A, Grguric J, Ghenev E, Branski D, Olah E; EPA/UNEPSA Committee. The future of primary paediatric care in Europe: reflections and Report of the EPA/UNEPSA Committee. Acta Paediatr. 2010;99:13-8.</p></li><li><p>5 rEVIEW ArTIClE</p><p>1 Department of General, Visceral and Transplantation Surgery University Hospital, Essen, Essen Germany</p><p>2 Department of Pediatrics II, Pediatric Nephrology, Endocrinology, Gastroenterology and Transplant Medicine, University Hospital, Essen, Essen Germany</p><p>Correspondence:Georgios C. Sotiropoulosgeorgios.sotiropoulos@ uni-due.deDepartment of General, Visceral and Transplantation SurgeryUniversity Hospital EssenHufelandstr. 55, 45122 Essen, Germany</p><p>Introduction Vascular complications or vascular problems </p><p>after kidney transplantation in children are mul-tidimensional. The localisation is oriented to anatomy. </p><p>The major vessels are mostly affected by op-erative and thrombotic complications. In the small vessels the thrombotic microangiopathy, the vascular and the chronic transplant rejec-tions are predominantly responsible. The com-plications could be also as immunological and non-immunological classified. A classification in the context of kidney transplantation is quite difficult, since it is not always possible to dif-ferentiate the immunological from other trigger processes. </p><p>Operative complications Surgical complications rarely happen nowa-</p><p>days, due to the modern state of surgical tech-nique. They are usually caused by vascular char-acteristics of the transplanted kidney. Thus, if an aberrant vessel can not be anastomosed, it should be ligated with possible complication of a pole-, kidney pelvis- or ureteronecrosis. </p><p>The anatomical relationships in childish situs are often narrow. A possible kinking due to com-pression after abdominal closure, can lead to ei-ther renal artery stenosis plus reduction of or-gans perfusion or in venous stasis. Because of the vascular calibre discrepancy between the child's and adults graft vessels, secondary anastomotic stenosis, leading to renovascular hypertension, is possible.</p><p>Surgical vascular...</p></li></ul>

Recommended

View more >