journal
https://read.qxmd.com/read/38772759/utility-of-white-light-scanning-as-an-alternative-to-computed-tomography-to-evaluate-severity-of-pectus-excavatum-deformity
#1
JOURNAL ARTICLE
Michela Carter, Rui Hua, J Benjamin Pitt, Suhail Zeineddin, Amparo Perez, Laurie Sands, Suzanne Kujawa, Alison Lehane, Christine Stake, Marleta Reynolds, Fizan Abdullah, Seth D Goldstein
BACKGROUND: Pectus excavatum (PE) severity and surgical candidacy are determined by computed tomography (CT)-delineated Haller Index (HI) and Correction Index (CI). White light scanning (WLS) has been proposed as a non-ionizing alternative. The purpose of this retrospective study is to create models to determine PE severity using WLS as a non-ionizing alternative to CT. METHODS: Between November 2015 and February 2023, CT and WLS were performed for children ≤18 years undergoing evaluation at a high-volume, chest-wall deformity clinic...
April 27, 2024: Journal of Pediatric Surgery
https://read.qxmd.com/read/38760308/analysis-of-social-determinants-of-health-in-the-pediatric-general-surgical-population-of-a-northeastern-urban-health-system
#2
JOURNAL ARTICLE
Devin Midura, Samantha Levano, Kevin P Fiori, Benjamin A Farber
BACKGROUND: Social determinants of health (SDOH) have been identified as factors that influence patient health outcomes. These are well described in adult and pediatric general populations, however, there is a paucity of data for surgical patients. This study compares the prevalence of health-related social needs (HRSN) among pediatric surgery and general pediatric patients. METHODS: We retrospectively assessed electronic health record data to identify patients who completed a standardized HRSN screener within our health system and underwent surgery by a pediatric surgeon between January 2019 and December 2021...
April 27, 2024: Journal of Pediatric Surgery
https://read.qxmd.com/read/38763854/ernica-clinical-consensus-statements-on-total-colonic-and-intestinal-aganglionosis
#3
JOURNAL ARTICLE
Anna Löf Granström, Willemijn Irvine, Anders Telle Hoel, Merit Tabbers, Kristiina Kyrklund, Francesco Fascetti Leon, Fabio Fusaro, Nikhil Thapar, Anne Dariel, Cornelius E J Sloots, Marc Miserez, Annette Lemli, Sabine Alexander, Cecile Lambe, Célia Crétolle, Niels Qvist, Nagoud Schukfeh, Martin Lacher, Duccio Cavalieri, Ernst van Heurn, Rony Sfeir, Mikko P Pakarinen, Kristin Bjørnland, Tomas Wester
BACKGROUND: Hirschsprung disease is a congenital intestinal motility disorder characterized by an absence of enteric ganglion cells. Total colonic aganglionosis and near total or total intestinal aganglionosis, defined as absence of ganglion cells in the entire colon and with variable length of small bowel involved, are life-threatening conditions which affect less than 10 % of all patients with Hirschsprung disease. The aim of this project was to develop clinical consensus statements within ERNICA, the European Reference Network for rare congenital digestive diseases, on four major topics: Surgical treatment of total colonic aganglionosis, surgical treatment of total intestinal aganglionosis, management of poor bowel function in total colonic and/or intestinal aganglionosis and long-term management in total colonic and or intestinal aganglionosis...
April 26, 2024: Journal of Pediatric Surgery
https://read.qxmd.com/read/38749778/scoliosis-after-resection-of-primary-pediatric-chest-wall-tumors
#4
JOURNAL ARTICLE
Gehad Ahmed, Ihab M Emran, Ismail Rashad, Mohamed S Zaghloul, Mary Rabea Mahrous, Yomna Abo Tabl, Maged Elshafiey
BACKGROUND: Scoliosis is one of the long-term consequences of surgical resection of pediatric chest wall tumors. This study aimed to identify the risk factors associated with scoliosis development following the resection of chest wall tumors. METHODS: Retrospective cohort study of 64 children who underwent resection of malignant chest wall tumors from 2009 to 2022. Univariate and multivariate analyses were used to investigate factors associated with scoliosis development...
April 23, 2024: Journal of Pediatric Surgery
https://read.qxmd.com/read/38769032/patterns-and-outcomes-in-pediatric-abdominal-tuberculosis-a-single-centre-cohort-study
#5
JOURNAL ARTICLE
Susan John, Dhruva Ghosh, Vishal Michael, Deirdre Kruger, Ritu Jain, Karan Dhir, Sangeetha Mohan, Aneel Bhangu
INTRODUCTION: Abdominal tuberculosis presents in a variety of ways. Different testing modalities must be applied in addition to having a high clinical suspicion to diagnose and initiate therapy. Medications have a good response; however, morbidity has been seen following surgical management of complicated presentations like intestinal obstruction and perforation. There is a paucity of studies in the pediatric age group which evaluate response to the different treatment regimen and identify factors associated with poorer outcomes in children with abdominal tuberculosis...
April 22, 2024: Journal of Pediatric Surgery
https://read.qxmd.com/read/38749780/proposal-for-a-new-tool-for-postoperative-surgical-complications-assessment-the-pediatric-clavien-dindo-classification-pcdc
#6
LETTER
Angelo Zarfati, Giovanni Rollo, Alessandro Crocoli, Cristina Martucci, Alessandro Inserra
No abstract text is available yet for this article.
April 22, 2024: Journal of Pediatric Surgery
https://read.qxmd.com/read/38749777/development-of-a-standardized-process-for-transition-to-adult-care-in-a-pediatric-colorectal-surgery-clinic
#7
JOURNAL ARTICLE
Shruthi Srinivas, Connor McDanel, Katherine C Bergus, Jenna Wilson, Kristine L Griffin, Richard J Wood, Alessandra Gasior
BACKGROUND: As pediatric patients with colorectal diseases grow, it is important to address transition to adult practice. We aim to describe our center's transition process and early outcomes. METHODS: We developed a standardized process for transition to adult practice. An annual survey is given to parents and caregivers starting at age 12 that assesses knowledge of disease, independence with healthcare tasks, and confidence and interest regarding transition. After multidisciplinary review, those eligible are recommended for transition...
April 22, 2024: Journal of Pediatric Surgery
https://read.qxmd.com/read/38735807/the-insertion-and-management-of-gastrostomies-in-children-in-the-united-kingdom-a-survey-of-practice
#8
JOURNAL ARTICLE
Christina Major, Nigel J Hall
BACKGROUND: Gastrostomy insertion is one of the most frequently performed procedures by specialist paediatric surgeons. We aimed to determine practice across the United Kingdom (UK) and in particular to identify areas where there was consistency or variation in practice between practitioners and centres. METHODS: A structured survey was distributed to all consultant practitioners who insert gastrostomies in the UK. Practice surrounding a range of aspects of gastrostomy care including insertion technique, device use, post-operative management and subsequent care were determined...
April 21, 2024: Journal of Pediatric Surgery
https://read.qxmd.com/read/38760307/laxative-weaning-protocol-for-patients-with-functional-constipation-a-pilot-study
#9
JOURNAL ARTICLE
Shruthi Srinivas, Casey Trimble, Sarah Driesbach, Pooja Zahora, Alessandra Gasior, Richard J Wood, Ihab Halaweish
BACKGROUND: Children with functional constipation require prolonged laxative administration for proper emptying. Whether these laxatives can be weaned after better functioning is achieved is unknown. We aim to describe a standardized protocol for stimulant laxative weaning and its early outcomes. METHODS: Patients were candidates for weaning if they had been on a stable laxative dose for six months, defined as one bowel movement per day with no soiling, impaction, or enemas...
April 20, 2024: Journal of Pediatric Surgery
https://read.qxmd.com/read/38749779/the-pediatric-colorectal-and-pelvic-learning-consortium
#10
LETTER
Casey M Calkins, Rebecca M Rentea, Caitlin A Smith, Megan M Durham, Drew A Rideout
No abstract text is available yet for this article.
April 20, 2024: Journal of Pediatric Surgery
https://read.qxmd.com/read/38735806/can-anorectal-stenosis-be-managed-with-dilations-alone-a-pcplc-review
#11
JOURNAL ARTICLE
Zoe M Saenz, Kelly Austin, Jeffrey R Avansino, Andrea Badillo, Casey M Calkins, Megan M Durham, Megan K Fuller, Ankur Rana, Ron W Reeder, Rebecca M Rentea, Michael D Rollins, K Elizabeth Speck, Richard J Wood, Jamie C Harris, Jamie Anderson, Maheen Hassan, Payam Saadai
PURPOSE: Congenital anorectal stenosis is managed by dilations or operative repair. Recent studies now propose use of dilations as the primary treatment modality to potentially defer or eliminate the need for surgical repair. We aim to characterize the management and outcomes of these patients via a multi-institutional review using the Pediatric Colorectal and Pelvic Learning Consortium (PCPLC) registry. METHODS: A retrospective database review was performed using the PCPLC registry...
April 20, 2024: Journal of Pediatric Surgery
https://read.qxmd.com/read/38734497/bladder-management-and-continence-in-girls-with-cloacal-malformation-after-3-years-of-age
#12
JOURNAL ARTICLE
Jacqueline P Morin, Shruthi Srinivas, Richard J Wood, Daniel G Dajusta, Molly E Fuchs
BACKGROUND: Multiple factors impact ability to achieve urinary continence in cloacal malformation including common channel (CC) and urethral length and presence of spinal cord abnormalities. Few publications describe continence rates and bladder management in this population. We evaluated our cohort of patients with cloacal malformation to describe the bladder management and continence outcomes. METHODS: We reviewed a prospectively collected database of patients with cloacal malformation managed at our institution...
April 20, 2024: Journal of Pediatric Surgery
https://read.qxmd.com/read/38760309/variation-in-practice-surrounding-antegrade-colonic-enema-channel-placement
#13
JOURNAL ARTICLE
Eustina G Kwon, Jenny Kreiss, Lauren Nicassio, Kelly Austin, Jeffrey R Avansino, Andrea Badillo, Casey M Calkins, Rachel C Crady, Belinda Dickie, Megan M Durham, Jason Frischer, Megan K Fuller, K Elizabeth Speck, Ron W Reeder, Rebecca Rentea, Michael D Rollins, Payam Saadai, Richard J Wood, Kathleen D van Leeuwen, Caitlin A Smith, Samuel E Rice-Townsend
PURPOSE: Antegrade colonic enemas (ACE) can be an effective management option for defecation disorders and improve quality of life. Best practice regarding channel placement is unclear and variation may exist around preferred initial type of channel, age at placement, and underlying diagnoses. We aimed to describe practice patterns and patient characteristics around ACE channel placement. METHODS: We conducted a multicenter retrospective study of children with an ACE channel cared for at sites participating in the Pediatric Colorectal and Pelvic Learning Consortium (PCPLC) from 2017 to 2022...
April 19, 2024: Journal of Pediatric Surgery
https://read.qxmd.com/read/38724428/comment-on-using-artificial-intelligence-to-label-free-text-operative-and-ultrasound-reports-for-grading-pediatric-appendicitis
#14
LETTER
Xiaoling Ding, Yonghong Yuan, Kaiyu Pan
No abstract text is available yet for this article.
April 17, 2024: Journal of Pediatric Surgery
https://read.qxmd.com/read/38692944/circumferential-esophageal-reconstruction-using-a-tissue-engineered-decellularized-tunica-vaginalis-graft-in-a-rabbit-model
#15
JOURNAL ARTICLE
Hassan A Adly, Abdel-Wahab Y El-Okby, Abdel-Aziz Yehya, Ahmed A El-Shamy, Rania A Galhom, Mohamed A Hashem, Mahmoud F Ahmed
BACKGROUND: Pediatric surgeons have faced esophageal reconstruction challenges for decades owing to a variety of congenital and acquired conditions. This work aimed to introduce a reproducible and efficient approach for creating tissue-engineered esophageal tissue using bone marrow mesenchymal stem cells (BMSCs) cultured in preconditioned mediums seeded on a sheep decellularized tunica vaginalis (DTV) scaffold for partial reconstruction of a rabbit's esophagus. METHODS: DTV was performed using SDS and Triton X-100 solutions...
April 16, 2024: Journal of Pediatric Surgery
https://read.qxmd.com/read/38705830/efficacy-of-neoadjuvant-chemotherapy-on-nephron-sparing-surgery-for-wilms-tumor-in-horseshoe-kidney
#16
LETTER
Denis A Cozzi, Silvia Ceccanti
No abstract text is available yet for this article.
April 12, 2024: Journal of Pediatric Surgery
https://read.qxmd.com/read/38744639/who-is-in-your-waiting-room-social-determinants-of-health-and-adverse-childhood-experiences-in-pediatric-surgery-clinics
#17
JOURNAL ARTICLE
Ethan Ponton, Tanjot Singh, Matthew Carwana, Damian J Duffy, Rebecca Courtemanche, Douglas J Courtemanche, Christine A Loock, Robert Baird
BACKGROUND: Social determinants of health (SDoH) influence overall health, although little is known about the SDoH for pediatric patients requiring surgical services. This study aims to describe SDoH for pediatric surgical patients attending out-patient, community, and outreach clinics, as well as demonstrate the feasibility of identifying and addressing SDoH and Adverse Childhood Experiences (ACEs) when appropriate. METHODS: A cross-sectional study using surveys evaluating SDoH that were distributed to families attending pediatric surgical clinics over a two-year period...
April 10, 2024: Journal of Pediatric Surgery
https://read.qxmd.com/read/38705831/pediatric-trauma-recidivism-a-statewide-risk-factor-analysis-of-the-maryland-health-services-cost-review-commission-hscrc
#18
JOURNAL ARTICLE
Matthew D Price, Katherine M McDermott, Daniel An, Usman Aslam, Mark B Slidell, Isam W Nasr
BACKGROUND: National estimates suggest pediatric trauma recidivism is uncommon but are limited by short follow up and narrow ascertainment. We aimed to quantify the long-term frequency of trauma recidivism in a statewide pediatric population and identify risk factors for re-injury. METHODS: The Maryland Health Services Cost Review Commission Dataset was queried for 0-19-year-old patients with emergency department or inpatient encounters for traumatic injuries between 2013 and 2019...
April 9, 2024: Journal of Pediatric Surgery
https://read.qxmd.com/read/38688806/comparison-of-icg-guided-near-infrared-fluorescence-imaging-and-modified-inflation-deflation-method-in-identifying-the-intersegmental-plane-during-lung-segmentectomy-of-infants
#19
JOURNAL ARTICLE
Jin-Xi Huang, Qiang Chen, Song-Ming Hong, Jun-Jie Hong
BACKGROUND: The identification of the intersegmental plane (ISP) is a crucial step in segmentectomy for children with congenital pulmonary airway malformation (CPAM) due to complex anatomical variations. However, there is very limited literature available on this aspect specifically for infant. In this study, we compared the intravenous indocyanine green (ICG)-guided near-infrared fluorescence (NIRF) imaging method with the modified inflation-deflation method in terms of their perioperative characteristics and summarized our experience...
April 9, 2024: Journal of Pediatric Surgery
https://read.qxmd.com/read/38599911/in-memorium-professor-michael-h%C3%A3-llwarth-1943-2024
#20
JOURNAL ARTICLE
Prem Puri
No abstract text is available yet for this article.
April 9, 2024: Journal of Pediatric Surgery
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