Journals European Journal of Pediatric ...

European Journal of Pediatric Surgery
Jakob Muehling, Alexandra Fröba-Pohl, Oliver J Muensterer, Dietrich von Schweinitz, Roland Kappler
OBJECTIVE:  The antiapoptotic BCL-2 protein has implications for maturation and differentiation of neural tissue and acts as a strong modulator of carcinogenesis in different tumors. Recent research focuses not only on its benefit as a prognostic factor, but also as a potential therapeutic target. The role of BCL-2 in neuroblastoma, the most common extracranial solid tumor in childhood, remains controversial. The aim of our study was to determine the gene expression level of BCL-2 in a large cohort of neuroblastoma patients and its correlation with clinical parameters...
September 29, 2023: European Journal of Pediatric Surgery
Numan Demir, Begüm Pişiren, Selen Serel Arslan, Ozlem Boybeyi-Turer, Tutku Soyer
INTRODUCTION: The Dynamic Imaging Grade of Swallowing Toxicity Scale (DIGEST) was developed to evaluate the safety, efficiency, and overall pharyngeal swallowing performance in patients with dysphagia. Although, various types of swallowing dysfunction are encountered in children with esophageal atresia (EA), oropharyngeal dysphagia poses risk for aspiration. Therefore, a retrospective study was performed to evaluate the safety and efficacy of swallowing by using DIGEST score in children with EA...
September 25, 2023: European Journal of Pediatric Surgery
Kailas Bhandarkar, Paolo DeCoppi, Kate Cross, Simon Blackburn, Joe Curry
Introduction Management of patients with total colonic aganglionosis (TCA) is challenging for paediatric surgeons. The purpose of this study was to review our institution's 20-year experience regarding long-term outcomes and multidisciplinary team management of these patients after an Ileorectal Duhamel pull-through procedure. Materials and Methods Retrospective review was conducted for all patients diagnosed with TCA in our tertiary institution. Data was collected on demographics, clinical presentation, complications, need for additional surgery and long-term effects on bowel function...
September 25, 2023: European Journal of Pediatric Surgery
Angel Chimenea, Marta Domínguez-Moreno, María Barrera-Talavera, Lutgardo García-Díaz, Guillermo Antiñolo
INTRODUCTION:  Despite advances in neonatal intensive care, fetuses with congenital diaphragmatic hernia (CDH) remain to have a poor prognosis. Exclusive postnatal treatment is inadequate in patients with moderate CDH (observed than expected lung-to-head ratio [O/E LHR] 26-45%) and can lead to respiratory failure at birth, requiring extracorporeal membrane oxygenation in 75% of cases. An ex-utero intrapartum treatment (EXIT) procedure may be beneficial in these cases, improving the fetal-neonatal transition...
September 8, 2023: European Journal of Pediatric Surgery
Matteo Busti, Angelo Zarfati, Laura Valfre, Andrea Conforti, Pietro Bagolan
INTRODUCTION:  The long-term outcomes of children who underwent surgery for congenital cystic adenomatoid malformation of the lung (CCAML) are not well documented, particularly regarding orthopaedic and respiratory follow-up (FU). The aim of this study was to assess the long-term pulmonary and orthopaedic outcomes of surgically treated CCAML in newborns, infants, and toddlers. MATERIALS AND METHODS:  Retrospective examination of prospectively recorded data of consecutive patients with CCAML who underwent surgery at our tertiary referral institution from January 2000 to December 2015 (newborns, infants, and toddlers)...
September 8, 2023: European Journal of Pediatric Surgery
Diego Gil Mayo, Pascual Sanabria Carretero, Luis Gajate Martin, Jose Alonso Calderón, Maria Gomez Rojo, Francisco Hernández Oliveros
OBJECTIVE:  Surgical intervention in pediatric patients can cause variable degrees of psychological stress with potential consequences in the perioperative period and even in the long term, after hospital discharge in the form of behavioral changes days and months later. The aim of our study was to determine which preoperative preparation strategy reduces postoperative maladaptive behavioral changes in children undergoing ambulatory pediatric surgery. MATERIALS AND METHODS:  This prospective observational study included 638 pediatric American Society of Anesthesiologists physical status I or II patients who underwent ambulatory pediatric surgery...
September 8, 2023: European Journal of Pediatric Surgery
A I Koivusalo, J S Suominen, J Nokso-Koivisto, M P Pakarinen
OBJECTIVE:  Etiology of vocal cord paralysis (VCP) and laryngeal dysfunction may be congenital or surgical trauma of recurrent and superior laryngeal nerves. We assessed the incidence, risk factors, and morbidity of VCP after repair of esophageal atresia (EA). METHODS:  Medical records of 201 EA patients from 2000 to 2022 were reviewed for this retrospective study. Postrepair vocal cord examination (VCE) included awake nasolaryngeal fiberoscopy by otolaryngologist or laryngoscopy under spontaneous breathing anesthesia...
September 5, 2023: European Journal of Pediatric Surgery
Juliane Richter, Fabian Doktor, Hayley Good, Lauren Erdman, Jin K Kim, Joana Dos Santos, Natasha Brownrigg, Michael Chua, Armando J Lorenzo, Mandy Rickard, Tim Van Mieghem, Shiri Shinar
INTRODUCTION:  Neonates with lower urinary tract obstruction (LUTO) experience high morbidity and mortality associated with the development of chronic kidney disease. The prenatal detection rate for LUTO is less than 50%, with late or missed diagnosis leading to delayed management and long-term sequelae in the remainder. We aimed to explore the trends in prenatal detection and management at a high-risk fetal center and determine if similar trends of postnatal presentations were noted for the same period...
August 22, 2023: European Journal of Pediatric Surgery
Yoshitomo Samejima, Shohei Yoshimura, Yuichi Okata, Hiroya Sakaguchi, Hirofumi Abe, Shinwa Tanaka, Yuzo Kodama, Yuko Bitoh
Introduction Peroral endoscopic myotomy (POEM) is a minimally invasive endoscopic procedure for achalasia; its indication has expanded from adults to children. We aimed to evaluate the postoperative efficacy and anti-reflex status of POEM in young children with achalasia aged ≤12 years. Materials and Methods Pediatric patients with achalasia aged ≤18 years who underwent POEM in our hospital between 2016 and 2021 were included and divided into two age groups: group A (≤12 years) and group B (13-18 years)...
August 18, 2023: European Journal of Pediatric Surgery
Julio César Moreno-Alfonso, Irune Méndez Maestro, Aniol Coll I Prat, Lara Rodríguez-Laguna, Victor Martínez-González, Paloma Triana Junco, Juan Carlos Lopez-Gutierrez
INTRODUCTION: Parkes Weber Syndrome (PWS) is a rare genetic disorder characterized by overgrowth and vascular malformations, primarily affecting the extremities. While PWS is known to be associated with arteriovenous and capillary malformations, the potential involvement of lymphatic malformations has not been previously reported. The objective of this study is to investigate the presence of lymphatic anomalies in Parkes Weber syndrome patients and their role in the development of limb asymmetry...
August 18, 2023: European Journal of Pediatric Surgery
Adrian Chi Heng Fung, Mathew Hon Lam Lee, Ling Leung, Ivy Hau Yee Chan, Wong Kenneth
Introduction Nocturnal enuresis is a common yet quality-of-life-limiting paediatric condition. There is an increasing trend for parents to obtain information on the disease's nature and treatment options via the internet. However, the quality of health-related information on the internet varies greatly and is largely uncontrolled and unregulated. With this study, a readability, quality and accuracy evaluation of the health information regarding nocturnal enuresis is carried out. Materials and Methods A questionnaire was administered to parents and patients with nocturnal enuresis to determine their use of the internet to research their condition...
August 18, 2023: European Journal of Pediatric Surgery
Yu Zhao, Zhibo Zhang, Pengjun Su
INTRODUCTION: To evaluate the outcomes of jejunal turnover and bowel plication (JTBP) in high jejunal atresia of neonates. MATERIALS AND METHODS: The clinical data of neonates met the criteria were retrospectively analyzed from January 2012 to December 2021.The neonates were divided into the JTBP group and control group according to the surgical procedure.Demographics, postoperative morphology of the duodenum and proximal jejunum,intestinal recovery time and complications were compared...
August 17, 2023: European Journal of Pediatric Surgery
Gal Becker, Audelia Eshel Fuhrer, Haguy Kammar, Igor Sukhotnik, Keren Kremer
AIM: Non-operative management (NOM) for simple acute appendicitis (SAA) is an acceptable mode of treatment in healthy children. Previous studies of NOM routinely excluded young children (<5y), however the effect of age on NOM failure has not been directly assessed. Efficiency of NOM in young adults is questionable. Therefore, adolescents may also be at greater risk of NOM failure. Our aim was to investigate the effect of age on NOM failure. METHODS: A retrospective analysis of children with SAA who received NOM between 1...
August 17, 2023: European Journal of Pediatric Surgery
Maria Casalino, Maria Enrica Miscia, Giuseppe Lauriti, Estelle Gauda, Augusto Zani, Elke Zani-Ruttenstock
OBJECTIVE:  Intestinal volvulus in the neonate is a surgical emergency caused by either midgut volvulus (MV) with intestinal malrotation or less commonly, by segmental volvulus (SV) without intestinal malrotation. The aim of our study was to investigate if MV and SV can be differentiated by clinical course, intraoperative findings, and postoperative outcomes. METHODS:  Using a defined search strategy, two investigators independently identified all studies comparing MV and SV in neonates...
August 11, 2023: European Journal of Pediatric Surgery
Amulya K Saxena, Annika Mutanen, Ramon Gorter, Andrea Conforti, Pietro Bagolan, Paolo De Coppi, Tutku Soyer
INTRODUCTION:  Neonatal ovarian simple cyst management from the pediatric surgical aspect is unclear on cyst size, follow-up, and preferred surgical approach. Therefore, this topic was selected for the 2022 Consensus Session meeting of the European Paediatric Surgeons' Association (EUPSA). METHODS:  The literature was reviewed on a predefined set of questions relating to the management of the neonatal ovarian simple cysts by a panel of 7 EUPSA members, on current evidence-based opinion and practice outlined...
August 9, 2023: European Journal of Pediatric Surgery
Tobias Jhala
No abstract text is available yet for this article.
August 9, 2023: European Journal of Pediatric Surgery
Anastasia Mentessidou, Petros Mirilas, Veniza Maravilla, Georgina Malakounides
Treatment of pilonidal sinus disease with conventional excision techniques is associated with recurrence up to 20 to 30% (primary closure) or with prolonged healing that might last months (closure by secondary intention). Endoscopic pilonidal sinus treatment (EPSiT) is gaining increasing popularity. This systematic review aims to summarize and evaluate the reported outcomes of pediatric EPSiT (PEPSiT) to date. Systematic search was performed for all studies on PEPSiT in patients younger than 18 years, pertaining to demographics, technique, and outcomes...
July 26, 2023: European Journal of Pediatric Surgery
Tal Weiss, Yael Dreznik, Dragan Kravarusic
INTRODUCTION:  Pigtail catheter (PGC) insertion due to spontaneous pneumothorax (SPT) in the pediatric population has increased markedly in the last years. However, only few studies examined its efficacy in terms of length of hospitalization, rate of complications, and especially pain management comparing to large bore catheter (LBC) insertion. We sought to compare analgetic drug consumption, efficacy, and complication rate between PGC and LBC in children with SPT. MATERIALS AND METHODS:  This is a single-center retrospective study of pediatric patients that were admitted to the Schneider Children's Medical Center between 2013 and 2021 with a diagnosis of SPT...
July 26, 2023: European Journal of Pediatric Surgery
Caroline P Lemoine, Stephanie Yang, Katherine A Brandt, Sydney Carra, Riccardo A Superina
INTRODUCTION:  Umbilical vein catheterization (UVC) can cause portal venous thrombosis, leading to the development of extrahepatic portal venous obstruction (EHPVO) and portal hypertension (PHT). The feasibility of the Meso-Rex bypass (MRB) for the treatment of EHPVO in patients with a history of UVC has been questioned. We compared the feasibility of performing an MRB in patients with or without a history of previous UVC. METHODS:  A retrospective review of patients with EHPVO and known UVC status explored for a possible MRB at our institution was performed (1997-2022)...
July 24, 2023: European Journal of Pediatric Surgery
Michele Torre, Serena Reali, Francesca Rizzo, Vittorio Guerriero, Federico Palo, Serena Arrigo, Oliviero Sacco, Girolamo Mattioli
INTRODUCTION:  Posterior tracheopexy (PT) directly addresses the posterior trachealis membrane intrusion in severe tracheomalacia. During PT, the esophagus is mobilized and membranous trachea is sutured to the prevertebral fascia. Although dysphagia has been reported as a possible complication of PT, in the literature there are no data investigating postoperative esophageal anatomy and digestive symptoms. Our aim was to study clinical and radiological consequences of PT on esophagus...
July 20, 2023: European Journal of Pediatric Surgery
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