18,036 results match your criteria Journal of Pediatric Surgery[Journal]


Diagnostic delay and colectomy risk in pediatric ulcerative colitis.

J Pediatr Surg 2019 Mar 28. Epub 2019 Mar 28.

Section of Pediatric Gastroenterology, Baylor College of Medicine, Houston, TX; USDA/ARS Children's Nutrition Research Center, Texas Children's Hospital, Houston, TX. Electronic address:

Background/purpose: Diagnostic delay or time to diagnosis, and its relationship with colectomy risk has been studied in adult Inflammatory Bowel Disease (IBD), but rarely in pediatric IBD (PIBD), especially pediatric ulcerative colitis (P-UC), which often has a more severe course than adult UC. This study compared the relationship between diagnostic delay and colectomy in P-UC.

Methods: The medical records of P-UC patients, ages <18 years, diagnosed at Texas Children's Hospital from 2012 to 2018 were examined. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.03.012DOI Listing

Population-based cohort study of the correlation between provision of care and the risk for complications after appendectomy in children.

J Pediatr Surg 2019 Mar 28. Epub 2019 Mar 28.

Department of Pediatric Surgery, Astrid Lindgren Children's Hospital, Karolinska University Hospital, Stockholm, Sweden; Departments of Women's and Children's Health, Stockholm, Sweden.

Purpose: To investigate the impact of hospital administrative level and caseload of pediatric appendectomies on the morbidity and mortality after appendectomy in a population-based cohort of Swedish children.

Methods: Population-based cohort study including all Swedish children less than 15 years of age that underwent appendectomy for suspected appendicitis, 1987-2009. Patient characteristics and data on postoperative morbidity and mortality were collected from the Swedish National Patient Register and the Swedish Death Register. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.03.013DOI Listing

Surgical management of pediatric rectal prolapse: A survey of the American Pediatric Surgical Association (APSA).

J Pediatr Surg 2019 Mar 18. Epub 2019 Mar 18.

University of California at Davis Medical Center, Shriners Hospitals for Children, Northern California, 2425 Stockton Blvd., Sacramento, CA 25817.

Introduction: Many management options exist for the treatment of refractory rectal prolapse (RP) in children. Our goal was to characterize current practice patterns among active members of APSA.

Methods: A 23-item questionnaire assessed the management of full-thickness RP for healthy children who have failed medical management. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00223468193013
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http://dx.doi.org/10.1016/j.jpedsurg.2019.02.017DOI Listing
March 2019
1 Read

Lessons from space-For the crew on planet earth.

Authors:
Cady Coleman

J Pediatr Surg 2019 Apr 2. Epub 2019 Apr 2.

Former Astronaut, Colonel USAF (ret). Electronic address:

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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.071DOI Listing

Use of a magnetic double J stent in pediatric patients: A case-control study at two Canadian pediatric centers.

J Pediatr Surg 2019 Mar 28. Epub 2019 Mar 28.

Division of Urology, Alberta Children's Hospital, Calgary, Alberta, Canada. Electronic address:

Background: Ureteral stents with magnetic tips (Blackstar©) were recently approved for use in Canada. To our knowledge this is the first published evidence of their use in pediatric patients. Traditionally, pediatric stent insertion and removal are performed under general anesthetic. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.03.014DOI Listing

Fourth branchial anomalies: Predictive factors of therapeutic success.

J Pediatr Surg 2019 Feb 21. Epub 2019 Feb 21.

ENT department, Hôpital d'enfants Necker, Assistance Publique - Hôpitaux de Paris, Paris V Université, Marseille, France.

Purpose: The purpose of this work was to determine the epidemiology and the predictive factors of success of the surgical management of fourth branchial anomalies.

Methods: This is a multicentric retrospective review from 1998 to 2016 of patients who presented with an endoscopically-confirmed fourth branchial pouch anomaly. Data were analyzed according to sex, age, clinical features, number of recurrences, treatment modalities (endoscopic and/or cervicotomy), post-operative complications and follow-up. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00223468193011
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http://dx.doi.org/10.1016/j.jpedsurg.2019.02.005DOI Listing
February 2019
3 Reads

CAPS at 50: Now comfortably seated with the grownups.

Authors:
Erik D Skarsgard

J Pediatr Surg 2019 Mar 29. Epub 2019 Mar 29.

Department of Surgery, BC Children's Hospital and the University of British Columbia, Vancouver, BC, Canada. Electronic address:

The Canadian Association of Pediatric Surgeons was established 50 years ago, with 30 founding members. Since then, the CAPS membership has grown nearly 10-fold and has developed a global presence with representation from 15 countries. CAPS has 8 pediatric surgery training programs which contribute not only to the North American workforce, but also to profoundly underserved low and middle income countries, particularly in Africa. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.070DOI Listing

Microdeformational wound therapy: A novel option to salvage complex wounds associated with the Nuss procedure.

J Pediatr Surg 2019 Mar 16. Epub 2019 Mar 16.

Divisions of Pediatric Surgery, Johns Hopkins University, Baltimore, MD; Divisions of Pediatric Surgery, Johns Hopkins All Children's Hospital, St Petersburg, FL.

Background: Complex wounds associated with the Nuss procedure are a resource intensive complication that may lead to significant morbidity with potential removal of the implanted device and abandonment of the repair. We report our management technique of this complication utilizing microdeformational wound therapy (MDWT) that is safe, is efficacious and allows for salvage of the repair.

Operative Technique: We defined a complex wound as a wound that became suppurative and drained in the postoperative period and failed to resolve with a trial of conventional wound management and antibiotics. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.03.006DOI Listing

The impact of perioperative care on complications and short term outcome in ARM type rectovestibular fistula: An ARM-Net consortium study.

J Pediatr Surg 2019 Mar 21. Epub 2019 Mar 21.

Department of Surgery-Pediatric Surgery, Radboudumc Amalia Children's Hospital, Nijmegen, The Netherlands.

Background: The impact of perioperative care interventions on postreconstructive complications and short-term colorectal outcome in patients with anorectal malformation (ARM) type rectovestibular fistula is unknown.

Methods: An ARM-Net consortium multicenter retrospective cohort study was performed including 165 patients with a rectovestibular fistula. Patient characteristics, perioperative care interventions, timing of reconstruction, postreconstructive complications and the colorectal outcome at one year of follow-up were registered. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.03.008DOI Listing

Medical manslaughter: Resolving circularity.

Authors:
David Macintosh

J Pediatr Surg 2019 Mar 28. Epub 2019 Mar 28.

7/26 Tintern Avenue Toorak, Victoria 3142, Australia. Electronic address:

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http://dx.doi.org/10.1016/j.jpedsurg.2019.03.015DOI Listing

Multidisciplinary management of congenital giant head and neck masses: Our experience and review of the literature.

J Pediatr Surg 2019 Apr 10;54(4):733-739. Epub 2018 Oct 10.

Department of Otolaryngology and Head and Neck Surgery, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy; Department of Clinical Sciences and Community Health, Università degli Studi di Milano, Milan, Italy.

Background: Large fetal head and neck (HN) masses can be life-threatening at birth and postnatally owing to airway obstruction. The two most frequent congenital masses that may obstruct the airway are lymphatic malformation (LM) and teratoma. The aim of this paper was to evaluate the results of our experience in the management of giant congenital HN masses and to conduct a literature review. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.09.018DOI Listing

Pancreatic islet cell tumors in adolescents and young adults.

J Pediatr Surg 2019 Mar 27. Epub 2019 Mar 27.

Department of Surgery, University of Alabama at Birmingham, Children's of Alabama, Birmingham, AL. Electronic address:

Background: Pancreatic islet cell tumors are rare in adolescents, and most studies published to date focus on older patients. We utilized a national database to describe the histology and clinical pattern of pancreatic islet cell tumors in adolescent and young adult (AYA) patients, and to compare AYAs to older adults. We hypothesized that AYAs with pancreatic islet cell tumors would have better overall survival. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.060DOI Listing
March 2019
1 Read

Gastroschisis may be good, bad, not so ugly, and falsely beautiful.

J Pediatr Surg 2019 Mar 25. Epub 2019 Mar 25.

Disciplines of Pediatric Surgery and Pathology, Antonio Pedro University Hospital, Federal Fluminense University, Rio de Janeiro, Brazil.

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http://dx.doi.org/10.1016/j.jpedsurg.2019.02.059DOI Listing
March 2019
2 Reads

Fetal echocardiography (ECHO) in assessment of structural heart defects in congenital diaphragmatic hernia patients: Is early postnatal ECHO necessary for ECMO candidacy?

J Pediatr Surg 2019 Feb 20. Epub 2019 Feb 20.

Texas Children's Fetal Center, Baylor College of Medicine, Texas Children's Hospital, Houston, TX; Michael E. DeBakey Department of Surgery-Division of Pediatric Surgery, Baylor College of Medicine, Texas Children's Hospital, Houston, TX. Electronic address:

Purpose: The purpose of this study was to determine the accuracy of fetal echocardiogram (ECHO) for detecting cardiac structural anomalies that may impact Extracorporeal Membrane Oxygenation (ECMO) candidacy in infants with Congenital Diaphragmatic Hernia (CDH).

Methods: A retrospective review was performed on fetuses with CDH (January 2007-June 2017). Inclusion criteria were inborn and at least one prenatal and postnatal ECHO. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.022DOI Listing
February 2019
5 Reads

Age-adjusted shock index: From injury to arrival.

J Pediatr Surg 2019 Feb 27. Epub 2019 Feb 27.

Nationwide Children's Hospital, Department of Pediatric Surgery, Columbus, OH; Center for Pediatric Trauma Research, The Research Institute at Nationwide Children's Hospital, Columbus, OH. Electronic address:

Background: Studies have demonstrated the superiority of the shock index, pediatric age-adjusted (SIPA) in predicting outcomes in pediatric blunt trauma patients. However, all have utilized SIPA calculated on emergency department (ED) arrival. We sought to evaluate the utility of SIPA at the trauma scene and describe changes in SIPA from the trauma scene to the ED. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.049DOI Listing
February 2019
2 Reads

Author response to "Gastroschisis may be good, bad, not so ugly and falsely beautiful".

J Pediatr Surg 2019 Mar 25. Epub 2019 Mar 25.

Rady Children's Hospital, 3030 Children's Way, MC 5136, San Diego, CA 92123. Electronic address:

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http://dx.doi.org/10.1016/j.jpedsurg.2019.03.011DOI Listing

Development of venous thrombi in a pediatric population of intestinal failure.

J Pediatr Surg 2019 Mar 7. Epub 2019 Mar 7.

Division of Pediatric Surgery, Department of Surgery, University of Alabama at Birmingham. Electronic address:

Background/purpose: Although pediatric intestinal failure (IF) is now a survivable diagnosis, children are still at risk for complications. Loss of venous access persists as a leading indication for intestinal transplantation. The goal of this study was to identify risk factors for loss of venous access in a pediatric intestinal failure population on long-term PN. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00223468183088
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http://dx.doi.org/10.1016/j.jpedsurg.2018.12.022DOI Listing
March 2019
3 Reads

Child abuse and the pediatric surgeon: A position statement from the Trauma Committee, the Board of Governors and the Membership of the American Pediatric Surgical Association.

J Pediatr Surg 2019 Mar 21. Epub 2019 Mar 21.

Department of General Surgery, Section of Pediatric Surgery, Brenner Children's Hospital, Wake Forest Baptist Health, Winston-Salem, NC. Electronic address:

Background: The pediatric surgeon is in a unique position to assess, stabilize, and manage a victim of child physical abuse (formerly nonaccidental trauma [NAT]) in the setting of a formal trauma system.

Methods: The American Pediatric Surgical Association (APSA) endorses the concept of child physical abuse as a traumatic disease that justifies the resource utilization of a trauma system to appropriately evaluate and manage this patient population including evaluation by pediatric surgeons.

Results: APSA recommends the implementation of a standardized tool to screen for child physical abuse at all state designated trauma or ACS verified trauma and children's surgery hospitals. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00223468193021
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http://dx.doi.org/10.1016/j.jpedsurg.2019.03.009DOI Listing
March 2019
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The management of pilonidal disease: A systematic review.

J Pediatr Surg 2019 Mar 19. Epub 2019 Mar 19.

Division of Pediatric Surgery, Le Bonheur Children's Hospital, University of Tennessee Health Science Center, Memphis, TN.

Objective: The goal of this systematic review by the American Pediatric Surgical Association Outcomes and Evidence-Based Practice Committee was to derive recommendations from the medical literature regarding the management of pilonidal disease.

Methods: The PubMed, Cochrane, Embase, Web of Science, and Scopus databases from 1965 through June 2017 were queried for any papers addressing operative or non-operative management of pilonidal disease. The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines were followed. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.02.055DOI Listing
March 2019
1.311 Impact Factor

Surgical interventions for the treatment of sacrococcygeal pilonidal sinus disease in children: A systematic review and meta-analysis.

J Pediatr Surg 2019 Mar 16. Epub 2019 Mar 16.

Department of General Surgery, Royal Derby Hospital, Derby, UK DE22 3NE; Department of Surgery, Division of Medical Sciences and Graduate Entry Medicine, University of Nottingham, Derby, UK DE22 2DT.

Background: Pilonidal sinus disease (PNS) is not uncommon in children. Controversy remains over the best treatment and there is limited evidence. This systematic review and meta-analysis aims to establish which techniques have the best outcomes in children. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.02.058DOI Listing

Intraoperative intercostal nerve cryoablation during the Nuss procedure reduces length of stay and opioid requirement: A randomized clinical trial.

J Pediatr Surg 2019 Mar 17. Epub 2019 Mar 17.

Division of Pediatric Surgery, Department of Surgery, University of California, San Francisco.. Electronic address:

Purpose: Minimally-invasive repair of pectus excavatum by the Nuss procedure is associated with significant postoperative pain, prolonged hospital stay, and high opiate requirement. We hypothesized that intercostal nerve cryoablation during the Nuss procedure reduces hospital length of stay (LOS) compared to thoracic epidural analgesia.

Design: This randomized clinical trial evaluated 20 consecutive patients undergoing the Nuss procedure for pectus excavatum between May 2016 and March 2018. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.02.057DOI Listing

Guidelines for synoptic reporting of surgery and pathology in Hirschsprung disease.

J Pediatr Surg 2019 Mar 21. Epub 2019 Mar 21.

Division of Pediatric Surgery, Department of Surgery, University of Tennessee Health Science Center; Children's Foundation Research Institute, Le Bonheur Children's Hospital, Memphis, TN, USA. Electronic address:

Background/purpose: Synoptic, or standardized, reporting of surgery and pathology reports has been widely adopted in surgical oncology. Patients with Hirschsprung disease may experience morbidity related to surgical factors or underlying pathology and often undergo multiple operations. Our aim is to improve the postoperative outcome and care of patients with Hirschsprung disease by proposing a standardized set of data that should be included in every surgery and pathology report. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.03.010DOI Listing
March 2019
1.311 Impact Factor

Prevalence and survival of patients with anorectal malformations: A population-based study.

J Pediatr Surg 2019 Mar 16. Epub 2019 Mar 16.

Pediatric Surgery Unit, Department of Women's and Children's Health, University of Padova, Padova, Italy.

Background: Anorectal malformations (ARMs) are the most frequent congenital intestinal anomalies. The aim of this study was to describe the epidemiology of anorectal defects between 1981 and 2014 and to evaluate patients' survival.

Methods: A population-based study using data collected by an Italian, regional registry of birth defects and by the local Pediatric Surgery Units. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.03.004DOI Listing

Optimized force range of magnetic compression anastomosis in dog intestinal tissue.

J Pediatr Surg 2019 Mar 20. Epub 2019 Mar 20.

The First Affiliated Hospital of Xi'an Jiaotong University, 710061, Xi'an, China; National Local Joint Engineering Research Center for Precision Surgery & Regenerative Medicine, Xi'an Jiaotong University, 710061, Xi'an, China. Electronic address:

Background: Magnetic compression anastomosis (MCA) is a commonly used anastomosis method. MCA was widely used in tissues repair, gastroenterostomy, choledochoenterostomy, and so on. It is safer and more effective than stapler and manual surgical suturing. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.03.005DOI Listing
March 2019
1.311 Impact Factor

Surgical treatment of hydatidothorax in children: A retrospective study of 19 patients.

J Pediatr Surg 2019 Mar 19. Epub 2019 Mar 19.

Department of Pediatric, Children Hospital, Rabat, Morocco; Faculty of Medicine and Pharmacy, Mohamed V University, Rabat, Morocco.

Objective: The objective of this study was to describe the role of surgical management of ruptured hydatid cysts into the pleural cavity in children. A review of the management of patients with intrapleural rupture of pulmonary hydatid cysts in children at our center was performed.

Materials And Methods: A retrospective chart review was performed on all children who developed intrapleural rupture of a hydatid cyst in the lung. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.03.003DOI Listing
March 2019
1 Read

Prediction of cervical spine injury in young pediatric patients: an optimal trees artificial intelligence approach.

J Pediatr Surg 2019 Mar 18. Epub 2019 Mar 18.

Operations Research Center, Massachusetts Institute of Technology, Cambridge, MA, USA.

Background: Cervical spine injuries (CSI) are a major concern in young pediatric trauma patients. The consequences of missed injuries and difficulties in injury clearance for non-verbal patients have led to a tendency to image young children. Imaging, particularly computed tomography (CT) scans, presents risks including radiation-induced carcinogenesis. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.03.007DOI Listing

Primary acquired gastric outlet obstruction in children: A retrospective single center study.

J Pediatr Surg 2019 Mar 15. Epub 2019 Mar 15.

Dept. of Obstetrics and Gynaecology, Jawaharlal Nehru Medical College, Aligarh Muslim University, UP, India.

Background/ Purpose: Idiopathic hypertrophic pyloric stenosis is by far the most common cause of gastric outlet obstruction (GOO) in young infants, with more than 90% of cases presenting between 3 and 10 weeks after birth. While cases of late onset pyloric stenosis beyond infancy have been reported, the etiology is poorly understood. We report our experience of 5 cases, describing the similarities and differences in management of our patient population which happens to be the second largest reported in literature. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.02.056DOI Listing

Geographic distance to pediatric surgical care within the continental United States.

J Pediatr Surg 2019 Mar 6. Epub 2019 Mar 6.

Department of Surgery, Naval Medical Center Portsmouth, Portsmouth, VA; Department of Pediatric Surgery, Naval Medical Center Portsmouth, Portsmouth, VA.

Purpose: Geographic proximity to pediatric surgical care has not been evaluated using the Decennial Census nor have racial, ethnic, gender, or urbanization variations been reported. This study's aim is to describe proximity of children living in the continental U.S. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.02.048DOI Listing

Opioid use and length of stay following minimally invasive pectus excavatum repair in 436 patients - Benefits of an enhanced recovery pathway.

J Pediatr Surg 2019 Mar 1. Epub 2019 Mar 1.

Division of Pediatric Surgery, Mayo Clinic, Rochester, MN.

Purpose: The purpose of this study was to determine outcomes of an enhanced recovery pathway (ERP) for minimally invasive repair of pectus excavatum (MIRPE) at a high volume center, hypothesizing it is associated with decreased opioid requirement and shorter hospital stay.

Methods: Patients were categorized into pre-ERP (1998-2006), transition (2007-2011), and ERP (2012-2017) cohorts. Data were abstracted from medical records. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.02.007DOI Listing

Standardization of common bile duct size using ultrasound in pediatric patients.

J Pediatr Surg 2019 Mar 1. Epub 2019 Mar 1.

Division of Pediatric General, Thoracic and Minimally Invasive Surgery, St. Christopher's Hospital for Children, Philadelphia, PA. Electronic address:

Background/purpose: The incidence of choledocholithiasis is increasing. The diagnosis of common bile duct (CBD) obstruction is based on abnormal CBD size. Establishing norms for CBD size in children would improve diagnostic accuracy. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.02.050DOI Listing

Gender dysphoria and XX congenital adrenal hyperplasia: how frequent is it? Is male-sex rearing a good idea?

J Pediatr Surg 2019 Feb 22. Epub 2019 Feb 22.

Pediatric Urology and Surgery Department, Servidores do Estado Federal Hospital, UFF, Rio de Janeiro, Brazil.

Introduction: The frequency of gender dysphoria (GD) among 46,XX congenital adrenal hyperplasia (CAH) patients is unknown. These data are needed to put into perspective the debate about the timing of reconstructive surgery and possible male-raising of the most severely virilized children.

Objective: To analyze the frequency of female to male GD between 46,XX individuals raised as females; to identify subgroups with higher chances of showing GD; to describe the results of male-raising among 46,XX CAH patients. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.062DOI Listing
February 2019
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Factors influencing choice of medical vs. surgical treatment of pediatric appendicitis.

J Pediatr Surg 2019 Mar 7. Epub 2019 Mar 7.

Beaumont Children's, Royal Oak, MI; Oakland University William Beaumont School of Medicine, Rochester, MI.

Purpose: To examine what proportion of caregivers, if given a choice, would choose medical versus surgical treatment of appendicitis and what factors would be important in their decision.

Methods: A survey was devised and given to the caregivers of children presenting to the pediatrician for a routine visit in community and academic pediatric clinics. The survey presented a summary of outcomes after medical (non-operative) and surgical treatment of uncomplicated appendicitis. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.02.053DOI Listing

Single-visit surgery: An evaluation from an institutional perspective.

J Pediatr Surg 2019 Mar 1. Epub 2019 Mar 1.

Texas Children's Hospital, Department of Surgery, Houston, TX. Electronic address:

Background/purpose: Elective ambulatory surgical care traditionally involves three independent visits. Single-Visit Surgery (SVS) is an alternative surgical model that consolidates care into one visit. Evaluation of the effect of this novel program on hospital operations is limited. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.02.047DOI Listing

A systematic review of management options in pediatric rectal prolapse.

J Pediatr Surg 2019 Mar 7. Epub 2019 Mar 7.

University of Minnesota Medical School, Division of Pediatric Surgery, 2450 Riverside Ave., Minneapolis, MN 55454, USA.

Purpose: Rectal prolapse is a relatively common condition in infants and young children with a multifactorial etiology. Despite its prevalence, there remains clinical equipoise with respect to secondary treatment in pediatric surgery literature. We conducted a systematic review to evaluate methods of secondary treatment currently used to treat rectal prolapse in children. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.03.002DOI Listing
March 2019
1 Read

Splenic development and injury in premature lambs supported by the artificial placenta.

J Pediatr Surg 2019 Mar 1. Epub 2019 Mar 1.

Extracorporeal Life Support Laboratory, Department of Surgery, Michigan Medicine, Ann Arbor, MI; Fetal Diagnosis and Treatment Center, C.S. Mott Children's Hospital, Michigan Medicine, Ann Arbor, MI.

Introduction: The purpose of this study is to evaluate splenic effects during artificial placenta (AP) support.

Methods: AP lambs (118-121 d, n = 14) were delivered and placed on the AP support for a goal of 10-14 days. Cannulation used right jugular drainage and umbilical vein reinfusion. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00223468193018
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http://dx.doi.org/10.1016/j.jpedsurg.2019.02.041DOI Listing
March 2019
5 Reads

Surgical management of pediatric thyroid disease: Complication rates after thyroidectomy at the Children's Hospital of Philadelphia high-volume Pediatric Thyroid Center.

J Pediatr Surg 2019 Feb 28. Epub 2019 Feb 28.

Department of Surgery, Children's Hospital of Philadelphia, and the Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA. Electronic address:

Background: Recent studies suggest improved outcomes for children undergoing thyroidectomy at high-volume pediatric surgery centers. We present outcomes after thyroid surgery at a single center and advocate for referral to high-volume centers for multidisciplinary management of these children.

Methods: Medical records were reviewed for all pediatric patients undergoing thyroid surgery at a single institution from 2009 through 2017. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.02.009DOI Listing
February 2019
1 Read

Syria civil war pediatric casualties treated at a single medical center.

J Pediatr Surg 2019 Mar 2. Epub 2019 Mar 2.

Department of Pediatric Surgery, Galilee Medical Center, Nahariya, Israel; Azrieli Faculty of Medicine-Bar-Ilan University, Safed, Israel. Electronic address:

Purpose: We describe the medical and surgical treatment outcomes of Syrian civil war pediatric casualties admitted to our tertiary medical center in northern Israel and compare them to reports of pediatric war victims in Iraq and Afghanistan.

Methods: 117 pediatric casualties up to age 18 (median age: 12 years, 91 males) were admitted from 2013 to 2016. We measured demographics, injury mechanism, wound type, injury severity, surgical interventions, morbidity, and mortality. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.02.022DOI Listing
March 2019
4 Reads

A 25-year study of gastroschisis outcomes in a middle-income country.

J Pediatr Surg 2019 Feb 24. Epub 2019 Feb 24.

Department of Surgery, School of Medicine, Universidade Federal de Minas Gerais; Pediatric Surgical Service, Hospital das Clínicas of the Universidade Federal de Minas Gerais/Empresa, Brasileira, de Serviços Hospitalares. Belo Horizonte, Minas Gerais, Brazil.

Background: Survival of newborns with gastroschisis is significantly higher in high-income versus low and middle-income countries. We reviewed treatment and outcomes of gastroschisis in a middle-income country setting with increasing protocolized management.

Methods: All newborns with gastroschisis treated during the period 1989-2013 at a single Brazilian academic surgical service were studied retrospectively. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.02.020DOI Listing
February 2019
6 Reads

Current operative management of congenital lobar emphysema in children: A report from the Midwest Pediatric Surgery Consortium.

J Pediatr Surg 2019 Mar 1. Epub 2019 Mar 1.

Section of Pediatric Surgery, Department of Surgery, University of Michigan and Michigan Medicine, C.S. Mott Children's and Von Voigtlander Women's Hospital, Ann Arbor, MI, USA.

Purpose: The purpose of this study was to evaluate the clinical presentation and operative outcomes of patients with congenital lobar emphysema (CLE) within a large multicenter research consortium.

Methods: After central reliance IRB-approval, a retrospective cohort study was performed on all operatively managed lung malformations at eleven participating children's hospitals (2009-2015).

Results: Fifty-three (10. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.02.043DOI Listing
March 2019
1 Read

Early CDH repair on ECMO: Improved survival but no decrease in ECMO duration (A CDH Study Group Investigation).

J Pediatr Surg 2019 Feb 27. Epub 2019 Feb 27.

Akron Children's Hospital, Department of Surgery, Akron, OH. Electronic address:

Purpose: "Early on-ECMO" repair of CDH entails repair within 48-72 h of cannulation in an effort to optimize pulmonary physiology, shorten ECMO duration, and, ultimately, improve survival. This study evaluated the effect of early on-ECMO repair as compared to leaving patients unrepaired during ECMO.

Methods: The CDH Study Group database was queried for CDH patients requiring ECMO who either underwent repair within the first 72 h after cannulation or remained unrepaired on ECMO. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.063DOI Listing
February 2019
2 Reads

Potential survival benefit with repair of congenital diaphragmatic hernia (CDH) after extracorporeal membrane oxygenation (ECMO) in select patients: Study by ELSO CDH Interest Group.

J Pediatr Surg 2019 Mar 1. Epub 2019 Mar 1.

University of California Irvine Medical Center, Department of Surgery, Orange, CA; Children's Hospital of Orange County, Division of Pediatric Surgery, Orange, CA. Electronic address:

Purpose: Studying the timing of repair in CDH is prone to confounding factors, including variability in disease severity and management. We hypothesized that delaying repair until post-ECMO would confer a survival benefit.

Methods: Neonates who underwent CDH repair were identified within the ELSO Registry. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.02.052DOI Listing
March 2019
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Can fecal continence be predicted in patients born with anorectal malformations?

J Pediatr Surg 2019 Mar 1. Epub 2019 Mar 1.

Department of Pediatric Surgery and the Research Institute, Nationwide Children's Hospital, Columbus, OH.

Purpose: The purpose of this study was to identify factors associated with attaining fecal continence in children with anorectal malformations (ARM).

Methods: We performed a multi-institutional cohort study of children born with ARM in 2007-2011 who had spinal and sacral imaging. Questions from the Baylor Social Continence Scale were used to assess fecal continence at the age of ≥4 years. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.02.035DOI Listing
March 2019
3 Reads

Total esophagogastric dissociation (TEGD): Lessons from two decades of experience.

J Pediatr Surg 2019 Feb 28. Epub 2019 Feb 28.

Department of Paediatric Surgery, Meyer Children's Hospital, Florence, Italy; Department of Paediatric Surgery, Royal Manchester Children's Hospital, Meyer, United Kingdom; Department of NEUROFARBA, University of Florence, Florence, Italy.

Background: Total esophagogastric dissociation (TEGD) has been performed in our institution since 1994, predating its published description by Bianchi in 1997. Originally it was considered a rescue procedure when conventional antireflux surgery failed. Recently TEGD has been considered a viable primary option for the treatment of gastroesophageal reflux disease (GERD) in severely neurological impaired (NI) patients. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.02.031DOI Listing
February 2019

Gastrointestinal feeding access - From idea to application.

J Pediatr Surg 2019 Mar 1. Epub 2019 Mar 1.

University of South Carolina School of Medicine Greenville, Greenville, SC, 29605. Electronic address:

In this Festschrift communication, the author of two novel approaches to long-term enteral access: the gastrostomy without laparotomy (Percutaneous Endoscopic Gastrostomy or PEG) and the skin-level feeding device (Gastrostomy "Button"), relates the history of these innovations, describes the initial and extended applications, and comments on the implications of these developments. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.02.045DOI Listing
March 2019
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An anatomical rationale for a squatting-based pelvic floor regime to address bladder and bowel problems.

Authors:
Pep Petros

J Pediatr Surg 2019 Feb 12. Epub 2019 Feb 12.

31/93 Elizabeth Bay Road, Elizabeth Bay, NSW 2011, Australia; University of NSW Professorial Dept of Surgery, St Vincent's Hospital Sydney; University of Western Australia School of Mechanical and Chemical Engineering, Perth, WA. Electronic address:

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http://dx.doi.org/10.1016/j.jpedsurg.2018.12.025DOI Listing
February 2019

The presence of PIM3 increases hepatoblastoma tumorigenesis and tumor initiating cell phenotype and is associated with decreased patient survival.

J Pediatr Surg 2019 Feb 28. Epub 2019 Feb 28.

Department of Surgery, University of Alabama at Birmingham, Birmingham, AL. Electronic address:

Purpose: Hepatoblastoma is the most common primary liver cancer of childhood and has few prognostic indicators. We have previously shown that Proviral Integration site for Moloney murine leukemia virus (PIM3) kinase decreased hepatoblastoma tumorigenicity. We sought to determine the effect of PIM3 overexpression on hepatoblastoma cells and whether expression of PIM3 correlated with patient/tumor characteristics or survival. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00223468193017
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http://dx.doi.org/10.1016/j.jpedsurg.2019.02.029DOI Listing
February 2019
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FXR1 expression domain in Wilms tumor.

J Pediatr Surg 2019 Feb 28. Epub 2019 Feb 28.

Vanderbilt University Medical Center, Department of Pediatric Surgery, Nashville, TN.

Background/purpose: Wilms tumor (WT) is the most common childhood kidney cancer globally. Our prior unbiased proteomic screen of WT disparities revealed increased expression of Fragile X-Related 1 (FXR1) in Kenyan specimens where survival is dismal. FXR1 is an RNA-binding protein that associates with poor outcomes in multiple adult cancers. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.02.030DOI Listing
February 2019

Efficacy and risk profile of self-expandable stents in the management of pediatric esophageal pathology.

J Pediatr Surg 2019 Feb 28. Epub 2019 Feb 28.

Section of Pediatric Surgery, Department of Surgery, Michigan Medicine, C.S. Mott Children's and Von Voigtlander Women's Hospital, Ann Arbor, MI. Electronic address:

Purpose: The purpose of this study was to evaluate the efficacy and risk profile of esophageal stents in the management of complicated pediatric esophageal disease.

Methods: An IRB-approved, single-center, retrospective review was performed on all pediatric patients (n = 13) who underwent esophageal stent placement (2005-2017). Demographic, perioperative, and outcome data were analyzed (p < 0. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.02.025DOI Listing
February 2019

Congenital high airway obstruction syndrome (CHAOS): Natural history, prenatal management strategies, and outcomes at a single comprehensive fetal center.

J Pediatr Surg 2019 Mar 1. Epub 2019 Mar 1.

Cincinnati Fetal Center, Cincinnati, OH; Cincinnati Children's Hospital Medical Center, Cincinnati, OH; University of Cincinnati College of Medicine, Cincinnati, OH.

Purpose: Congenital high airway obstruction syndrome (CHAOS) is a devastating fetal condition of complete airway discontinuity resulting in significant hydrops and extreme lung hyperplasia. It is universally fatal with survival reported only in the rare spontaneous fistulization or EXIT intervention (Ex Utero Intrapartum Treatment). Even in these cases, mortality remains high, and current investigations are targeting prenatal interventions. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.02.034DOI Listing
March 2019
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Experimental study on prophylactic effects of vardenafil in ischemia-reperfusion model with intestinal volvulus injury in rats.

J Pediatr Surg 2019 Feb 23. Epub 2019 Feb 23.

Hitit University Erol Olcok Training and Research Hospital, Department of Anesthesiology and Reanimation, Çorum, Turkey.

Aim: An experimental study was performed to evaluate the effects of Vardenafil on ischemia-reperfusion (I/R) injury in an experimental volvulus model by histochemical and biochemical methods.

Materials And Methods: Thirty-five male Wistar rats were divided in five groups (n = 7). In Group 1, a 5 cm segment of small intestine 2 cm proximal to cecum was excised to have a control group. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.02.011DOI Listing
February 2019
2 Reads