17,914 results match your criteria Journal of Pediatric Surgery[Journal]


Cystic fibrosis and portal hypertension: Distal splenorenal shunt can prevent the need for future liver transplant.

J Pediatr Surg 2019 Feb 2. Epub 2019 Feb 2.

Division of Transplant Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. Electronic address:

Background: The management of portal hypertension (PHT) in children with well compensated cirrhosis and cystic fibrosis (CF) is controversial. We present our experience with distal splenorenal shunting (DSRS) for the treatment of PHT as an alternative to liver transplantation (LT).

Methods: Between 2008 and 2017, 5 CF children underwent a DSRS at a pediatric hepatobiliary and transplantation referral center. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.035DOI Listing
February 2019

Demographic factors affecting parental attitudes to clinical research in pediatric surgery: A pilot study.

J Pediatr Surg 2019 Feb 5. Epub 2019 Feb 5.

Duke-NUS Medical School, Singapore; Department of Paediatric Surgery, KK, Women's, and Children's Hospital, Singapore. Electronic address:

Purpose: The purpose of this study was to evaluate demographic factors impacting parental attitudes to clinical research in pediatric surgery.

Methods: A prospective survey administered to caregivers accompanying children (pediatric surgical outpatient clinic or day surgery) using convenience sampling (September-November 2017) using a previously published survey with Likert scale was performed. Questions included demographics, parental willingness to enroll children in specified types of research, and beliefs regarding conduct of research. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.046DOI Listing
February 2019

The effects of tracheal occlusion on Wnt signaling in a rabbit model of congenital diaphragmatic hernia.

J Pediatr Surg 2019 Jan 31. Epub 2019 Jan 31.

Division of Paediatric General Surgery, Children's Hospital London Health Science Centre, Schulich School of Medicine, Western University, London, ON, Canada. Electronic address:

Purpose: Tracheal occlusion (TO) reverses pulmonary hypoplasia (PH) in congenital diaphragmatic hernia (CDH), but its mechanism of action remains poorly understood. Wnt signaling plays a critical role in lung development, but few studies exist. The purpose of our study was to a) confirm that our CDH rabbit model produced PH which was reversed by TO and b) determine the effects of CDH +/- TO on Wnt signaling. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.024DOI Listing
January 2019

Risk-stratification enables accurate single-center outcomes assessment in congenital diaphragmatic hernia (CDH).

J Pediatr Surg 2019 Jan 31. Epub 2019 Jan 31.

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

Background: Management of CDH is highly variable from center to center, as are patient outcomes. The purpose of this study was to examine risk-stratified survival and extracorporeal membrane oxygenation (ECMO) rates at a single center, and to determine whether adverse outcomes are related to patient characteristics or management.

Methods: A retrospective single-center review of CDH patients was performed, and outcomes compared to those reported by the CDH Study Group (CDHSG) registry. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.020DOI Listing
January 2019

Safety of mucous fistula refeeding in neonates with functional short bowel syndrome: A retrospective review.

J Pediatr Surg 2019 Feb 5. Epub 2019 Feb 5.

McMaster Pediatric Surgery Research Collaborative, McMaster University, Hamilton, Ontario, Canada; Division of Pediatric Surgery, McMaster University, Hamilton, Ontario, Canada. Electronic address:

Purpose: Mucous fistula (MF) refeeding of proximal stoma effluent in neonates after small bowel resection can promote nutrient absorption and prevent atrophy of the unused distal bowel. This study aimed to assess the safety of this practice in neonates.

Methods: A retrospective chart review of all patients admitted to the neonatal intensive care unit (NICU) between 2009 and 2015 who underwent a laparotomy with creation of an enterostomy and mucous fistula was performed. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.050DOI Listing
February 2019

Prenatal prediction of survival in congenital diaphragmatic hernia: An audit of postnatal outcomes.

J Pediatr Surg 2019 Jan 31. Epub 2019 Jan 31.

Division of Pediatric General and Thoracic Surgery, Montreal Children's Hospital, McGill University Health Centre, Montreal, QC, Canada. Electronic address:

Purpose: Effective antenatal counseling in congenital diaphragmatic hernia (CDH) relies on proper measurement of prognostic indices. This quality initiative audited the accuracy of prenatal imaging with postnatal outcomes at two tertiary pediatric referral centers.

Methods: Prenatal lung-head ratio (LHR) and total fetal lung volume (TFLV) for CDH patients treated between 2006 and 2017 were retrieved. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.021DOI Listing
January 2019

Incidence and prevalence of congenital anomalies in low- and middle-income countries: A systematic review.

J Pediatr Surg 2019 Feb 2. Epub 2019 Feb 2.

Division of Pediatric General and Thoracic Surgery, The Montreal Children's Hospital, McGill University Health Centre, Montreal, Quebec, Canada. Electronic address:

Background: In the absence of robust data from low- and middle-income countries (LMICs), most disease burden estimates and related resource allocation choices are based on historic Northern demographics. We hypothesize that significant discrepancies exist between directly reported LMIC data and surrogate high-income country (HIC) disease burden estimates of correctible congenital anomalies.

Methods: Nine online databases were searched for studies reporting incidence and prevalence data on surgically correctible congenital anomalies in LMICs between 2006 and 2017. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.034DOI Listing
February 2019

Management preferences in ECMO mode for congenital diaphragmatic hernia.

J Pediatr Surg 2019 Jan 31. Epub 2019 Jan 31.

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

Purpose: The purpose of this study was to identify management preferences that may exist in the care of infants with CDH receiving ECMO with emphasis on VV-ECMO.

Methods: A survey was created to measure treatment preferences regarding ECMO use in CDH. The survey was distributed to all APSA and ELSO/Euro-ELSO members via e-mail. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.019DOI Listing
January 2019

A transition to discipline curriculum for pediatric surgery trainees: Evaluation of a pediatric surgery boot camp from 2017 to 2018.

J Pediatr Surg 2019 Feb 4. Epub 2019 Feb 4.

Division of Pediatric Surgery, Alberta Children's Hospital, University of Calgary, Calgary, Alberta, Canada. Electronic address:

Introduction: Boot camps seek to impart knowledge and skills for individuals entering new roles. We sought to evaluate knowledge, skills, and confidence of in-coming pediatric surgery trainees with a 2.5-day pediatric surgery boot camp. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.047DOI Listing
February 2019

Conference proceeding from the 50 Annual Meeting of the Canadian Association of Paediatric Surgeons: "CAPS Serving Canada - Gender, Diversity, and CAPS".

Authors:
Kathryn Martin

J Pediatr Surg 2019 Jan 31. Epub 2019 Jan 31.

Division of Pediatric Surgery, PennState Health Children's Hospital, Penn State Health Milton S. Hershey Medical Center, Hershey, PA; Penn State College of Medicine, Penn State University, Hershey, PA. Electronic address:

Gender and diversity in the workforce are hot topics in both the public and professional spheres. Medicine has not been immune to these discussions, with many recent publications highlighting the lack of equal representation of women and minorities within medicine and surgery. This paper will review the history and current state of gender and minority representation in the Canadian Association of Pediatric Surgeons (CAPS) as presented at the 50th Annual Meeting of CAPS in September 2018 in Toronto, Ontario, Canada. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.015DOI Listing
January 2019

Long-term growth outcomes in neonates diagnosed with necrotizing enterocolitis: a 20-year analysis.

J Pediatr Surg 2019 Jan 31. Epub 2019 Jan 31.

Division of Pediatric Surgery, Department of General Surgery, University of New Mexico, Albuquerque, NM. Electronic address:

Purpose: Limited data exists for longitudinal growth outcomes in neonates with a history of necrotizing enterocolitis (NEC). We aimed to study 20-year growth outcomes in NEC survivors.

Methods: A retrospective matched cohort study included neonates diagnosed with NEC and control subjects matched for birth year, birth weight, and gestational age who had at least one post-discharge follow-up. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.028DOI Listing
January 2019

Reply to Letter to the Editor.

J Pediatr Surg 2019 Feb 7. Epub 2019 Feb 7.

Dept. of Surgery, Boston Children's Hospital.

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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.010DOI Listing
February 2019

Utilization of a handheld telemedicine device in postoperative pediatric surgical care.

J Pediatr Surg 2019 Jan 31. Epub 2019 Jan 31.

Children's Hospital of Richmond at Virginia Commonwealth University, Children's Pavilion, Richmond, VA. Electronic address:

Purpose: The purpose of this study was to assess the utilization of a handheld telemedicine (TM) device in the postoperative care of pediatric surgical patients.

Methods: We performed postoperative TM evaluations using an advanced medical tablet immediately prior to seeing the patients in clinic as well as at two different time points from their home. The caregivers and physicians were surveyed about their overall satisfaction. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.032DOI Listing
January 2019

Sclerotherapy for rectal prolapse in children: A systematic review and meta-analysis.

J Pediatr Surg 2019 Feb 3. Epub 2019 Feb 3.

Division of Pediatric Surgery, Department of Surgery, British Columbia Children's Hospital, Vancouver, BC, Canada. Electronic address:

Background: Sclerotherapy is a commonly utilized treatment for rectal prolapse in children. This study systematically evaluates the effectiveness and complications of various sclerosing agents in treating pediatric rectal prolapse.

Methods: After protocol registration (CRD-42018088980), multiple databases were searched. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.033DOI Listing
February 2019

Canadian Association of Pediatric Surgeons' state of wellness.

J Pediatr Surg 2019 Jan 31. Epub 2019 Jan 31.

Department of Surgery, University of Toronto, Toronto, ON, Canada.

The following is a summary of the fourth Ein Panel Debate Session from the 50th Annual Meeting of the Canadian Association of Pediatric Surgeons (CAPS) held in Toronto, ON, from September 26-29, 2018. The session focused on surgeon well-being at different stages of career: role of mentorship at the start of career, second victim syndrome, litigation stress syndrome, and retirement. Using Maslach Burnout Inventory Survey, CAPS members were presented their wellness scores as a group compared to other health care providers. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.014DOI Listing
January 2019

Bowel preparation for colostomy reversal in children.

J Pediatr Surg 2019 Feb 2. Epub 2019 Feb 2.

Department of Pediatric Surgery, Texas Children's Hospital and Baylor College of Medicine, Houston, TX. Electronic address:

Purpose: Pediatric bowel preparation protocols used before colostomy reversal vary. The aim of this study is to determine institutional practices at our institution and evaluate the impact of bowel preparations on postoperative outcomes and hospital length of stay in children.

Methods: This was a retrospective review of children ≤18 years old undergoing colostomy reversal at Texas Children's Hospital (TCH) between 12/2013 and 8/2017. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.037DOI Listing
February 2019

Laparoscopic unilateral oophorectomy for ovarian tissue cryopreservation in children.

J Pediatr Surg 2019 Mar 9;54(3):543-549. Epub 2018 Jun 9.

Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; Division of Pediatric Surgery, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.

Background/purpose: Many survivors of childhood cancer will experience premature gonadal insufficiency or infertility as a consequence of their medical treatments. Ovarian tissue cryopreservation (OTC) remains an experimental means of fertility preservation with few reports focused on the surgical technique and postoperative outcomes for OTC in children.

Methods: This is a single institution, retrospective review of OTC cases from January 2011 to December 2017. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.06.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6383797PMC

Corrigendum to 'Disparities in Pediatric Gonadal Torsion: Does Gender, Race and Insurance Status Affect Outcomes?' [J Pediatr Surg 2018;53(7):1392-1395].

J Pediatr Surg 2019 Mar;54(3):618

DeWitt Daughtry Family Department of Surgery, Division of Pediatric Surgery, University of Miami Miller School of Medicine, Miami, FL. Electronic address:

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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.009DOI Listing

Hospital factors associated with higher costs in pediatric blunt abdominal trauma: A national study.

J Pediatr Surg 2019 Jan 22. Epub 2019 Jan 22.

University of Washington, Harborview Injury Prevention and Research Center, 401 Broadway, 4(th) floor, Seattle, WA 98122; University of Washington, Department of Pediatrics, 1959 NE Pacific Street, Box 356320, Seattle, WA 98105. Electronic address:

Background/purpose: Our objective was to evaluate hospital factors, including children's hospital status, associated with higher costs for blunt solid organ pediatric abdominal trauma.

Methods: We queried the 2012 Healthcare Cost and Utilization Project (HCUP) Kid's Inpatient Database (KID) for patients 18 years or younger with low-grade and high-grade blunt abdominal trauma. We calculated total hospital costs and adjusted cost ratios (CR) controlling for patient and hospital-level characteristics. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00223468183087
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http://dx.doi.org/10.1016/j.jpedsurg.2018.12.012DOI Listing
January 2019
2 Reads

Non-operative management of solid organ injuries in children: An American Pediatric Surgical Association Outcomes and Evidence Based Practice Committee systematic review.

J Pediatr Surg 2019 Jan 31. Epub 2019 Jan 31.

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

Purpose: The American Pediatric Surgical Association (APSA) guidelines for the treatment of isolated solid organ injury (SOI) in children were published in 2000 and have been widely adopted. The aim of this systematic review by the APSA Outcomes and Evidence Based Practice Committee was to evaluate the published evidence regarding treatment of solid organ injuries in children.

Methods: A comprehensive search strategy was crafted and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines were utilized to identify, review, and report salient articles. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.012DOI Listing
January 2019

Fertility and hormone preservation and restoration for female children and adolescents receiving gonadotoxic cancer treatments: A systematic review.

J Pediatr Surg 2019 Jan 22. Epub 2019 Jan 22.

Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; Division of Pediatric Surgery, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA. Electronic address:

Background/purpose: The purpose of this systematic review by the American Pediatric Surgical Cancer Committee was to summarize evidence from the current medical literature regarding fertility restoration and hormone replacement for female children and adolescents treated with gonadotoxic treatments.

Methods: Using PRISMA guidelines, questions were addressed by searching Medline, Cochrane, Embase Central and National clearing house databases using relevant search terms. Eligible studies included those that addressed ovarian tissue cryopreservation (OTC), oocyte harvest, ovarian transposition, and ovarian tissue auto-transplantation for females under the age of 20. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.12.021DOI Listing
January 2019

Retrograde endoscopic dilatation for difficult caustic esophageal strictures: Feasibility and effectiveness.

J Pediatr Surg 2019 Jan 22. Epub 2019 Jan 22.

Pediatric Surgery department, Ain Shams University, Cairo, Egypt.

Background: Difficult caustic esophageal strictures may need a more sophisticated dilatation technique before referring for esophageal replacement surgery.

Patients & Method: Retrospective review of caustic esophageal strictures managed at our center between January 2010 and June 2018 was done. Twenty two patients labeled as undilatable strictures were enrolled. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.12.016DOI Listing
January 2019

Requirement and Duration of Tube Feed Supplementation among Congenital Diaphragmatic Hernia Patients.

J Pediatr Surg 2019 Jan 31. Epub 2019 Jan 31.

Division of General and Thoracic Surgery, The Hospital for Sick Children, Toronto, ON, Canada; Department of Surgery, University of Toronto, Toronto, ON, Canada. Electronic address:

Purpose: Oral feeds pose a challenge for congenital diaphragmatic hernia (CDH) infants. Tube feed (TF) supplementation may be required to support the achievement of normal growth. The aim of this study was to determine the duration and factors associated with TF use in CDH infants at our institution. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.017DOI Listing
January 2019
1 Read

Anti-TNF biologic therapy does not increase postoperative morbidity in pediatric Crohn's patients.

J Pediatr Surg 2019 Jan 18. Epub 2019 Jan 18.

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

Introduction: Limited knowledge exists as to what impact preoperative biologic therapy has on postoperative complications in pediatric patients undergoing abdominal surgery for Crohn's disease (CD). Therefore, we sought to determine the 30-day postoperative infectious complication rate among pediatric CD patients who received biologic therapy within 12 weeks of an abdominal operation.

Methods: A retrospective chart review was performed on pediatric (<18 years of age) CD patients who underwent an abdominal operation between 1/1/2008 and 12/31/2017. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.006DOI Listing
January 2019
1 Read

Adjuvant therapy of cytomegalovirus IgM + ve associated biliary atresia: Prima facie evidence of effect.

J Pediatr Surg 2019 Jan 22. Epub 2019 Jan 22.

Department of Paediatric Surgery, Denmark Hill, London, UK SE5 9RS; Department of Hepatology Kings College Hospital, Denmark Hill, London, UK SE5 9RS. Electronic address:

Aim Of Study: CMV-IgM + ve associated biliary atresia (CMV-BA) is a distinct etiological subgroup characterized by older age at presentation and a greater degree of inflammation and hepatic fibrosis, leading to a worse outcome. We report our experience with adjuvant antiviral therapy after Kasai portoenterostomy (KPE).

Methods: Single-center prospective database identification of CMV-IgM + ve associated BA managed between 2003 and 2017. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.12.014DOI Listing
January 2019
1 Read

Sternal fractures in children: An analysis of the National Trauma Data Bank.

J Pediatr Surg 2019 Jan 31. Epub 2019 Jan 31.

Department of Pediatric Surgery, Texas Children's Hospital and Baylor College of Medicine, Houston, TX. Electronic address:

Purpose: The purpose of this study was to describe the epidemiology and evaluate the clinical significance of traumatic sternal fractures.

Methods: Patients age ≤18 years with sternal fractures in the National Trauma Database research datasets from 2007-2014 were identified. Patient demographics, injuries, procedures, and outcomes were analyzed using descriptive statistics and logistic regression. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.031DOI Listing
January 2019

Prospective evaluation of the management of bowel dysfunction in children with neuropathic lower urinary tract dysfunction and its effect on bladder dynamics.

J Pediatr Surg 2019 Jan 22. Epub 2019 Jan 22.

Department of Urology, Faculty of medicine, University of Alexandria, Egypt.

Introduction And Aim: Children with neuropathic lower urinary tract dysfunction usually suffer from associated bowel dysfunction, urinary tract infection and vesicoureteral reflux. This work aimed to highlight the impact of bowel management on bladder dynamics.

Patients And Methods: In the period from January 2011 to January 2013, 30 patients, 21 girls and 9 boys with neuropathic lower urinary tract dysfunction were studied. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.12.015DOI Listing
January 2019
1 Read

Does the initial surgery for necrotizing enterocolitis matter? Comparative outcomes for laparotomy vs. peritoneal drain as initial surgery for necrotizing enterocolitis in infants <1000 g birth weight.

J Pediatr Surg 2019 Jan 19. Epub 2019 Jan 19.

Northwestern University, Chicago, IL.

Purpose: Quantify short-term outcomes associated with initial surgery [laparotomy (LAP) vs. peritoneal drain (PD)] for necrotizing enterocolitis (NEC) in extremely-low-birth-weight (ELBW) infants.

Methods: Using the Children's Hospitals Neonatal Database, we identified ELBW infants <32 weeks' gestation with surgical NEC (sNEC). Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.12.010DOI Listing
January 2019

Retroperitoneal tumors and congenital variations in vascular anatomy of retroperitoneal great vessels.

J Pediatr Surg 2019 Jan 23. Epub 2019 Jan 23.

Department of Paediatric Surgery, KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore 229899, Singapore. Electronic address:

Background/objectives: Variations in vascular anatomy (VIVAs) of the retroperitoneal great vessels are uncommon but can potentially complicate surgical procedures and negatively affect treatment outcomes, yet their incidence and clinical impact are poorly studied. We sought to assess the incidence and clinical impact of VIVAs of retroperitoneal great vessels in patients with retroperitoneal tumors.

Methods: We retrospectively analyzed imaging, surgical, treatment and survival data of all pediatric patients with retroperitoneal tumors who underwent resection between January 2007 and October 2016, comparing preoperative scans with corresponding intraoperative observations, and subsequent surgical outcomes. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.002DOI Listing
January 2019
1 Read

A pilot study of laparoscopic gastric plication in adolescent patients with severe obesity.

J Pediatr Surg 2019 Jan 23. Epub 2019 Jan 23.

Children's Hospital of Richmond at Virginia Commonwealth University, Children's Pavilion, 1000 East Board Street Richmond, VA 23219. Electronic address:

Background: Metabolic and bariatric surgery in adolescents with severe obesity has been demonstrated to be safe and have long-term treatment efficacy. However, less than 0.1% of adolescents meeting criteria undergo surgery. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00223468193001
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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.004DOI Listing
January 2019
2 Reads

Is "gallbladder length-to-width ratio" useful in diagnosing biliary atresia?

J Pediatr Surg 2019 Jan 23. Epub 2019 Jan 23.

Pediatric Surgery Unit, Department of Surgery, Faculty of Medicine, Prince of Songkla University, Hat Yai, 90110, Thailand.

Background: The accurate assessment of gallbladder shape and wall abnormalities by ultrasound (US) in diagnosing biliary atresia (BA) remains a subjective determination. The objective of this study was to examine the reliability of gallbladder length-to-width ratio (LTWR) by US measurement for diagnosis of BA.

Methods: One hundred infants with conjugated hyperbilirubinemia and unknown cause of jaundice who underwent transabdominal US from February 2009 to February 2017 were enrolled. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.008DOI Listing
January 2019

The Pediatric Surgical Team: a Model for Increased Surgeon Index Case Exposure.

J Pediatr Surg 2019 Jan 21. Epub 2019 Jan 21.

Kapi'olani Medical Center for Children, 1319 Punahou St., Honolulu, HI, USA 96826.

Background/purpose: High surgical volume for both surgeons and hospital systems has been linked to improved outcomes for many surgical problems, yet case volumes per pediatric surgeon are diminishing nationally in complex pediatric surgery. We therefore sought to review our experience in a geographically isolated setting where a surgical team approach has been used to improve per-surgeon exposure to index pediatric surgical cases.

Methods: As a surgical group, we incorporated a surgical team approach to complex pediatric surgical cases in 2010. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.12.018DOI Listing
January 2019
1 Read

Preventing patient harm via adverse event review: An APSA survey regarding the role of morbidity and mortality (M&M) conference.

J Pediatr Surg 2019 Jan 18. Epub 2019 Jan 18.

University of Texas Houston-Memorial Hermann Center for Healthcare Quality and Safety, 6410 Fannin St, Houston, TX 77030-3006, USA. Electronic address:

Introduction: Peer-review endeavors represent the continual learning environment critical for a culture of patient safety. Morbidity and mortality (M&M) conferences are designed to review adverse events to prevent future similar events. The extent to which pediatric surgeons participate in M&M, and believe M&M improves patient safety, is unknown. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.12.008DOI Listing
January 2019

Defining massive transfusion in civilian pediatric trauma.

J Pediatr Surg 2019 Jan 31. Epub 2019 Jan 31.

Department of Pediatric Surgery, Texas Children's Hospital and Baylor College of Medicine, Houston, TX. Electronic address:

Purpose: The purpose of this study was to identify an optimal definition of massive transfusion (MT) in civilian pediatric trauma.

Methods: Severely injured children (age ≤18 years, injury severity score ≥25) in the Trauma Quality Improvement Program research datasets 2014-2015 that received blood products were identified. Children with traumatic brain injury and non-survivable injuries were excluded. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.029DOI Listing
January 2019
1 Read

Surgical management of pulmonary aspergillosis in pediatric population.

J Pediatr Surg 2019 Jan 11. Epub 2019 Jan 11.

Introduction: Aspergillosis is an invasive infection that affects mainly immunocompromised patients, and the lung is the most common site of infection. We reviewed our experience with the surgical management of pulmonary aspergillosis (PA) in pediatric population at a tertiary care institution.

Methods: A retrospective chart review was conducted for pediatric patients (<16 years) who were managed for PA over the period from January 2001 to December 2016. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.003DOI Listing
January 2019
1 Read

Postnatal germ cell development during first 18 months of life in testes from boys with non-syndromic cryptorchidism and complete or partial androgen insensitivity syndrome.

J Pediatr Surg 2019 Jan 3. Epub 2019 Jan 3.

Douglas Stephens Surgical Research Group, Murdoch Children's Research Institute, Melbourne, Australia; Department of Paediatrics, University of Melbourne, Australia; Department of Urology, The Royal Children's Hospital, Melbourne, Australia.

Introduction: Neonatal testicular germ cells/gonocytes, transform into stem cells for spermatogenesis during 'minipuberty', driving change in timing of surgery. This study examined gonocyte transformation in cryptorchid testes in children ≤18 months of age with unilateral, bilateral undescended testes (UDT), complete or partial androgen insensitivity syndrome (CAIS, PAIS) [3,4].

Material And Methods: Testicular biopsies were taken from patients with unilateral or bilateral UDT, PAIS or CAIS, aged 10 days-18 months. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.12.011DOI Listing
January 2019

A novel streamlined trauma response team training improves imaging efficiency for pediatric blunt abdominal trauma patients.

J Pediatr Surg 2019 Jan 23. Epub 2019 Jan 23.

Division of Pediatric Emergency Medicine, Department of Pediatrics, University of Louisville School of Medicine, 571 S. Floyd St., Suite 802, Louisville, KY 40202. Electronic address:

Background/purpose: The morbidity and mortality of children with traumatic injuries are directly related to the time to definitive management of their injuries. Imaging studies are used in the trauma evaluation to determine the injury type and severity. The goal of this project is to determine if a formal streamlined trauma response improves efficiency in pediatric blunt trauma by evaluating time to acquisition of imaging studies and definitive management. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.12.013DOI Listing
January 2019

The effectiveness of transoral marsupialization for lingual thyroglossal duct cysts - Twelve successfully treated cases at a single institution.

J Pediatr Surg 2019 Jan 23. Epub 2019 Jan 23.

Department of Surgery, Tokyo Metropolitan Children's Medical Center, 2-8-29 Musashidai, fuchyu, Tokyo 183-0042, Japan. Electronic address:

Purpose: Lingual thyroglossal duct cysts (L-TGDCs) are rare and sometimes lethal owing to their association with asphyxia. We aimed to analyze our single institutional experience with L-TGDCs.

Methods: Twelve L-TGDC cases treated at our institution between January 2010 and December 2017 were investigated. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00223468183087
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http://dx.doi.org/10.1016/j.jpedsurg.2018.12.009DOI Listing
January 2019
3 Reads

Measuring the impact of surgical intervention on pediatric pectus excavatum using white light scanning.

J Pediatr Surg 2019 Jan 23. Epub 2019 Jan 23.

Ann & Robert H. Lurie Children's Hospital of Chicago, 225 East Chicago Avenue, Box 63, Chicago, Illinois 60611-2605.

Background: Objective preoperative assessment of pectus excavatum (PE) deformity in patients is limited to preoperative measurement of severity using computed tomography (CT) or magnetic resonance imaging (MRI). Postoperative assessment is currently subjective as postoperative CT scans are not recommended in light of radiation exposure and high cost to families. White Light Scanning (WLS) is a novel 3D imaging modality that offers an alternative that is a quick, nonionizing, inexpensive, and safe strategy for measurement both pre- and postsurgery. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.007DOI Listing
January 2019

Low and decreased prevalence of congenital abdominal wall defect in Taiwan.

J Pediatr Surg 2018 Dec 28. Epub 2018 Dec 28.

Department of General Surgery, Buddhist Dalin Tzu Chi Hospital, Chia-Yi, Taiwan; School of Medicine, Tzu Chi University, Hualien, Taiwan. Electronic address:

Purpose: This study aims to identify the prevalence of Congenital abdominal wall defects (AWD), hospital outcomes, and related congenital abnormalities in Taiwan by using the National Health Insurance Research Database (NHIRD).

Materials And Methods: From 1998 through 2013, all pediatric patients with AWD were collected via ICD-9-CM diagnostic code 756.7x ("congenital anomalies of abdominal wall") or procedure codes (54. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00223468183078
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http://dx.doi.org/10.1016/j.jpedsurg.2018.11.011DOI Listing
December 2018
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Letter to the Editor.

Authors:
Suk Bae Moon

J Pediatr Surg 2019 Jan 15. Epub 2019 Jan 15.

Department of Surgery, Kangwon National University School of Medicine, Chuncheon, South Korea. Electronic address:

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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.112DOI Listing
January 2019

Pedicled jejunal interposition for long gap esophageal atresia.

J Pediatr Surg 2019 Jan 16. Epub 2019 Jan 16.

Bristol Royal Hospital for Children.

Background/purpose: Long gap esophageal atresia (LGEA) represents 10% of all esophageal atresias but can be complex to manage. Jejunal interposition (JI) has been recommended as the operative management of choice when esophageal ends cannot be opposed. We report our experience using the pedicled jejunal interposition technique with comparison to patients undergoing primary repair of LGEA. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.108DOI Listing
January 2019
1 Read

Reply to Letter to the Editor.

Authors:
V Raveenthiran

J Pediatr Surg 2019 Jan 10. Epub 2019 Jan 10.

Professor of Pediatric Surgery, SRM University, Chennai, India. Electronic address:

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http://dx.doi.org/10.1016/j.jpedsurg.2018.12.024DOI Listing
January 2019

Diagnostic ultrasound-guided cutting needle biopsies in neuroblastoma: A safe and efficient procedure.

J Pediatr Surg 2019 Jan 4. Epub 2019 Jan 4.

Dept. of Women's and Children's Health, Section of Pediatric Surgery, University Children's Hospital, Uppsala.

Background: Neuroblastoma (NB) is the most common extracranial solid tumor of childhood and accounts for 15% of deaths in pediatric oncology. Apart from the clinical stage at diagnosis, molecular factors are important for the characterization of the tumor and for decision on adequate treatment. Pretreatment diagnosis and molecular profiling are based on analysis of a tumor sample, obtained either by fine needle aspiration cytology (FNAC), cutting needle biopsy or open surgical biopsy. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.12.023DOI Listing
January 2019

C23, an oligopeptide derived from cold-inducible RNA-binding protein, suppresses inflammation and reduces lung injury in neonatal sepsis.

J Pediatr Surg 2019 Jan 4. Epub 2019 Jan 4.

Elmezzi Graduate School of Molecular Medicine, Manhasset, NY 11030; Department of Surgery, Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY 11549; Center for Immunology and Inflammation, The Feinstein Institute for Medical Research, Manhasset, NY 11030. Electronic address:

Introduction: Neonatal sepsis remains a leading cause of infant mortality. Cold-inducible RNA binding protein (CIRP) is an inflammatory mediator that induces TNF-α production in macrophages. C23 is a CIRP-derived peptide that blocks CIRP from binding its receptor. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.12.020DOI Listing
January 2019

Need for urodynamic evaluation as a regular follow-up tool in assessment of long-term urological outcomes in patients with sacrococcygeal teratoma.

J Pediatr Surg 2018 Dec 29. Epub 2018 Dec 29.

Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi 110029, India.

Aim: To assess the long-term urologic outcomes in follow-up of patients of sacrococcygeal teratoma (SCT) using urodynamic study (UDS) in addition to clinical and radiologic evaluation.

Methods: A prospective study of clinical, radiological and urodynamic evaluation in patients with SCT who underwent resection between January 2002-June 2015 and were followed up till January 2016 was conducted.

Results: Total 57 patients, 42 (73. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.11.020DOI Listing
December 2018
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Postoperative course following complex major pediatric urologic surgery: A single surgeon experience.

J Pediatr Surg 2018 Dec 28. Epub 2018 Dec 28.

Section of Urology, University of Chicago Medicine, Comer Children's Hospital, 5841 S. Maryland Avenue, Rm. P-217, MC 7122, Chicago, IL 60637, USA.. Electronic address:

Background/purpose: Payers have established unplanned returns as quality measures tied to reimbursement. We sought to identify patient characteristics and surgical factors associated with unplanned returns and postoperative complications following intraabdominal pediatric urologic procedures. Only one study has emergency room visits in pediatric urology, but included only limited case complexity. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.12.004DOI Listing
December 2018

Diagnostic and prognostic utility of SF1, IGF2 and p57 immunoexpression in pediatric adrenal cortical tumors.

J Pediatr Surg 2018 Dec 27. Epub 2018 Dec 27.

Department of Pathology, Institute of Post Graduate Medical Education & Research, Kolkata, India.

Background: Adrenocortical tumors (ACT) are uncommon in the pediatric age group. Using the standard Weiss criteria in pediatric tumors leads to overdiagnosis. This has led to the development of newer systems such as Weineke criteria. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.12.002DOI Listing
December 2018
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Progressive reduction of hospital length of stay following minimally invasive repair of pectus excavatum: A retrospective comparison of three analgesia modalities, the role of addressing patient anxiety, and reframing patient expectations.

J Pediatr Surg 2018 Dec 28. Epub 2018 Dec 28.

Helen DeVos Children's Hospital/Spectrum Health/Michigan State University Department of Surgery, Grand Rapids, Michigan.

Purpose: Management of postoperative pain is a significant challenge following the Nuss procedure. Epidurals, PCAs, and newer analgesia modalities have been used elsewhere without demonstrating consistent improvement in the reported length of hospital stays (LOS). We reviewed a large single surgeon experience identifying three different methods of analgesia used over time to highlight marked improvement in patient LOS. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.12.003DOI Listing
December 2018
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The incidence of Marfan syndrome and cardiac anomalies in patients presenting with pectus deformities.

J Pediatr Surg 2018 Dec 27. Epub 2018 Dec 27.

Department of Surgery, Zucker School of Medicine at Hofstra/Northwell, 300 Community Drive Manhasset, New York, United States, 11030; Division of Pediatric Surgery, Cohen Children's Medical Center of New York, Zucker School of Medicine at Hofstra/Northwell, 269-01 76th Ave, New Hyde Park, New York, United States 11040.

Purpose: The incidence of Marfan syndrome in the general population is 0.3%. Two-thirds of patients with Marfan syndrome have concurrent pectus deformity. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.11.017DOI Listing
December 2018