Journal of Pediatric Surgery Article Review: May 2022, CAPS Issue
hosted by Dr. Brittany Levy & Dr. Em Gootee · StayCurrentMD
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Educational content from recorded physician discussions — not medical advice. Talk to your (or your child's) care team about your situation.
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Cuidado de transición en malformación anorrectal y enfermedad de Hirschsprung
1 min · Published Jul 2024
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Finnish Pediatric Surgery Hub - From Centralization to Collective Learning and Sharing of Expertise
48 s · Published Feb 2025
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The use of postoperative calibrations in Hirschsprung disease
59 s · Published Nov 2024
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Safety and utility of long-acting steroid injection for management of post-operative stricture...
1 min · Published Jun 2026
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Quick Literature Updates Episode 18
4 min · Published Mar 2025
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Does Delayed Diagnosis of Hirschsprung Disease Impact Post-operative and Functional Outcomes? A Multi-Center Review From the Pediatric Colorectal and Pelvic Learning Consortium
1 min · Published Oct 2024
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Pediatric Surgical Oncology Research Collaborative (PSORC): Studying Rare Pediatric Tumors
56 s · Published May 2026
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Update Course Rewind 2025: Hirschsprung + ARM: Rare but Real
1 min · Published May 2026
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Update Course Rewind 2025: Hirschsprung + ARM: Rare but Real
1 min · Published May 2026
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Pooling Patients to Study Rare Pediatric Tumors: An Introduction to PSORC
56 s · Published May 2026
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The fetal frontier: A review of current and emerging fetal therapies for genetic diseases
44 s · Published May 2026
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Indocyanine green assists with sentinel lymph node mapping in pediatric and adolescent patients
1 min · Published May 2026
What the experts said
A child getting shot by a gun 10 years ago had less of a chance of dying than a child getting shot by a gun now, which suggests that guns became more dangerous.
Motor vehicle collisions and firearm violence represent the leading causes of morbidity and mortality in the pediatric age group.
Mortality for pediatric patients with gunshot wounds was 7.5% compared to 1% for motor vehicle collisions.
After adjusting for confounding factors, children who were shot were 7.8 times more likely to die than those injured in motor vehicle collisions.
The statewide case fatality rate for pediatric firearm injuries was almost 15% overall, which is twice as high as institutional mortality rate and 49 times higher than the statewide case fatality rate for motor vehicle collisions.
The case fatality rate for children injured by firearms rose from 13% to almost 17% over the study period, while the case fatality rate for motor vehicle related injuries decreased over time.
The rate of self-inflicted pediatric gunshot wounds doubled over the study period from 2% to 4.4% of all pediatric firearm injuries.
Self-inflicted pediatric gunshot wounds had a case fatality rate of 77%.
Local interventions like community violence intervention programs can help reduce violence in the community.
Policy level changes need to be made around the country to reduce access to firearms and increase safety.
Clinicians can make an individual difference by talking to families about firearm safety and safe storage every time they see a child who is injured.
The Hirschsprung study looked at 75 patients with Hirschsprung disease matched with a 10 to 1 control cohort using the Manitoba Center for Health Policy provincial data repository.
Hirschsprung patients performed just as well as the control cohort from grade 3 onwards until grade 12 graduation on standardized testing.
In the preschool age, much closer to their treatment timeline, some differences in neurodevelopmental performance can be seen in Hirschsprung patients.
Children with Hirschsprung disease going into school may still have some challenges around potty training, bowels, and abdominal discomfort.
Most children with isolated Hirschsprung disease do not have developmental delay down the road based on this data.
In the Miami bicycle injury study of 77 cases over eight years, only one patient was wearing a helmet.
The majority of bicycle injuries were happening in low income neighborhoods.
Bicycle injuries were happening at high speed areas, like interstate on-ramps and off-ramps.
About half of the bicycle injuries happened within 1 mile from home.
Free helmet programs going through a pediatrician's office are useful but need to be sustained.
Cities that have been successful with helmet programs have implemented multidisciplinary approaches including free helmet programs, changing laws, and public education, sustained over several years.