Journal of Pediatric Surgery Article Review: March 2023

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Marc Levitt

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Topic overview

Monthly review of three featured articles from the Journal of Pediatric Surgery's March 2023 issue. Provides practicing surgeons and trainees with curated updates on recent clinical research and evidence relevant to pediatric surgical practice.

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Key takeaways

  • Japanese survey: only 8.7% of cloacal exstrophy patients underwent anoplasty, with lower rates in those with spinal defects
  • National data: 12.6% of neurologically impaired children required antireflux procedures within 5 years post-gastrostomy
  • Routine prophylactic fundoplication may not be necessary for all neurologically impaired patients receiving gastrostomy
  • Two-thirds of cloacal exstrophy patients who underwent anoplasty achieved continence without soiling despite 41% needing permanent stoma

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