Journal of Pediatric Surgery Article Review: March 2023

Topic overview

Key takeaways

• Japanese survey found only 8.7% of cloacal exstrophy patients underwent anoplasty, with two-thirds achieving continence without soiling
• National study shows only 12.6% of neurologically impaired children needed antireflux procedures within 5 years of gastrostomy placement
• Routine prophylactic fundoplication may not be necessary for all neurologically impaired patients receiving gastrostomy tubes
• Patient selection is critical for anoplasty in cloacal exstrophy—those with spinal defects or omphalocele had lower procedure rates
• Long-term complications after Hirschsprung pull-through surgery include bowel dysfunction, strictures, and continence issues requiring ongoing management

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