Quick Literature Updates Episode 15

The Hirschsprung-associated IBD study was retrospective, gathering patients from 2000 to 2021 at 17 institutions

The study identified 55 Hirschsprung patients, with 50% having long segment disease

68% of the Hirschsprung patients had Hirschsprung-associated enterocolitis

10% of the Hirschsprung patients had trisomy 21

Long segment disease, Hirschsprung-associated enterocolitis, and trisomy 21 are potential risk factors for IBD-like symptoms in Hirschsprung patients after pull through

The choledochal cyst study used the nationwide readmissions database and identified 577 children who underwent choledochal cyst resection between 2016 and 2018

The majority of choledochal cyst patients underwent open resection

Patients who underwent open choledochal cyst resection were more likely to have a Roux-en-Y hepaticojejunostomy

Patients who underwent laparoscopic choledochal cyst resection were more likely to have a hepaticoduodenostomy

Patients who underwent open choledochal cyst resection had longer length of hospital stay compared to laparoscopic resection

Patients who underwent open choledochal cyst resection had more complications compared to laparoscopic resection

Patients who underwent open choledochal cyst resection had higher total costs compared to laparoscopic resection

The solid organ injury study was retrospective and conducted in South Carolina

The study gathered 262 patients with isolated solid organ injuries, grades 1 to 3

148 patients had solid organ injuries grades 1 or 2, and none required acute intervention

Of 114 patients with grade 3 solid organ injuries, only 3 required acute intervention

Isolated solid organ injuries after blunt abdominal trauma, grades 1 or 2, can be discharged from the emergency department