Quick Literature Updates Episode 15

Hello pediatric surgery family. I'm M. Godi, a research fellow from Cincinnati Children's Hospital Medical Center. And today our team is going to deliver the articles that you should know about. We have three papers today. Two of them are from the Journal of Pediatric Surgery. And the last one is from the Journal of Trauma and Acute Care Surgery. We don't have much time, so let's start. Our first paper title, Hirschsprung associated inflammatory bowel disease, a multicenter study from the APSA Hirschsprung disease interest by Sadatan at all. This paper is summarized by Cecilia Hena. She is a research fellow at Cincinnati Children's Hospital. This is a retrospective study that gathered patients through 2000 to 2021 at 17 institutions. And their aim was to identify potential risk factors for IBD like symptoms in Hirshspring patients. They gathered 55 patients, and 50% of them had long segment disease. Also, 68% got Hirshspring associated enterocolitis and 10% got Trisomy 21. So it seems like long segment disease, Hirshspring associated enterocolitis and Trisomy 21 can be potential risk factors for IBD like symptoms in Hirshspring patients after pull through. Amazing. Our second paper is outcomes of laparoscopic versus open resection of pediatric codical cyst by Ramsey at all. And this paper is summarized by Elen and Cisco. She was a research fellow at Cincinnati Children's Hospital and as of July, she's back to being a general surgery resident at Mayo Clinic. The authors of this study wanted to compare the outcomes for open versus laparoscopic resection of colocal cysts in pediatric patients. They used the nationwide readmissions database and identified 577 children who underwent colocal cyst resection between 2016 and 2018. They found that the majority of these patients underwent open resection and that the patients who underwent open resection were more likely to have a ruin Y hepatic to me, while the patients who underwent laparoscopic resection were more likely to have a hepaticdudostomy. They also found that the patients who underwent open resection were more likely to have a longer length of hospital stay, more complications and higher total costs. Let's now move to the last paper of today. Isolated low-grade solid organ injuries in children following blunt abdominal trauma. Is it time to consider discharge from the emergency department? By Plumly at all. This one is again summarized by Cecilia Hena. She's a research fellow at Cincinnati Children's Hospital. This is a retrospective study done in South Carolina, and they wanted to see if every isolated solid organ injury after an abdominal blunt trauma can be discharged from the ED. They gathered 262 patients with isolated solid organ injuries grades 1 to 3. 148 patients had solid organ injuries grades one or two, and none of them required an acute intervention. From the 114 patients with grades three injuries, only three patients that require an acute intervention. So, it seems that isolated solid organ injuries after a blunt abdominal trauma grades one or two can be discharged from the ED. Thank you for listening. Please check the link in the description below to read each paper. We hope you liked this episode. Please follow Stearn MD on social media, give us a rating, and subscribe to YouTube channel. And don't forget to download the Stearn app on the App Store or Play Store for tons of content.