# Quick Literature Updates Ep 27 — GCMD Library We’re back with 27th episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most interesting and relevant topics in the field.

These articles are either chosen by JPS editors or our collaborators. We present these reviews as short news pieces with a summarization of key points.

Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates".

Host: Em Gootee

NCBI - WWW Error Blocked Diagnostic

van Hal ARL, Aanen IP, Wijnen RMH, Pullens B, Vlot J. The Value of Preoperative Rigid Tracheobronchoscopy for the Diagnosis of Tracheomalacia in Oesophageal Atresia Patients. J Pediatr Surg. 2024 Nov;59(11):161620. doi: 10.1016/j.jpedsurg.2024.07.005. Epub 2024 Jul 14. PMID: 39089893.

NCBI - WWW Error Blocked Diagnostic

Mena R, Guillén G, Lopez-Fernandez S, Martos Rodríguez M, Ruiz CW, Montaner-Ramon A, López M, Molino JA. Conservative Management of Necrotizing Enterocolitis in Newborns: Incidence and Management of Intestinal Strictures. Eur J Pediatr Surg. 2025 Jun;35(3):224-231. doi: 10.1055/a-2426-9723. Epub 2024 Sep 30. PMID: 39348873.

NCBI - WWW Error Blocked Diagnostic

Hundscheid T, Onland W, Kooi EMW, Vijlbrief DC, de Vries WB, Dijkman KP, van Kaam AH, Villamor E, Kroon AA, Visser R, Mulder-de Tollenaer SM, De Bisschop B, Dijk PH, Avino D, Hocq C, Zecic A, Meeus M, de Baat T, Derriks F, Henriksen TB, Kyng KJ, Donders R, Nuytemans DHGM, Van Overmeire B, Mulder AL, de Boode WP; BeNeDuctus Trial Investigators. Expectant Management or Early Ibuprofen for Patent Ductus Arteriosus. N Engl J Med. 2023 Mar 16;388(11):980-990. doi: 10.1056/NEJMoa2207418. Epub 2022 Dec 6. PMID: 36477458.
Type: video · 4 min · posted 2026-02-27 Canonical: https://library.globalcastmd.com/watch/quick-literature-updates-ep-27-11580 ## Chapters - [0:00](https://library.globalcastmd.com/watch/quick-literature-updates-ep-27-11580?t=0) Introduction and Tracheobronchoscopy in Esophageal Atresia - [1:44](https://library.globalcastmd.com/watch/quick-literature-updates-ep-27-11580?t=104) Post-NEC Strictures After Conservative Management - [2:45](https://library.globalcastmd.com/watch/quick-literature-updates-ep-27-11580?t=165) PDA Management: Expectant vs Early Ibuprofen - [4:04](https://library.globalcastmd.com/watch/quick-literature-updates-ep-27-11580?t=244) Closing ## Statements - "The Van Haal et al. study included 79 patients who had rigid tracheobronchoscopy done before and after esophageal atresia surgery" — Lizzie Lee (clinical) [1:04](https://library.globalcastmd.com/watch/quick-literature-updates-ep-27-11580?t=64) - "Pre-operative tracheobronchoscopy for the presence of post-operative tracheomalacia had a sensitivity of 50% and a specificity of 67%" — Lizzie Lee (clinical) [1:24](https://library.globalcastmd.com/watch/quick-literature-updates-ep-27-11580?t=84) - "Pre-operative tracheobronchoscopy has limited predictive value for post-operative tracheomalacia despite being routine" — Lizzie Lee (clinical) [1:34](https://library.globalcastmd.com/watch/quick-literature-updates-ep-27-11580?t=94) - "The Mina et al. study was a retrospective review of patients who underwent conservative management of modified Bell stage 2A or greater NEC from 2011 to 2022" — Alex Halpern (clinical) [2:05](https://library.globalcastmd.com/watch/quick-literature-updates-ep-27-11580?t=125) - "126 patients underwent conservative management of NEC in the study period" — Alex Halpern (epidemiological) [2:20](https://library.globalcastmd.com/watch/quick-literature-updates-ep-27-11580?t=140) - "24 of 126 conservatively managed NEC patients eventually underwent surgery for a post-NEC stricture" — Alex Halpern (clinical) [2:20](https://library.globalcastmd.com/watch/quick-literature-updates-ep-27-11580?t=140) - "Primary resection and anastomosis was performed in all post-NEC stricture cases" — Alex Halpern (clinical) [2:29](https://library.globalcastmd.com/watch/quick-literature-updates-ep-27-11580?t=149) - "Post-NEC strictures are a common occurrence after conservative management of NEC" — Alex Halpern (clinical) [2:33](https://library.globalcastmd.com/watch/quick-literature-updates-ep-27-11580?t=153) - "The Huncheid et al. study was a multi-center non-inferiority trial comparing preterm infants treated with expectant management versus early ibuprofen for PDA" — Cecilia Gigena (clinical) [3:04](https://library.globalcastmd.com/watch/quick-literature-updates-ep-27-11580?t=184) - "The PDA trial included 273 infants total, with 136 in expectant management and 137 in early ibuprofen groups" — Cecilia Gigena (epidemiological) [3:14](https://library.globalcastmd.com/watch/quick-literature-updates-ep-27-11580?t=194) - "In the expectant management group for PDA, 17.6% developed necrotizing enterocolitis" — Cecilia Gigena (clinical) [3:24](https://library.globalcastmd.com/watch/quick-literature-updates-ep-27-11580?t=204) - "In the expectant management group for PDA, 33% developed bronchopulmonary dysplasia" — Cecilia Gigena (clinical) [3:24](https://library.globalcastmd.com/watch/quick-literature-updates-ep-27-11580?t=204) - "In the expectant management group for PDA, 14% died" — Cecilia Gigena (clinical) [3:24](https://library.globalcastmd.com/watch/quick-literature-updates-ep-27-11580?t=204) - "In the ibuprofen group for PDA, 15.4% developed necrotizing enterocolitis" — Cecilia Gigena (clinical) [3:36](https://library.globalcastmd.com/watch/quick-literature-updates-ep-27-11580?t=216) - "In the ibuprofen group for PDA, 50% developed bronchopulmonary dysplasia" — Cecilia Gigena (clinical) [3:36](https://library.globalcastmd.com/watch/quick-literature-updates-ep-27-11580?t=216) - "In the ibuprofen group for PDA, 80% died" — Cecilia Gigena (clinical) [3:36](https://library.globalcastmd.com/watch/quick-literature-updates-ep-27-11580?t=216) - "Expectant management is non-inferior to early ibuprofen in preterm patients with PDA" — Cecilia Gigena (clinical) [3:53](https://library.globalcastmd.com/watch/quick-literature-updates-ep-27-11580?t=233) ## Transcript Hello pediatric surgery family, I'm Em Gdy from Cincinnati Children's Hospital Medical Center, and today our team is gonna deliver the articles that you should know about. We have 3 papers today, but don't have much time, so let's start. Our first paper titled The Value of Preoperative rigid tracheobronchoscopy for the diagnosis of tracheomalacia in esophageal atresia Patients by Van Haal et al. This paper is summarized by Lizzie Lee, a physician associate by profession and a member of our team here at Cincinnati Children's dedicated to creating content for pediatric surgery. This retrospective cohort study in the Netherlands included 79 patients who had a rigid tracheal bronchoscopy, abbreviated TBS, done before and after esophageal atresia surgery. They wanted to know whether TBS is useful for diagnosing tracheomalacia and whether tracheomalacia worsens after the surgical repair. Results showed that the pre-op TBS for the presence of post-op tracheomalacia had a sensitivity of 50% and a specificity of 67%. This shows that pre-op TBS, though routine, has limited predictive value for post-op tracheomalacia. Our second paper is Conservative Management of Necrotizing Entercolitis in Newborns. Incidence and Management of Intestinal Strictures by Mina et al. and this paper is summarized by Alex Halpern. He is a research fellow at Children's National and collaborates with us to produce these article reviews. To try and answer this question, men et al. performed the retrospective review of all patients who underwent conservative management of modified Bell stage 2A or greater neck at a single institution from 2011 to 2022. They found that 126 patients underwent conservative management of neck, and 24 of those patients eventually underwent surgery for a post-neck stricture. Primary resection and anastomosis was performed in all cases. So it seems like post-neck strictures are a common occurrence after conservative management of neck. Let's move to the last paper of the day. Expectant Management or Early ibuprofen for patent ductus arteriosis by Huncheid et al. This paper is summarized by Cecilia Ina. She's one of the previous research fellows at Cincinnati Children's Hospital. This is a multi-center non-inferiority trial that compared preterm infants treated with expectant management versus early ibuprofen for PDA. They had 273 infants. 136 were treated with expectant management and 137 with early ibuprofen. In the expectant management group, they got 17.6% of necrotizing enterocolitis, 33% of bronchopulmonary dysplasia. And 14% of death rates, whereas in the ibuprofen group, they got 15.4% of necrotizing enterocolitis, 50% of bronchopulmonary dysplasia, and 80% of death rates. So it seems that expectant management is not inferiority that early ibuprofen in preterm patients with PDA. Thank you for listening. Please check the link in the description below to read each paper. We hope you liked this episode. Please follow Stay Current MD on social media, give us a rating, and subscribe to our YouTube channel. And don't forget to download the Stay Current app on the App Store or Play Store for tons of content. --- Not medical advice · citation policy: https://library.globalcastmd.com/ai