We’re back with fifteenth 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 APSA Articles of Interest. 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
https://www.jpedsurg.org/article/S0022-3468(23)00037-4/fulltext
Sutthatarn P, Lapidus-Krol E, Smith C, Halaweish I, Rialon K, Ralls MW, Rentea RM, Madonna MB, Haddock C, Rocca AM, Gosain A, Frischer J, Piper H, Goldstein AM, Saadai P, Durham MM, Dickie B, Jafri M, Langer JC. Hirschsprung-associated inflammatory bowel disease: A multicenter study from the APSA Hirschsprung disease interest group. J Pediatr Surg. 2023 May;58(5):856-861. doi: 10.1016/j.jpedsurg.2023.01.018. Epub 2023 Jan 24. PMID: 36801072.
https://www.jpedsurg.org/article/S0022-3468(22)00799-0/fulltext
Ramsey WA, Huerta CT, Ingle SM, Gilna GP, Saberi RA, O'Neil CF Jr, Ribieras AJ, Parreco JP, Perez EA, Sola JE, Thorson CM. Outcomes of laparoscopic versus open resection of pediatric choledochal cyst. J Pediatr Surg. 2023 Apr;58(4):633-638. doi: 10.1016/j.jpedsurg.2022.12.024. Epub 2022 Dec 22. PMID: 36670004.
https://pubmed.ncbi.nlm.nih.gov/32769952/
Plumblee L, Williams R, Vane D, Zhang J, Jensen A, Naik-Mathuria B, Evans L, Streck CJ. Isolated low-grade solid organ injuries in children following blunt abdominal trauma: Is it time to consider discharge from the emergency department? J Trauma Acute Care Surg. 2020 Nov;89(5):887-893. doi: 10.1097/TA.0000000000002899. PMID: 32769952.
Type: video · 4 min · posted 2024-01-29 Canonical: https://library.globalcastmd.com/watch/quick-literature-updates-episode-15-7927 ## Chapters - [0:09](https://library.globalcastmd.com/watch/quick-literature-updates-episode-15-7927?t=9) Introduction and First Paper Overview - [0:59](https://library.globalcastmd.com/watch/quick-literature-updates-episode-15-7927?t=59) Hirschsprung-Associated IBD Risk Factors - [1:44](https://library.globalcastmd.com/watch/quick-literature-updates-episode-15-7927?t=104) Choledochal Cyst Resection Outcomes - [2:50](https://library.globalcastmd.com/watch/quick-literature-updates-episode-15-7927?t=170) Solid Organ Injury Discharge Criteria - [3:56](https://library.globalcastmd.com/watch/quick-literature-updates-episode-15-7927?t=236) Closing ## Statements - "The Hirschsprung-associated IBD study was retrospective, gathering patients from 2000 to 2021 at 17 institutions" — Cecilia Gigena (epidemiological) [0:59](https://library.globalcastmd.com/watch/quick-literature-updates-episode-15-7927?t=59) - "The study identified 55 Hirschsprung patients, with 50% having long segment disease" — Cecilia Gigena (epidemiological) [1:14](https://library.globalcastmd.com/watch/quick-literature-updates-episode-15-7927?t=74) - "68% of the Hirschsprung patients had Hirschsprung-associated enterocolitis" — Cecilia Gigena (epidemiological) [1:19](https://library.globalcastmd.com/watch/quick-literature-updates-episode-15-7927?t=79) - "10% of the Hirschsprung patients had trisomy 21" — Cecilia Gigena (epidemiological) [1:19](https://library.globalcastmd.com/watch/quick-literature-updates-episode-15-7927?t=79) - "Long segment disease, Hirschsprung-associated enterocolitis, and trisomy 21 are potential risk factors for IBD-like symptoms in Hirschsprung patients after pull through" — Cecilia Gigena (clinical) [1:19](https://library.globalcastmd.com/watch/quick-literature-updates-episode-15-7927?t=79) - "The choledochal cyst study used the nationwide readmissions database and identified 577 children who underwent choledochal cyst resection between 2016 and 2018" — Ellen Encisco (epidemiological) [2:11](https://library.globalcastmd.com/watch/quick-literature-updates-episode-15-7927?t=131) - "The majority of choledochal cyst patients underwent open resection" — Ellen Encisco (epidemiological) [2:21](https://library.globalcastmd.com/watch/quick-literature-updates-episode-15-7927?t=141) - "Patients who underwent open choledochal cyst resection were more likely to have a Roux-en-Y hepaticojejunostomy" — Ellen Encisco (clinical) [2:21](https://library.globalcastmd.com/watch/quick-literature-updates-episode-15-7927?t=141) - "Patients who underwent laparoscopic choledochal cyst resection were more likely to have a hepaticoduodenostomy" — Ellen Encisco (clinical) [2:21](https://library.globalcastmd.com/watch/quick-literature-updates-episode-15-7927?t=141) - "Patients who underwent open choledochal cyst resection had longer length of hospital stay compared to laparoscopic resection" — Ellen Encisco (clinical) [2:36](https://library.globalcastmd.com/watch/quick-literature-updates-episode-15-7927?t=156) - "Patients who underwent open choledochal cyst resection had more complications compared to laparoscopic resection" — Ellen Encisco (clinical) [2:36](https://library.globalcastmd.com/watch/quick-literature-updates-episode-15-7927?t=156) - "Patients who underwent open choledochal cyst resection had higher total costs compared to laparoscopic resection" — Ellen Encisco (clinical) [2:36](https://library.globalcastmd.com/watch/quick-literature-updates-episode-15-7927?t=156) - "The solid organ injury study was retrospective and conducted in South Carolina" — Cecilia Gigena (epidemiological) [3:09](https://library.globalcastmd.com/watch/quick-literature-updates-episode-15-7927?t=189) - "The study gathered 262 patients with isolated solid organ injuries, grades 1 to 3" — Cecilia Gigena (epidemiological) [3:19](https://library.globalcastmd.com/watch/quick-literature-updates-episode-15-7927?t=199) - "148 patients had solid organ injuries grades 1 or 2, and none required acute intervention" — Cecilia Gigena (clinical) [3:26](https://library.globalcastmd.com/watch/quick-literature-updates-episode-15-7927?t=206) - "Of 114 patients with grade 3 solid organ injuries, only 3 required acute intervention" — Cecilia Gigena (clinical) [3:34](https://library.globalcastmd.com/watch/quick-literature-updates-episode-15-7927?t=214) - "Isolated solid organ injuries after blunt abdominal trauma, grades 1 or 2, can be discharged from the emergency department" — Cecilia Gigena (clinical) [3:44](https://library.globalcastmd.com/watch/quick-literature-updates-episode-15-7927?t=224) ## Transcript Hello pediatric surgery family, I'm E Gdy, 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 3 papers today. 2 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 titled Hirschsprung Associated Inflammatory Bowel Disease, a Multi-enter Study from the Absa Hirshprung Disease Interest by Saataran et al. This paper summarized by Cecilia Jhena. She's 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 IVD symptoms in Hirschberg patients. They gathered 55 patients, and 50% of them had lung segment disease. Also 68% got Hirschprung associated enterocolitis and 10% got trisomy 21, so it seems that lung segment disease, Hirschprung associated enterocolitis, and trisomy 21 can be potential risk factors for IVD-like symptoms in Hirschprung patients after pull through. Amazing. Our second paper is Outcomes of Laparoscopic versus Open Resection of Pediatric Collaal cyst by Ramsey et al. and this paper is summarized by Ellen and Sisko. 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 colodocal cysts in pediatric patients. They used the nationwide readmissions database and identified 577 children who underwent colodocal 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 hepaticojejunostomy, while the patients who underwent laparoscopic resection were more likely to have a hepatico duodenostomy. 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 the day. 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 Cecilya Genna. 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 1 or 2, and none of them required an. Acute intervention from the 114 patients with grades 3 injuries, only 3 patients that require an acute intervention. So it seems that isolated solid organ injuries after a blunt abdominal trauma, grades 1 or 2 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 Steyern MD on social media, give us a rating, and subscribe to the YouTube channel. And don't forget to download the Steyern app on the App Store or Play Store for tons of content. --- Not medical advice · citation policy: https://library.globalcastmd.com/ai