# Quick Literature Updates Episode 18 — GCMD Library

We’re back with eighteenth 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

https://pubmed.ncbi.nlm.nih.gov/39083294/
Pilkington M, Nelson G, Pentz B, Marchand T, Lloyd E, Chiu PPL, de Beer D, de Silva N, Else S, Fecteau A, Giuliani S, Hannam S, Howlett A, Lee KS, Levin D, O'Rourke L, Stephen L, Wilson L, Brindle ME. Enhanced Recovery After Surgery (ERAS) Society Recommendations for Neonatal Perioperative Care. JAMA Surg. 2024 Sep 1;159(9):1071-1078. doi: 10.1001/jamasurg.2024.2044. PMID: 39083294.

https://pubmed.ncbi.nlm.nih.gov/38493027/
Moore EJ, Sawyer SM, King SK, Tien MY, Trajanovska M. Transition From Pediatric to Adult Healthcare for Colorectal Conditions: A Systematic Review. J Pediatr Surg. 2024 Jun;59(6):1028-1036. doi: 10.1016/j.jpedsurg.2024.02.012. Epub 2024 Feb 23. PMID: 38493027.

https://pubmed.ncbi.nlm.nih.gov/36658074/
Zeng G, Zhang Q, Song B, Feng X, Sun J, Mo X, Wu KH. Clinical Symptoms Affect Treatment and Prognosis in Pediatric Patients with Congenital Pulmonary Airway Malformation: A Propensity Score Matching Retrospective Cohort Study. J Pediatr Surg. 2023 Oct;58(10):1963-1968. doi: 10.1016/j.jpedsurg.2022.11.013. Epub 2022 Nov 29. PMID: 36658074.

Type: video · 4 min · posted 2025-03-21 Canonical: https://library.globalcastmd.com/watch/quick-literature-updates-episode-18-10064 ## Chapters - [0:16](https://library.globalcastmd.com/watch/quick-literature-updates-episode-18-10064?t=16) ERAS Society Neonatal Perioperative Care Recommendations - [1:56](https://library.globalcastmd.com/watch/quick-literature-updates-episode-18-10064?t=116) Transition of Care for Colorectal Conditions - [2:50](https://library.globalcastmd.com/watch/quick-literature-updates-episode-18-10064?t=170) Timing of Surgery for CPAM - [3:52](https://library.globalcastmd.com/watch/quick-literature-updates-episode-18-10064?t=232) Closing ## Statements - "The ERAS Society used a modified Delphi technique with a multidisciplinary group of experts to reach more than 70% consensus" — Lizzie Lee (guideline) [1:10](https://library.globalcastmd.com/watch/quick-literature-updates-episode-18-10064?t=70) - "The ERAS Society agreed on 16 recommendations covering 11 topics including team communication, pre-surgery fasting, temperature control, and antibiotic use" — Lizzie Lee (guideline) [1:34](https://library.globalcastmd.com/watch/quick-literature-updates-episode-18-10064?t=94) - "The ERAS Society did not have enough data to make recommendations about nasogastric tubes and central lines" — Lizzie Lee (guideline) [1:43](https://library.globalcastmd.com/watch/quick-literature-updates-episode-18-10064?t=103) - "Eight studies were found examining transition from pediatric to adult healthcare for colorectal conditions" — Alex Halpern (epidemiological) [2:21](https://library.globalcastmd.com/watch/quick-literature-updates-episode-18-10064?t=141) - "Studies agreed that transitional care should start early in adolescence" — Alex Halpern (guideline) [2:24](https://library.globalcastmd.com/watch/quick-literature-updates-episode-18-10064?t=144) - "Little evidence exists that transfer from pediatric to adult care is happening in a coordinated or timely fashion" — Alex Halpern (epidemiological) [2:24](https://library.globalcastmd.com/watch/quick-literature-updates-episode-18-10064?t=144) - "No models of transition care were identified for patients with anorectal malformations and Hirschsprung's disease" — Alex Halpern (epidemiological) [2:33](https://library.globalcastmd.com/watch/quick-literature-updates-episode-18-10064?t=153) - "The CPAM study included 110 patients" — Cecilia Gigena (epidemiological) [3:21](https://library.globalcastmd.com/watch/quick-literature-updates-episode-18-10064?t=201) - "Patients who underwent surgery before becoming symptomatic had shorter length of stay" — Cecilia Gigena (clinical) [3:21](https://library.globalcastmd.com/watch/quick-literature-updates-episode-18-10064?t=201) - "Patients who underwent surgery before becoming symptomatic had shorter mechanical ventilation after surgery" — Cecilia Gigena (clinical) [3:21](https://library.globalcastmd.com/watch/quick-literature-updates-episode-18-10064?t=201) - "Patients who underwent surgery before becoming symptomatic had shorter operating times" — Cecilia Gigena (clinical) [3:21](https://library.globalcastmd.com/watch/quick-literature-updates-episode-18-10064?t=201) - "There was no significant difference in conversion or post-operative complications between symptomatic and asymptomatic CPAM patients undergoing surgery" — Cecilia Gigena (clinical) [3:31](https://library.globalcastmd.com/watch/quick-literature-updates-episode-18-10064?t=211) - "It appears safer to operate on CPAM patients before they become symptomatic" — Cecilia Gigena (opinion) [3:44](https://library.globalcastmd.com/watch/quick-literature-updates-episode-18-10064?t=224) ## Transcript Hello pediatric surgery family, I'm Em Goddy from Cincinnati Children's Hospital Medical Center, and today our team is gonna deliver the articles that you should know about. As always, we have 3 papers today. 2 of them are from Journal of Pediatric Surgery, and 1 of them is from JAMA Surgery. We don't have much time, so let's start. Our first paper titled Enhanced Recovery after Surgery or ERAS Society Recommendations for Neonatal Perioperative Care by Pilkington 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. The ERAS, or the Enhanced Recovery after Surgery Society, used a modified Delphi technique, which is a fancy way of saying that a multidisciplinary group of experts gathered together to reach more than a 70% consensus. Their goal was to develop recommendations that NICUs can use to take care of the newborns during and after surgery. Focusing on the needs that they have when they are undergoing different types of surgeries. So what did they come up with? They agreed on 16 recommendations covering 11 topics like team communication, pre-surgery fasting, temperature control, and antibiotic use. However, they did not have enough data to make recommendations about things like nasogastric tubes and central lines. These new guidelines will help improve care for NICU patients undergoing surgery. Great, let's hear our second paper. Transition from pediatric to adult healthcare for colorectal conditions, a systematic review by Mooreal. And this paper is summarized by Alex Halpern. He's a research fellow at Children's National and collaborates with us to produce these article reviews. The team from Melbourne, Australia performed a systematic review and meta-analysis trying to answer this question. They found 8 studies on this topic. These studies agreed that transitional care should start early in adolescence and found little evidence that this transfer is happening in a coordinated or timely fashion. No models of transition care were identified, so it seems like more work is needed to ensure that these children with anorectal malformations and Hirschbung's disease continue to receive optimal care as they grow older. Now moving to the last paper of the day, clinical symptoms affect treatment and prognosis in pediatric patients with congenital pulmonary airway malformation or CPAP, a propensity score matching retrospective cohort study by Zeng et al. This paper is summarized by Cecilia Jhena. She is one of the previous research fellows at Cincinnati Children's. This is a retrospective study that aimed to investigate the safety and efficacy of surgical treatment for asymptomatic symptoms. They had 110 patients, and what they found is that patients that underwent surgery before they became symptomatic had shorter length. Of stay, shorter mechanic ventilation after surgery, and shorter operating times with no significant difference in conversion or post-op complications. So it seems that it's safer to operate these patients before they become symptomatic. 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 the YouTube channel. And don't forget to download the Stay Current app on the App Store or Play Store for tons of content. Global Cat MD along with Cincinnati Children's Hospital, sharing knowledge to improve child health around the globe. --- Not medical advice · citation policy: https://library.globalcastmd.com/ai