Showing papers in "Journal of Pediatric Surgery in 2017"

TL;DR: Rat milk-derived exosomes promote IEC viability, enhance proliferation, and stimulate intestinal stem cell activity, and provide insight into the mechanism of action of breast milk in the intestines.

TL;DR: In this paper, a multi-institutional retrospective cohort study of infants with atresia/tracheoesophageal fistula (EA/TEF) treated at 11 children's hospitals between 2009 and 2014 was performed.

TL;DR: Implementation of a pediatric-specific ERP in children undergoing colorectal surgery is feasible, safe and may lead to improved outcomes, and further experience may highlight other opportunities for increased compliance and improved care.

TL;DR: O/E LHR, o/e TFLV (thresholds of 25%) and liver herniation are good predictors of mortality in CDH.

TL;DR: Although major complications with MIRPE and pectus bar removal surgery are very rare, awareness of the risk and mortality of life-threatening complications is essential to ensure optimal safety.

TL;DR: These results demonstrate that a coordinated multidisciplinary process improvement redesign can significantly improve efficiency in an academic Children's Hospital without preselecting specific services, removing surgical residents, or incorporating new personnel or technology.

TL;DR: It is demonstrated that the Nuss procedure has a shorter operative time and less operative blood loss than the Ravitch procedure while the postoperative length of stay was similar.

TL;DR: There appears to be overwhelming evidence supporting ovarian detorsion rather than oopherectomy for the management of ovarian torsion in pediatric patients and warnings of thromboembolism and malignancy are overstated.

TL;DR: Magnets have a high risk of requiring surgical intervention for removal and therefore, a management algorithm for magnet ingestion was developed.

TL;DR: The incidence of CDH during a 27-year period remained unchanged in the population, however, there was a decrease in the prevalence because of the increasing numbers of TOP and IUFD.

TL;DR: This large retrospective series does not support the use of prophylactic antibiotics beyond 24h and empiric acid suppression may not prevent complications, and many common practices do not appear to reduce complications.

TL;DR: SIPA identifies severe injury and predicts transfusion needs and mortality more effectively than SI for both blunt and penetrating pediatric trauma and should be evaluated as a triage tool.

TL;DR: This retrospective review of 66 patients with postoperative recurrent and acquired TEF following esophageal atresia repair is the largest such series to date and provides a new categorization for postoperative TEF that helps clarify the diagnostic and therapeutic challenges for management.

TL;DR: Cryoanalgesia may be the ideal pain management strategy for Nuss patients because it is effective and long lasting and easily integrated into the Nuss procedure.

TL;DR: Posterior tracheopexy is effective in treating severe tracheomalacia with significant improvements in clinical symptoms and degree of airway collapse on bronchoscopy.

TL;DR: Injured children have higher incidence of early mortality compared to adults, which suggests that injury prevention efforts and strategies for improving early resuscitation have potential to improve mortality after pediatric injury.

TL;DR: Fecal control was significantly better in older than younger HD patients, but some continued to have considerable bowel problems also as adults, and a total transanal ERPT was associated with poorer outcome.

TL;DR: Results in terms of native liver survival rates and actuarial survival rates are unfavourable compared to conventional surgery and there is no evidence that laparoscopic Kasai is associated with fewer adhesions at subsequent liver transplantation.

TL;DR: A reduced total complication rate favors thoracoscopic excision over thoracotomy for asymptomatic antenatally diagnosed CLMs, and the overall length of hospital stay was reduced by more than 1day.

TL;DR: Laroscopic inguinal hernia repair by disconnection of the hernia sac at the IIR with peritoneal closure is safe and feasible method and has a lower recurrence rate than the purse string suturing leaving the sac intact.

TL;DR: An appropriate ERAS protocol comprised of 19 elements for use in adolescents undergoing elective intestinal surgery is defined using a modified Delphi process to establish ERAS elements that would be appropriate for children.

TL;DR: Marked alterations of the intestinal microbiota with decreased level of acetate were shown in SBS patients compared with healthy controls and over-abundance of Proteobacteria (especially Enterobacteriaceae) was found in the samples from the PNALD and CLABSI Groups.

TL;DR: SIPA was validated in this multi-institutional prospective study and identified a higher percentage of children requiring additional resources than SI in BLSI patients, suggesting it may be useful for determining necessary resources for injured patients with BLSi.

TL;DR: CEUS is a promising imaging modality that can detect most abdominal solid organ injuries in children while eliminating exposure to ionizing radiation and a multicenter trial is warranted before widespread use can be recommended.

TL;DR: In this retrospective analysis of a large international data set, the use of centrifugal pumps was associated with increased rates of hemolysis, hyperbilirubinemia, and kidney injury.

TL;DR: It is demonstrated that HD children have significant reductions in psychosocial QoL and functional outcomes.

TL;DR: The results highlight the significant long term morbidity suffered by OA patients as children and into adulthood and suggest the need for quality transitional care.

TL;DR: The study found that ultrasound-guided hydrostatic reduction is a simple, safe and effective nonoperative treatment for pediatric patients suffering from intussusceptions, and should be firstly adopted in the treatment of qualified patients.

TL;DR: Larger defect size and an MIS approach were associated with higher rates of early recurrence, while ECMO use and timing of repair with ECMO were not.

TL;DR: At 18-24months, extremely low birth weight survivors of necrotizing enterocolitis were at markedly increased risk for severe neurodevelopmental disability, postdischarge surgery, and tube feeding.