197 timestamped statements
across 26 topics
— auto-found in recorded discussions, each timestamp jumps to the exact moment.
Summaries Jose gave as host are listed separately below.
The biology of appendiceal neuroendocrine tumors is totally different in children compared to adults, and the behavior in pediatric patients and adolescents is entirely different than in adults, with margins not making a difference when doing appendectomy alone
The endpoint of chest infection in the azygous vein meta-analysis was not clearly defined across studies—some used 'chest infection,' some 'pneumonitis,' some 'pneumonia'—making it a non-homogeneous endpoint
Only one in every 1000 appendectomy patients will have a tumor in the appendix, and not all are neuroendocrine tumors, meaning every surgeon will only treat a handful of these cases in their lifetime
A lower transverse incision (rather than subcostal) allows intraoperative decision-making between flap and mesh based on defect size, making mesh repair slightly more difficult but not impossible
Update Course 2022 - TOP PUBLICATIONS IN NON- PED SURG JOURNALS - Jose Campos
▶Ep 6 · 1:38
clinicalThe Chilean Society of Pediatric Surgery screens approximately 1,200 articles each month from non-pediatric surgical journals to identify the 3% relevant to pediatric surgery.↗
▶Ep 6 · 2:30
quoteWe screen 1,200 articles each month and we want to get the best to you.↗
▶Ep 6 · 15:50
clinicalThe original description of percutaneous endoscopic gastrostomy (PEG) was done by Todd Ponsky Sr.↗
Jose's statements about Advances in Pediatric Surgery5 statements
2025 Pediatric Surgery Update Course - Updates in Pediatric Surgery feat. non-JPS Journals
▶Ep 2 · 0:48
clinicalThe Chilean Society of Pediatric Surgery Journal Hive team screens through 1200 articles each month using a method to select high-quality publications↗
▶Ep 2 · 13:37
epidemiologicalOnly one in every 1000 appendectomy patients will have a tumor in the appendix, and not all are neuroendocrine tumors, meaning every surgeon will only treat a handful of these cases in their lifetime↗
▶Ep 2 · 18:51
clinicalThe biology of appendiceal neuroendocrine tumors is totally different in children compared to adults, and the behavior in pediatric patients and adolescents is entirely different than in adults, with margins not making a difference when doing appendectomy alone↗
▶Ep 2 · 18:51
quoteI think what we probably don't understand is it's a totally different biology in children compared to adults. And I think a lot of that hasn't been sorted out, but the behavior of the tumor in pediatric patients and adolescents is entirely different than the behavior in adults.↗
▶Ep 2 · 19:35
clinicalPrevious studies on appendiceal neuroendocrine tumors drew the line at 15 years, but the database study compared up to 18 years, so conclusions are valid up to 18 years of age↗
quoteOK, hello guys. I, I'm Jose Campos. I'm a pediatric surgeon from Chile. I work, work at Sodero del Rio Hospital and I'm also part of a group that is part of The Chilean Society of Pediatric Surgery.↗
▶Ep 14 · 7:22
quoteThis is a pilot study and the authors have been very clear on this, but this is the best we got right now in pediatric surgery.↗
Update Course 2022 - TOP PUBLICATIONS IN NON- PED SURG JOURNALS - Jose Campos
▶Ep 17 · 1:38
clinicalThe Chilean Society of Pediatric Surgery screens approximately 1,200 articles each month from non-pediatric surgical journals to identify the 3% relevant to pediatric surgery.↗
▶Ep 17 · 2:30
quoteWe screen 1,200 articles each month and we want to get the best to you.↗
▶Ep 17 · 15:50
clinicalThe original description of percutaneous endoscopic gastrostomy (PEG) was done by Todd Ponsky Sr.↗
2025 Pediatric Surgery Update Course - Updates in Pediatric Surgery feat. non-JPS Journals
▶Ep 25 · 0:48
clinicalThe Chilean Society of Pediatric Surgery Journal Hive team screens through 1200 articles each month using a method to select high-quality publications↗
▶Ep 25 · 13:37
epidemiologicalOnly one in every 1000 appendectomy patients will have a tumor in the appendix, and not all are neuroendocrine tumors, meaning every surgeon will only treat a handful of these cases in their lifetime↗
▶Ep 25 · 18:51
clinicalThe biology of appendiceal neuroendocrine tumors is totally different in children compared to adults, and the behavior in pediatric patients and adolescents is entirely different than in adults, with margins not making a difference when doing appendectomy alone↗
▶Ep 25 · 18:51
quoteI think what we probably don't understand is it's a totally different biology in children compared to adults. And I think a lot of that hasn't been sorted out, but the behavior of the tumor in pediatric patients and adolescents is entirely different than the behavior in adults.↗
▶Ep 25 · 19:35
clinicalPrevious studies on appendiceal neuroendocrine tumors drew the line at 15 years, but the database study compared up to 18 years, so conclusions are valid up to 18 years of age↗
quoteOK, hello guys. I, I'm Jose Campos. I'm a pediatric surgeon from Chile. I work, work at Sodero del Rio Hospital and I'm also part of a group that is part of The Chilean Society of Pediatric Surgery.↗
▶Ep 9 · 7:22
quoteThis is a pilot study and the authors have been very clear on this, but this is the best we got right now in pediatric surgery.↗
Update Course 2022 - TOP PUBLICATIONS IN NON- PED SURG JOURNALS - Jose Campos
▶Ep 10 · 1:38
clinicalThe Chilean Society of Pediatric Surgery screens approximately 1,200 articles each month from non-pediatric surgical journals to identify the 3% relevant to pediatric surgery.↗
▶Ep 10 · 2:30
quoteWe screen 1,200 articles each month and we want to get the best to you.↗
▶Ep 10 · 15:50
clinicalThe original description of percutaneous endoscopic gastrostomy (PEG) was done by Todd Ponsky Sr.↗
Jose's statements about Cholelithiasis10 statements
quoteChile is the country with the highest rate of cholelithiasis, so this is something we we can actually say something.↗
▶Ep 3 · 1:07
epidemiologicalChile has the highest rate of cholelithiasis globally↗
▶Ep 3 · 4:00
quoteNot even the reliable patient, we should send them home without their gallbladder removed.↗
▶Ep 3 · 7:11
quoteThe negative predictive value of this algorithm is 98%. That means that you're gonna be in that nasty situation, uh, if, uh, only 2% of the time if you trust this algorithm.↗
▶Ep 3 · 7:22
quoteI don't think we can get more precise than this algorithm in terms of predicting CBDs tolls pre preoperatively.↗
▶Ep 3 · 14:21
quoteI, I don't like this study a lot to call it the new standard practice. I think with you too much.↗
▶Ep 3 · 14:25
opinionThe ICG study compared different time periods rather than contemporaneous groups, confounding the comparison with improvements in surgical skill and instruments over time↗
▶Ep 3 · 14:43
opinionThe ICG study combined all complications without separately reporting common bile duct injuries, and bleeding complications are unlikely attributable to presence or absence of ICG↗
▶Ep 3 · 14:57
opinionA complication rate of zero in any surgical series raises methodological concerns↗
▶Ep 3 · 15:38
opinionThe ICG study compared ICG to simple visualization without any imaging technique, not to intraoperative cholangiogram, making improved visualization an expected rather than surprising finding↗
Jose's statements about Cholelithiasis10 statements
epidemiologicalChile has the highest rate of cholelithiasis globally↗
▶Ep 3 · 1:07
quoteChile is the country with the highest rate of cholelithiasis, so this is something we we can actually say something.↗
▶Ep 3 · 4:00
quoteNot even the reliable patient, we should send them home without their gallbladder removed.↗
▶Ep 3 · 7:11
quoteThe negative predictive value of this algorithm is 98%. That means that you're gonna be in that nasty situation, uh, if, uh, only 2% of the time if you trust this algorithm.↗
▶Ep 3 · 7:22
quoteI don't think we can get more precise than this algorithm in terms of predicting CBDs tolls pre preoperatively.↗
▶Ep 3 · 14:21
quoteI, I don't like this study a lot to call it the new standard practice. I think with you too much.↗
▶Ep 3 · 14:25
opinionThe ICG study compared different time periods rather than contemporaneous groups, confounding the comparison with improvements in surgical skill and instruments over time↗
▶Ep 3 · 14:43
opinionThe ICG study combined all complications without separately reporting common bile duct injuries, and bleeding complications are unlikely attributable to presence or absence of ICG↗
▶Ep 3 · 14:57
opinionA complication rate of zero in any surgical series raises methodological concerns↗
▶Ep 3 · 15:38
opinionThe ICG study compared ICG to simple visualization without any imaging technique, not to intraoperative cholangiogram, making improved visualization an expected rather than surprising finding↗
Jose's statements about Congenital Diaphragmatic Hernia2 statements
clinicalIn Chile during training, the protocol was to place babies on ECMO as a 'trial for life,' then decannulate and perform repair if the baby survived↗
▶Ep 24 · 11:11
clinicalA lower transverse incision (rather than subcostal) allows intraoperative decision-making between flap and mesh based on defect size, making mesh repair slightly more difficult but not impossible↗
Jose's statements about Congenital Lung Lesions (CPAM)20 statements
quoteI was always told that. This should be operated because the risk of them becoming symptomatic was pretty high.↗
▶Ep 27 · 3:13
clinicalThe 2017 study is the only completely prospective study on CPAM natural history and the only one dealing with long-term follow-up↗
▶Ep 27 · 3:13
clinicalThe 2017 study is the only completely prospective study on CPAM natural history and the only one dealing with long-term follow-up↗
▶Ep 27 · 3:32
epidemiologicalRetrospective studies show a huge range of 3-85% for risk of becoming symptomatic, but systematic reviews narrow this to 3.2% in one review and 25% in another↗
▶Ep 27 · 5:21
opinionFor prenatally diagnosed asymptomatic CPAM, Dr. Campos would find it very difficult to recommend operation; for postnatally diagnosed lesions, very difficult not to operate↗
▶Ep 27 · 5:21
opinionFor prenatally diagnosed asymptomatic CPAM, Dr. Campos would find it very difficult to recommend operation; for postnatally diagnosed lesions, very difficult not to operate↗
▶Ep 27 · 5:21
quoteTo me, my opinion is that prenatally diagnosed asymptomatic, I would find it very difficult for them to give them an operation, very difficult, and postnatally diagnosed, I would find it very difficult not to do an operation.↗
▶Ep 27 · 5:21
quoteTo me, my opinion is that prenatally diagnosed asymptomatic, I would find it very difficult for them to give them an operation, very difficult, and postnatally diagnosed, I would find it very difficult not to do an operation.↗
▶Ep 27 · 5:49
epidemiologicalThe International Pleuropulmonary Blastoma Registry has 350 cases reported worldwide and has found only 9 cases of prenatally diagnosed lesions that turned out to be pleuropulmonary blastoma↗
▶Ep 27 · 6:16
clinicalCommon practice in Chile is to resect prenatally diagnosed CPAMs, but after reviewing the literature, the academic discussion at Dr. Campos's hospital now leans toward not operating↗
▶Ep 27 · 6:16
clinicalCommon practice in Chile is to resect prenatally diagnosed CPAMs, but after reviewing the literature, the academic discussion at Dr. Campos's hospital now leans toward not operating↗
▶Ep 27 · 8:17
clinicalAfter infection, there is a higher rate of conversion from thoracoscopy to open surgery↗
▶Ep 27 · 8:25
opinionThe number of patients who will have an infection is so low that the benefit of lesser conversion rate does not justify preemptive surgery in all cases↗
▶Ep 27 · 8:25
opinionThe number of patients who will have an infection is so low that the benefit of lesser conversion rate does not justify preemptive surgery in all cases↗
▶Ep 27 · 10:25
clinicalThe 1-3 month group had a 40% thoracotomy rate, suggesting the outcome depends on surgeon expertise in performing safe thoracoscopy↗
▶Ep 27 · 10:25
clinicalThe 1-3 month group had a 40% thoracotomy rate, suggesting the outcome depends on surgeon expertise in performing safe thoracoscopy↗
▶Ep 27 · 11:06
opinionElective preventive resection should be easy and have nearly zero complications; prophylactic operations should be close to zero complications↗
▶Ep 27 · 11:06
quoteI, I see your point, but actually if you're doing an, an elective preventive resection of something. Uh, it, it should be easy. It should be easy. It should have nearly zero complications like prophylactic operations should be close to zero complications.↗
▶Ep 27 · 11:06
opinionElective preventive resection should be easy and have nearly zero complications; prophylactic operations should be close to zero complications↗
▶Ep 27 · 11:06
quoteI, I see your point, but actually if you're doing an, an elective preventive resection of something. Uh, it, it should be easy. It should be easy. It should have nearly zero complications like prophylactic operations should be close to zero complications.↗
Jose's statements about Congenital Pulmonary Airway Malformation8 statements
clinicalThe 2017 study is the only completely prospective study on CPAM natural history and the only one dealing with long-term follow-up↗
▶Ep 22 · 5:21
opinionFor prenatally diagnosed asymptomatic CPAM, Dr. Campos would find it very difficult to recommend operation; for postnatally diagnosed lesions, very difficult not to operate↗
▶Ep 22 · 5:21
quoteTo me, my opinion is that prenatally diagnosed asymptomatic, I would find it very difficult for them to give them an operation, very difficult, and postnatally diagnosed, I would find it very difficult not to do an operation.↗
▶Ep 22 · 6:16
clinicalCommon practice in Chile is to resect prenatally diagnosed CPAMs, but after reviewing the literature, the academic discussion at Dr. Campos's hospital now leans toward not operating↗
▶Ep 22 · 8:25
opinionThe number of patients who will have an infection is so low that the benefit of lesser conversion rate does not justify preemptive surgery in all cases↗
▶Ep 22 · 10:25
clinicalThe 1-3 month group had a 40% thoracotomy rate, suggesting the outcome depends on surgeon expertise in performing safe thoracoscopy↗
▶Ep 22 · 11:06
quoteI, I see your point, but actually if you're doing an, an elective preventive resection of something. Uh, it, it should be easy. It should be easy. It should have nearly zero complications like prophylactic operations should be close to zero complications.↗
▶Ep 22 · 11:06
opinionElective preventive resection should be easy and have nearly zero complications; prophylactic operations should be close to zero complications↗
Jose's statements about Congenital Pulmonary Airway Malformation8 statements
clinicalThe 2017 study is the only completely prospective study on CPAM natural history and the only one dealing with long-term follow-up↗
▶Ep 22 · 5:21
quoteTo me, my opinion is that prenatally diagnosed asymptomatic, I would find it very difficult for them to give them an operation, very difficult, and postnatally diagnosed, I would find it very difficult not to do an operation.↗
▶Ep 22 · 5:21
opinionFor prenatally diagnosed asymptomatic CPAM, Dr. Campos would find it very difficult to recommend operation; for postnatally diagnosed lesions, very difficult not to operate↗
▶Ep 22 · 6:16
clinicalCommon practice in Chile is to resect prenatally diagnosed CPAMs, but after reviewing the literature, the academic discussion at Dr. Campos's hospital now leans toward not operating↗
▶Ep 22 · 8:25
opinionThe number of patients who will have an infection is so low that the benefit of lesser conversion rate does not justify preemptive surgery in all cases↗
▶Ep 22 · 10:25
clinicalThe 1-3 month group had a 40% thoracotomy rate, suggesting the outcome depends on surgeon expertise in performing safe thoracoscopy↗
▶Ep 22 · 11:06
opinionElective preventive resection should be easy and have nearly zero complications; prophylactic operations should be close to zero complications↗
▶Ep 22 · 11:06
quoteI, I see your point, but actually if you're doing an, an elective preventive resection of something. Uh, it, it should be easy. It should be easy. It should have nearly zero complications like prophylactic operations should be close to zero complications.↗
Jose's statements about Esophageal Atresia8 statements
Case Based Journal Review: Esophageal Atresia in 2022
▶Ep 22 · 4:45
clinicalThe endpoint of chest infection in the azygous vein meta-analysis was not clearly defined across studies—some used 'chest infection,' some 'pneumonitis,' some 'pneumonia'—making it a non-homogeneous endpoint↗
▶Ep 22 · 7:31
quoteI think this article is well done. They actually adjusted for gestational earthquake leak the. Length of the gap, the tension, everything.↗
▶Ep 22 · 8:19
quoteI think we should get rid of it, and it's going to take a while for people to be brave and change their practice, but I think this one's a no-brainer for me.↗
▶Ep 22 · 9:44
epidemiologicalCongenital esophageal stenosis is associated with esophageal atresia in 7% to 10% of cases and most are diagnosed really late, sometimes after the anastomosis fails↗
▶Ep 22 · 9:58
clinicalPassing a tube through the anastomosis to check for resistance can help identify distal esophageal stenosis intraoperatively↗
▶Ep 22 · 14:10
clinicalNot giving antibiotics postoperatively helps detect complications early rather than having antibiotics cover a complication↗
▶Ep 22 · 14:24
clinicalGiving PPIs to neonates can increase pneumonia in different populations, but the risk is very minimal↗
▶Ep 22 · 16:25
quoteI think it's difficult as a trainee or as a young surgeon to challenge the very same people who has taught you to do something. But with this new evidence, I feel that we can find common ground.↗
Jose's statements about Esophageal Atresia8 statements
Case Based Journal Review: Esophageal Atresia in 2022
▶Ep 32 · 4:45
clinicalThe endpoint of chest infection in the azygous vein meta-analysis was not clearly defined across studies—some used 'chest infection,' some 'pneumonitis,' some 'pneumonia'—making it a non-homogeneous endpoint↗
▶Ep 32 · 7:31
quoteI think this article is well done. They actually adjusted for gestational earthquake leak the. Length of the gap, the tension, everything.↗
▶Ep 32 · 8:19
quoteI think we should get rid of it, and it's going to take a while for people to be brave and change their practice, but I think this one's a no-brainer for me.↗
▶Ep 32 · 9:44
epidemiologicalCongenital esophageal stenosis is associated with esophageal atresia in 7% to 10% of cases and most are diagnosed really late, sometimes after the anastomosis fails↗
▶Ep 32 · 9:58
clinicalPassing a tube through the anastomosis to check for resistance can help identify distal esophageal stenosis intraoperatively↗
▶Ep 32 · 14:10
clinicalNot giving antibiotics postoperatively helps detect complications early rather than having antibiotics cover a complication↗
▶Ep 32 · 14:24
clinicalGiving PPIs to neonates can increase pneumonia in different populations, but the risk is very minimal↗
▶Ep 32 · 16:25
quoteI think it's difficult as a trainee or as a young surgeon to challenge the very same people who has taught you to do something. But with this new evidence, I feel that we can find common ground.↗
Jose's statements about Etiologies (Gastroschisis/NEC/Atresia/Volvulus)3 statements
Update Course 2022 - TOP PUBLICATIONS IN NON- PED SURG JOURNALS - Jose Campos
▶Ep 44 · 1:38
clinicalThe Chilean Society of Pediatric Surgery screens approximately 1,200 articles each month from non-pediatric surgical journals to identify the 3% relevant to pediatric surgery.↗
▶Ep 44 · 2:30
quoteWe screen 1,200 articles each month and we want to get the best to you.↗
▶Ep 44 · 15:50
clinicalThe original description of percutaneous endoscopic gastrostomy (PEG) was done by Todd Ponsky Sr.↗
Jose's statements about Gallstone Pancreatitis24 statements
quoteChile is the country with the highest rate of cholelithiasis, so this is something we we can actually say something.↗
▶Ep 3 · 1:07
quoteChile is the country with the highest rate of cholelithiasis, so this is something we we can actually say something.↗
▶Ep 3 · 1:07
epidemiologicalChile has the highest rate of cholelithiasis globally↗
▶Ep 3 · 1:07
epidemiologicalChile has the highest rate of cholelithiasis globally↗
▶Ep 3 · 4:00
quoteNot even the reliable patient, we should send them home without their gallbladder removed.↗
▶Ep 3 · 4:00
quoteNot even the reliable patient, we should send them home without their gallbladder removed.↗
▶Ep 3 · 7:11
clinicalThe machine learning algorithm for predicting CBD stones has a negative predictive value of 98%, meaning only 2% chance of missing stones when algorithm predicts low risk↗
▶Ep 3 · 7:11
quoteThe negative predictive value of this algorithm is 98%. That means that you're gonna be in that nasty situation, uh, if, uh, only 2% of the time if you trust this algorithm.↗
▶Ep 3 · 7:11
quoteThe negative predictive value of this algorithm is 98%. That means that you're gonna be in that nasty situation, uh, if, uh, only 2% of the time if you trust this algorithm.↗
▶Ep 3 · 7:22
quoteI don't think we can get more precise than this algorithm in terms of predicting CBDs tolls pre preoperatively.↗
▶Ep 3 · 7:22
quoteI don't think we can get more precise than this algorithm in terms of predicting CBDs tolls pre preoperatively.↗
▶Ep 3 · 11:56
clinicalThe laparoscopic common bile duct exploration study included 4 centers with a broad range of surgeons, demonstrating feasibility beyond single expert centers↗
▶Ep 3 · 12:15
clinicalOf patients who had ERCP after failed laparoscopic CBD exploration (14% of OR-first group), outcomes were good without increased bile duct leak or complications↗
▶Ep 3 · 12:30
clinicalIn the stepwise laparoscopic CBD exploration approach, 84% of patients had stones cleared with saline flush through a ureteral catheter alone↗
▶Ep 3 · 14:21
quoteI, I don't like this study a lot to call it the new standard practice. I think with you too much.↗
▶Ep 3 · 14:21
quoteI, I don't like this study a lot to call it the new standard practice. I think with you too much.↗
▶Ep 3 · 14:25
opinionThe ICG study compared different time periods rather than contemporaneous groups, confounding the comparison with improvements in surgical skill and instruments over time↗
▶Ep 3 · 14:25
opinionThe ICG study compared different time periods rather than contemporaneous groups, confounding the comparison with improvements in surgical skill and instruments over time↗
▶Ep 3 · 14:43
opinionThe ICG study combined all complications without separately reporting common bile duct injuries, and bleeding complications are unlikely attributable to presence or absence of ICG↗
▶Ep 3 · 14:43
opinionThe ICG study combined all complications without separately reporting common bile duct injuries, and bleeding complications are unlikely attributable to presence or absence of ICG↗
▶Ep 3 · 14:57
opinionA complication rate of zero in any surgical series raises methodological concerns↗
▶Ep 3 · 14:57
opinionA complication rate of zero in any surgical series raises methodological concerns↗
▶Ep 3 · 15:38
opinionThe ICG study compared ICG to simple visualization without any imaging technique, not to intraoperative cholangiogram, making improved visualization an expected rather than surprising finding↗
▶Ep 3 · 15:38
opinionThe ICG study compared ICG to simple visualization without any imaging technique, not to intraoperative cholangiogram, making improved visualization an expected rather than surprising finding↗
Jose's statements about Gastroesophageal Reflux Disease7 statements
Case-Based Journal Review: G-Tube & Fundoplication for GERD 2023
▶Ep 11 · 2:40
quoteI determined that they need to be treated for reflux based on clinical evaluation, not a test.↗
▶Ep 11 · 2:40
clinicalUpper GI contrast study should only be done to rule out secondary causes of reflux such as malrotation or a web, not to diagnose reflux itself↗
▶Ep 11 · 2:40
guidelineClinical evaluation, not laboratory or imaging tests, should determine whether a patient needs treatment for reflux↗
▶Ep 11 · 8:09
epidemiologicalIn a 10-year follow-up study, only a tiny percentage of patients who received G-tubes alone ended up needing a subsequent fundoplication; most had a G-tube for life↗
▶Ep 11 · 8:51
clinicalPatients with neurological impairment and discoordinated swallowing often get aspiration pneumonia from their saliva, not from gastric reflux↗
▶Ep 11 · 8:51
quoteI've just lost that hope that I will save this child from pneumonia or for aspiration pneumonia from my funduplication.↗
▶Ep 11 · 10:45
clinicalLaparoscopic gastrostomy allows the surgeon to choose the side of the stomach better and permits placement of a primary button rather than requiring a second anesthetic to replace a PEG with a button↗
Jose's statements about Inguinal Hernia4 statements
clinicalThe younger the baby, the higher the risk of incarceration in inguinal hernia↗
▶Ep 17 · 1:43
quoteI learned to do the repair before discharge just because what I've learned is that the younger the baby, the higher the risk of incarceration.↗
▶Ep 17 · 3:49
quoteI read this article very carefully and I said, look, I could actually change my practice and actually sending the baby home. I could reduce the hospital stay and, more importantly, reduce the chance of them having a serious adverse effect by 10%.↗
▶Ep 17 · 18:28
quoteWe've been dealing with this pathologies like for 100 years, and we still don't know the natural history of PPVs and inguinal hernias, and I'm just happy. That these 3 articles that we brought are bringing freshness or novelty or curiosity for some things that have been taught very dogmatically like the discussions we've had.↗
Jose's statements about Intestinal Rehab3 statements
Update Course 2022 - TOP PUBLICATIONS IN NON- PED SURG JOURNALS - Jose Campos
▶Ep 60 · 1:38
clinicalThe Chilean Society of Pediatric Surgery screens approximately 1,200 articles each month from non-pediatric surgical journals to identify the 3% relevant to pediatric surgery.↗
▶Ep 60 · 2:30
quoteWe screen 1,200 articles each month and we want to get the best to you.↗
▶Ep 60 · 15:50
clinicalThe original description of percutaneous endoscopic gastrostomy (PEG) was done by Todd Ponsky Sr.↗
Jose's statements about Non-perforated Appendicitis2 statements
quoteOK, hello guys. I, I'm Jose Campos. I'm a pediatric surgeon from Chile. I work, work at Sodero del Rio Hospital and I'm also part of a group that is part of The Chilean Society of Pediatric Surgery.↗
▶Ep 3 · 7:22
quoteThis is a pilot study and the authors have been very clear on this, but this is the best we got right now in pediatric surgery.↗
epidemiologicalChile has the highest rate of cholelithiasis globally↗
▶Ep 18 · 1:07
epidemiologicalChile has the highest rate of cholelithiasis globally↗
▶Ep 18 · 1:07
quoteChile is the country with the highest rate of cholelithiasis, so this is something we we can actually say something.↗
▶Ep 18 · 1:07
quoteChile is the country with the highest rate of cholelithiasis, so this is something we we can actually say something.↗
▶Ep 18 · 4:00
quoteNot even the reliable patient, we should send them home without their gallbladder removed.↗
▶Ep 18 · 4:00
quoteNot even the reliable patient, we should send them home without their gallbladder removed.↗
▶Ep 18 · 7:11
quoteThe negative predictive value of this algorithm is 98%. That means that you're gonna be in that nasty situation, uh, if, uh, only 2% of the time if you trust this algorithm.↗
▶Ep 18 · 7:11
quoteThe negative predictive value of this algorithm is 98%. That means that you're gonna be in that nasty situation, uh, if, uh, only 2% of the time if you trust this algorithm.↗
▶Ep 18 · 7:11
clinicalThe machine learning algorithm for predicting CBD stones has a negative predictive value of 98%, meaning only 2% chance of missing stones when algorithm predicts low risk↗
▶Ep 18 · 7:22
quoteI don't think we can get more precise than this algorithm in terms of predicting CBDs tolls pre preoperatively.↗
▶Ep 18 · 7:22
quoteI don't think we can get more precise than this algorithm in terms of predicting CBDs tolls pre preoperatively.↗
▶Ep 18 · 11:56
clinicalThe laparoscopic common bile duct exploration study included 4 centers with a broad range of surgeons, demonstrating feasibility beyond single expert centers↗
▶Ep 18 · 12:15
clinicalOf patients who had ERCP after failed laparoscopic CBD exploration (14% of OR-first group), outcomes were good without increased bile duct leak or complications↗
▶Ep 18 · 12:30
clinicalIn the stepwise laparoscopic CBD exploration approach, 84% of patients had stones cleared with saline flush through a ureteral catheter alone↗
▶Ep 18 · 14:21
quoteI, I don't like this study a lot to call it the new standard practice. I think with you too much.↗
▶Ep 18 · 14:21
quoteI, I don't like this study a lot to call it the new standard practice. I think with you too much.↗
▶Ep 18 · 14:25
opinionThe ICG study compared different time periods rather than contemporaneous groups, confounding the comparison with improvements in surgical skill and instruments over time↗
▶Ep 18 · 14:25
opinionThe ICG study compared different time periods rather than contemporaneous groups, confounding the comparison with improvements in surgical skill and instruments over time↗
▶Ep 18 · 14:43
opinionThe ICG study combined all complications without separately reporting common bile duct injuries, and bleeding complications are unlikely attributable to presence or absence of ICG↗
▶Ep 18 · 14:43
opinionThe ICG study combined all complications without separately reporting common bile duct injuries, and bleeding complications are unlikely attributable to presence or absence of ICG↗
▶Ep 18 · 14:57
opinionA complication rate of zero in any surgical series raises methodological concerns↗
▶Ep 18 · 14:57
opinionA complication rate of zero in any surgical series raises methodological concerns↗
▶Ep 18 · 15:38
opinionThe ICG study compared ICG to simple visualization without any imaging technique, not to intraoperative cholangiogram, making improved visualization an expected rather than surprising finding↗
▶Ep 18 · 15:38
opinionThe ICG study compared ICG to simple visualization without any imaging technique, not to intraoperative cholangiogram, making improved visualization an expected rather than surprising finding↗
Jose's statements about Patent Processus Vaginalis4 statements
clinicalThe younger the baby, the higher the risk of incarceration in inguinal hernia↗
▶Ep 8 · 1:43
quoteI learned to do the repair before discharge just because what I've learned is that the younger the baby, the higher the risk of incarceration.↗
▶Ep 8 · 3:49
quoteI read this article very carefully and I said, look, I could actually change my practice and actually sending the baby home. I could reduce the hospital stay and, more importantly, reduce the chance of them having a serious adverse effect by 10%.↗
▶Ep 8 · 18:28
quoteWe've been dealing with this pathologies like for 100 years, and we still don't know the natural history of PPVs and inguinal hernias, and I'm just happy. That these 3 articles that we brought are bringing freshness or novelty or curiosity for some things that have been taught very dogmatically like the discussions we've had.↗
Jose's statements about Pediatric Oncology5 statements
2025 Pediatric Surgery Update Course - Updates in Pediatric Surgery feat. non-JPS Journals
▶Ep 592 · 0:48
clinicalThe Chilean Society of Pediatric Surgery Journal Hive team screens through 1200 articles each month using a method to select high-quality publications↗
▶Ep 592 · 13:37
epidemiologicalOnly one in every 1000 appendectomy patients will have a tumor in the appendix, and not all are neuroendocrine tumors, meaning every surgeon will only treat a handful of these cases in their lifetime↗
▶Ep 592 · 18:51
clinicalThe biology of appendiceal neuroendocrine tumors is totally different in children compared to adults, and the behavior in pediatric patients and adolescents is entirely different than in adults, with margins not making a difference when doing appendectomy alone↗
▶Ep 592 · 18:51
quoteI think what we probably don't understand is it's a totally different biology in children compared to adults. And I think a lot of that hasn't been sorted out, but the behavior of the tumor in pediatric patients and adolescents is entirely different than the behavior in adults.↗
▶Ep 592 · 19:35
clinicalPrevious studies on appendiceal neuroendocrine tumors drew the line at 15 years, but the database study compared up to 18 years, so conclusions are valid up to 18 years of age↗
Jose's statements about Perforated Appendicitis3 statements
Update Course 2022 - TOP PUBLICATIONS IN NON- PED SURG JOURNALS - Jose Campos
▶Ep 2 · 1:38
clinicalThe Chilean Society of Pediatric Surgery screens approximately 1,200 articles each month from non-pediatric surgical journals to identify the 3% relevant to pediatric surgery.↗
▶Ep 2 · 2:30
quoteWe screen 1,200 articles each month and we want to get the best to you.↗
▶Ep 2 · 15:50
clinicalThe original description of percutaneous endoscopic gastrostomy (PEG) was done by Todd Ponsky Sr.↗
Jose's statements about Tracheoesophageal Fistula8 statements
Case Based Journal Review: Esophageal Atresia in 2022
▶Ep 18 · 4:45
clinicalThe endpoint of chest infection in the azygous vein meta-analysis was not clearly defined across studies—some used 'chest infection,' some 'pneumonitis,' some 'pneumonia'—making it a non-homogeneous endpoint↗
▶Ep 18 · 7:31
quoteI think this article is well done. They actually adjusted for gestational earthquake leak the. Length of the gap, the tension, everything.↗
▶Ep 18 · 8:19
quoteI think we should get rid of it, and it's going to take a while for people to be brave and change their practice, but I think this one's a no-brainer for me.↗
▶Ep 18 · 9:44
epidemiologicalCongenital esophageal stenosis is associated with esophageal atresia in 7% to 10% of cases and most are diagnosed really late, sometimes after the anastomosis fails↗
▶Ep 18 · 9:58
clinicalPassing a tube through the anastomosis to check for resistance can help identify distal esophageal stenosis intraoperatively↗
▶Ep 18 · 14:10
clinicalNot giving antibiotics postoperatively helps detect complications early rather than having antibiotics cover a complication↗
▶Ep 18 · 14:24
clinicalGiving PPIs to neonates can increase pneumonia in different populations, but the risk is very minimal↗
▶Ep 18 · 16:25
quoteI think it's difficult as a trainee or as a young surgeon to challenge the very same people who has taught you to do something. But with this new evidence, I feel that we can find common ground.↗
Jose's statements about Tracheoesophageal Fistula8 statements
Case Based Journal Review: Esophageal Atresia in 2022
▶Ep 22 · 4:45
clinicalThe endpoint of chest infection in the azygous vein meta-analysis was not clearly defined across studies—some used 'chest infection,' some 'pneumonitis,' some 'pneumonia'—making it a non-homogeneous endpoint↗
▶Ep 22 · 7:31
quoteI think this article is well done. They actually adjusted for gestational earthquake leak the. Length of the gap, the tension, everything.↗
▶Ep 22 · 8:19
quoteI think we should get rid of it, and it's going to take a while for people to be brave and change their practice, but I think this one's a no-brainer for me.↗
▶Ep 22 · 9:44
epidemiologicalCongenital esophageal stenosis is associated with esophageal atresia in 7% to 10% of cases and most are diagnosed really late, sometimes after the anastomosis fails↗
▶Ep 22 · 9:58
clinicalPassing a tube through the anastomosis to check for resistance can help identify distal esophageal stenosis intraoperatively↗
▶Ep 22 · 14:10
clinicalNot giving antibiotics postoperatively helps detect complications early rather than having antibiotics cover a complication↗
▶Ep 22 · 14:24
clinicalGiving PPIs to neonates can increase pneumonia in different populations, but the risk is very minimal↗
▶Ep 22 · 16:25
quoteI think it's difficult as a trainee or as a young surgeon to challenge the very same people who has taught you to do something. But with this new evidence, I feel that we can find common ground.↗
Jose's statements about Uncomplicated Appendicitis5 statements
2025 Pediatric Surgery Update Course - Updates in Pediatric Surgery feat. non-JPS Journals
▶Ep 2 · 0:48
clinicalThe Chilean Society of Pediatric Surgery Journal Hive team screens through 1200 articles each month using a method to select high-quality publications↗
▶Ep 2 · 13:37
epidemiologicalOnly one in every 1000 appendectomy patients will have a tumor in the appendix, and not all are neuroendocrine tumors, meaning every surgeon will only treat a handful of these cases in their lifetime↗
▶Ep 2 · 18:51
quoteI think what we probably don't understand is it's a totally different biology in children compared to adults. And I think a lot of that hasn't been sorted out, but the behavior of the tumor in pediatric patients and adolescents is entirely different than the behavior in adults.↗
▶Ep 2 · 18:51
clinicalThe biology of appendiceal neuroendocrine tumors is totally different in children compared to adults, and the behavior in pediatric patients and adolescents is entirely different than in adults, with margins not making a difference when doing appendectomy alone↗
▶Ep 2 · 19:35
clinicalPrevious studies on appendiceal neuroendocrine tumors drew the line at 15 years, but the database study compared up to 18 years, so conclusions are valid up to 18 years of age↗
Summaries Jose gave as host
· 201 summaries
Recaps of what the experts said, with Jose as narrator — not Jose's own clinical position, and never cited in answers.
Summaries Jose gave as host · Abdominal Compartment Syndrome12 summaries
Update Course 2022 - TOP PUBLICATIONS IN NON- PED SURG JOURNALS - Jose Campos
▶Ep 6 · 4:40
host summaryJose Campos summarizing the discussion: A multi-institutional prospective randomized trial comparing piperacillin-tazobactam to ceftriaxone-metronidazole for perforated appendicitis was stopped at 75% enrollment when interim analysis favored the piperacillin-tazobactam group.↗
▶Ep 6 · 5:30
host summaryJose Campos summarizing the discussion: Intra-abdominal abscess formation was significantly lower in the piperacillin-tazobactam group with an odds ratio of 4.8.↗
▶Ep 6 · 5:50
host summaryJose Campos summarizing the discussion: The number needed to treat with piperacillin-tazobactam to prevent one intra-abdominal abscess was 5.7.↗
▶Ep 6 · 10:30
host summaryJose Campos summarizing the discussion: Necrotizing enterocolitis treated surgically is associated with high mortality rates and poor neurodevelopmental outcomes.↗
▶Ep 6 · 10:50
host summaryJose Campos summarizing the discussion: Two previous randomized controlled trials comparing surgical techniques for NEC both failed to enroll enough patients to answer the clinical question.↗
▶Ep 6 · 11:05
host summaryJose Campos summarizing the discussion: A 20-center randomized controlled trial by Marty Blakely comparing initial laparotomy versus peritoneal drainage for NEC randomized 310 premature newborns.↗
▶Ep 6 · 11:25
host summaryJose Campos summarizing the discussion: At 18 to 22 months of corrected age, the composite outcome of death and neurodevelopmental impairment was similar in both the laparotomy and peritoneal drainage groups in frequentist analysis.↗
▶Ep 6 · 11:40
host summaryJose Campos summarizing the discussion: Bayesian analysis of the NEC trial showed a high probability of laparotomy being superior to peritoneal drainage.↗
▶Ep 6 · 18:20
host summaryJose Campos summarizing the discussion: A systematic review examining gastrostomy insertion techniques reviewed 900 publications, with 58 being used for final recommendations.↗
▶Ep 6 · 18:50
host summaryJose Campos summarizing the discussion: Twelve studies directly compared outcomes between laparoscopic and percutaneous endoscopic gastrostomy, showing major complication rates were significantly less common with laparoscopic placement.↗
▶Ep 6 · 19:20
host summaryJose Campos summarizing the discussion: The number needed to treat to prevent one major complication from PEG (by using laparoscopic approach instead) is 24.↗
▶Ep 6 · 25:49
host summaryJose Campos summarizing the discussion: A database comparison of 3,000 patients with differentiated papillary thyroid cancer found no survival difference between total thyroidectomy and thyroid lobectomy.↗
Summaries Jose gave as host · Advances in Pediatric Surgery13 summaries
2025 Pediatric Surgery Update Course - Updates in Pediatric Surgery feat. non-JPS Journals
▶Ep 2 · 4:33
host summaryJose Campos summarizing the discussion: In the APPY trial, treatment failure was defined differently in each arm: in the antibiotic group as appendectomy needed within one year, and in the surgical group as negative appendectomy or any procedure under general anesthesia related to appendicitis within one year↗
▶Ep 2 · 4:33
host summaryJose Campos summarizing the discussion: At one year in the APPY trial, 31% of children in the antibiotic group failed treatment compared with 7% in the appendectomy group, with the 26.7% difference exceeding the pre-specified 20% non-inferiority margin↗
▶Ep 2 · 4:33
host summaryJose Campos summarizing the discussion: The APPY trial is an international multicenter study comparing appendectomy versus antibiotics for acute uncomplicated appendicitis in children, with 936 patients aged 5-16 years randomized across 11 hospitals↗
▶Ep 2 · 6:10
host summaryJose Campos summarizing the discussion: The APPY trial had 10% of patients with incomplete data and consent refusal reasons were not collected↗
▶Ep 2 · 6:10
host summaryJose Campos summarizing the discussion: Children in the antibiotic group of the APPY trial returned to school earlier and needed almost no pain medication↗
▶Ep 2 · 7:25
host summaryJose Campos summarizing the discussion: Some guidelines recommend against DVT prophylaxis in pediatric trauma, and in the study only 50% of doctors caring for these children gave DVT prophylaxis↗
▶Ep 2 · 13:06
host summaryJose Campos summarizing the discussion: The DVT prophylaxis study was powered to detect any adverse event and there was no adverse event whatsoever from prophylaxis↗
▶Ep 2 · 15:12
host summaryJose Campos summarizing the discussion: A Journal of American College of Surgeons 2025 study using the National Cancer Database between 2004 and 2022 identified 1339 patients under 18 years with appendiceal neuroendocrine tumors, comparing appendectomy versus right hemicolectomy↗
▶Ep 2 · 15:12
host summaryJose Campos summarizing the discussion: In the neuroendocrine tumor study, survival was excellent and equivalent between appendectomy and hemicolectomy groups: 99.9% at 5 years and 99.4% at 10 years without chemotherapy or additional treatment↗
▶Ep 2 · 15:12
host summaryJose Campos summarizing the discussion: No forced disease progression occurred in children treated with appendectomy alone, even when high-risk features like tumor larger than 2 centimeters, positive margins, or positive lymph nodes were present↗
▶Ep 2 · 20:31
host summaryJose Campos summarizing the discussion: The TOUCH trial was the first multicenter randomized control trial comparing stoma versus anastomosis in necrotizing enterocolitis, randomizing patients during laparotomy when both options were deemed feasible↗
▶Ep 2 · 21:30
host summaryJose Campos summarizing the discussion: The TOUCH trial found no difference in mortality or complications in general between stoma and anastomosis groups, but the stoma group had up to 19% of intestinal and stoma complications↗
▶Ep 2 · 21:30
host summaryJose Campos summarizing the discussion: In the TOUCH trial, the likelihood of being weaned from parenteral nutrition was much higher in the anastomosis group, and children were weaned 20 days earlier compared to the stoma group↗
Summaries Jose gave as host · Appendicitis34 summaries
host summaryJose Campos summarizing a resource: The RIFT study prospectively evaluated 15 different clinical prediction models in children with right iliac fossa pain by calculating area under the curve and failure rates.↗
▶Ep 14 · 4:56
host summaryJose Campos summarizing a resource: A standardized ultrasound reporting template reduced equivocal reports from 27% to 9%.↗
▶Ep 14 · 4:56
host summaryJose Campos summarizing a resource: The standardized ultrasound reporting reduced CT use from 19% to 9% without affecting negative laparotomy rates.↗
▶Ep 14 · 6:37
host summaryJose Campos summarizing a resource: In a pilot RCT of non-perforated appendicitis, surgical failure rate was 0% versus 45% medical failure rate, with failure defined as requiring laparoscopic appendectomy during follow-up.↗
▶Ep 14 · 6:37
host summaryJose Campos summarizing a resource: The non-operative versus appendectomy study randomized 26 patients to surgery and 24 to antibiotics.↗
▶Ep 14 · 7:35
host summaryJose Campos summarizing a resource: Ceftriaxone plus metronidazole showed a 90% reduction in surgical site infection compared to cefoxitin for non-complicated appendicitis in a large NSQIP-based retrospective cohort study published in Annals of Surgery in 2020.↗
▶Ep 14 · 8:24
host summaryJose Campos summarizing a resource: Dr. Sean Saint Peter and Whitt Holcomb defined perforated appendicitis in 2005 as a hole in the appendix or fecal material in the abdomen.↗
▶Ep 14 · 10:33
host summaryJose Campos summarizing a resource: A double-blind RCT of 243 patients randomized to two doses of postoperative antibiotics versus placebo found a significant reduction in skin infection rate from 6.6% to 0.8% for simple appendicitis.↗
▶Ep 14 · 12:05
host summaryJose Campos summarizing a resource: A pre-post intervention study completely eliminated opioid prescriptions after non-perforated appendectomy and found no increase in self-reported pain or extra medication use via phone interviews and surgical follow-up.↗
Update Course 2022 - TOP PUBLICATIONS IN NON- PED SURG JOURNALS - Jose Campos
▶Ep 17 · 4:40
host summaryJose Campos summarizing the discussion: A multi-institutional prospective randomized trial comparing piperacillin-tazobactam to ceftriaxone-metronidazole for perforated appendicitis was stopped at 75% enrollment when interim analysis favored the piperacillin-tazobactam group.↗
▶Ep 17 · 5:30
host summaryJose Campos summarizing the discussion: Intra-abdominal abscess formation was significantly lower in the piperacillin-tazobactam group with an odds ratio of 4.8.↗
▶Ep 17 · 5:50
host summaryJose Campos summarizing the discussion: The number needed to treat with piperacillin-tazobactam to prevent one intra-abdominal abscess was 5.7.↗
▶Ep 17 · 10:30
host summaryJose Campos summarizing the discussion: Necrotizing enterocolitis treated surgically is associated with high mortality rates and poor neurodevelopmental outcomes.↗
▶Ep 17 · 10:50
host summaryJose Campos summarizing the discussion: Two previous randomized controlled trials comparing surgical techniques for NEC both failed to enroll enough patients to answer the clinical question.↗
▶Ep 17 · 11:05
host summaryJose Campos summarizing the discussion: A 20-center randomized controlled trial by Marty Blakely comparing initial laparotomy versus peritoneal drainage for NEC randomized 310 premature newborns.↗
▶Ep 17 · 11:25
host summaryJose Campos summarizing the discussion: At 18 to 22 months of corrected age, the composite outcome of death and neurodevelopmental impairment was similar in both the laparotomy and peritoneal drainage groups in frequentist analysis.↗
▶Ep 17 · 11:40
host summaryJose Campos summarizing the discussion: Bayesian analysis of the NEC trial showed a high probability of laparotomy being superior to peritoneal drainage.↗
▶Ep 17 · 18:20
host summaryJose Campos summarizing the discussion: A systematic review examining gastrostomy insertion techniques reviewed 900 publications, with 58 being used for final recommendations.↗
▶Ep 17 · 18:50
host summaryJose Campos summarizing the discussion: Twelve studies directly compared outcomes between laparoscopic and percutaneous endoscopic gastrostomy, showing major complication rates were significantly less common with laparoscopic placement.↗
▶Ep 17 · 19:20
host summaryJose Campos summarizing the discussion: The number needed to treat to prevent one major complication from PEG (by using laparoscopic approach instead) is 24.↗
▶Ep 17 · 25:49
host summaryJose Campos summarizing the discussion: A database comparison of 3,000 patients with differentiated papillary thyroid cancer found no survival difference between total thyroidectomy and thyroid lobectomy.↗
2025 Pediatric Surgery Update Course - Updates in Pediatric Surgery feat. non-JPS Journals
▶Ep 25 · 4:33
host summaryJose Campos summarizing the discussion: At one year in the APPY trial, 31% of children in the antibiotic group failed treatment compared with 7% in the appendectomy group, with the 26.7% difference exceeding the pre-specified 20% non-inferiority margin↗
▶Ep 25 · 4:33
host summaryJose Campos summarizing the discussion: The APPY trial is an international multicenter study comparing appendectomy versus antibiotics for acute uncomplicated appendicitis in children, with 936 patients aged 5-16 years randomized across 11 hospitals↗
▶Ep 25 · 4:33
host summaryJose Campos summarizing the discussion: In the APPY trial, treatment failure was defined differently in each arm: in the antibiotic group as appendectomy needed within one year, and in the surgical group as negative appendectomy or any procedure under general anesthesia related to appendicitis within one year↗
▶Ep 25 · 6:10
host summaryJose Campos summarizing the discussion: The APPY trial had 10% of patients with incomplete data and consent refusal reasons were not collected↗
▶Ep 25 · 6:10
host summaryJose Campos summarizing the discussion: Children in the antibiotic group of the APPY trial returned to school earlier and needed almost no pain medication↗
▶Ep 25 · 7:25
host summaryJose Campos summarizing the discussion: Some guidelines recommend against DVT prophylaxis in pediatric trauma, and in the study only 50% of doctors caring for these children gave DVT prophylaxis↗
▶Ep 25 · 13:06
host summaryJose Campos summarizing the discussion: The DVT prophylaxis study was powered to detect any adverse event and there was no adverse event whatsoever from prophylaxis↗
▶Ep 25 · 15:12
host summaryJose Campos summarizing the discussion: A Journal of American College of Surgeons 2025 study using the National Cancer Database between 2004 and 2022 identified 1339 patients under 18 years with appendiceal neuroendocrine tumors, comparing appendectomy versus right hemicolectomy↗
▶Ep 25 · 15:12
host summaryJose Campos summarizing the discussion: In the neuroendocrine tumor study, survival was excellent and equivalent between appendectomy and hemicolectomy groups: 99.9% at 5 years and 99.4% at 10 years without chemotherapy or additional treatment↗
▶Ep 25 · 15:12
host summaryJose Campos summarizing the discussion: No forced disease progression occurred in children treated with appendectomy alone, even when high-risk features like tumor larger than 2 centimeters, positive margins, or positive lymph nodes were present↗
▶Ep 25 · 20:31
host summaryJose Campos summarizing the discussion: The TOUCH trial was the first multicenter randomized control trial comparing stoma versus anastomosis in necrotizing enterocolitis, randomizing patients during laparotomy when both options were deemed feasible↗
▶Ep 25 · 21:30
host summaryJose Campos summarizing the discussion: The TOUCH trial found no difference in mortality or complications in general between stoma and anastomosis groups, but the stoma group had up to 19% of intestinal and stoma complications↗
▶Ep 25 · 21:30
host summaryJose Campos summarizing the discussion: In the TOUCH trial, the likelihood of being weaned from parenteral nutrition was much higher in the anastomosis group, and children were weaned 20 days earlier compared to the stoma group↗
Summaries Jose gave as host · Appendicitis9 summaries
host summaryJose Campos summarizing a resource: The RIFT study prospectively evaluated 15 different clinical prediction models in children with right iliac fossa pain by calculating area under the curve and failure rates.↗
▶Ep 9 · 4:56
host summaryJose Campos summarizing a resource: A standardized ultrasound reporting template reduced equivocal reports from 27% to 9%.↗
▶Ep 9 · 4:56
host summaryJose Campos summarizing a resource: The standardized ultrasound reporting reduced CT use from 19% to 9% without affecting negative laparotomy rates.↗
▶Ep 9 · 6:37
host summaryJose Campos summarizing a resource: The non-operative versus appendectomy study randomized 26 patients to surgery and 24 to antibiotics.↗
▶Ep 9 · 6:37
host summaryJose Campos summarizing a resource: In a pilot RCT of non-perforated appendicitis, surgical failure rate was 0% versus 45% medical failure rate, with failure defined as requiring laparoscopic appendectomy during follow-up.↗
▶Ep 9 · 7:35
host summaryJose Campos summarizing a resource: Ceftriaxone plus metronidazole showed a 90% reduction in surgical site infection compared to cefoxitin for non-complicated appendicitis in a large NSQIP-based retrospective cohort study published in Annals of Surgery in 2020.↗
▶Ep 9 · 8:24
host summaryJose Campos summarizing a resource: Dr. Sean Saint Peter and Whitt Holcomb defined perforated appendicitis in 2005 as a hole in the appendix or fecal material in the abdomen.↗
▶Ep 9 · 10:33
host summaryJose Campos summarizing a resource: A double-blind RCT of 243 patients randomized to two doses of postoperative antibiotics versus placebo found a significant reduction in skin infection rate from 6.6% to 0.8% for simple appendicitis.↗
▶Ep 9 · 12:05
host summaryJose Campos summarizing a resource: A pre-post intervention study completely eliminated opioid prescriptions after non-perforated appendectomy and found no increase in self-reported pain or extra medication use via phone interviews and surgical follow-up.↗
Summaries Jose gave as host · Appendicitis12 summaries
Update Course 2022 - TOP PUBLICATIONS IN NON- PED SURG JOURNALS - Jose Campos
▶Ep 10 · 4:40
host summaryJose Campos summarizing the discussion: A multi-institutional prospective randomized trial comparing piperacillin-tazobactam to ceftriaxone-metronidazole for perforated appendicitis was stopped at 75% enrollment when interim analysis favored the piperacillin-tazobactam group.↗
▶Ep 10 · 5:30
host summaryJose Campos summarizing the discussion: Intra-abdominal abscess formation was significantly lower in the piperacillin-tazobactam group with an odds ratio of 4.8.↗
▶Ep 10 · 5:50
host summaryJose Campos summarizing the discussion: The number needed to treat with piperacillin-tazobactam to prevent one intra-abdominal abscess was 5.7.↗
▶Ep 10 · 10:30
host summaryJose Campos summarizing the discussion: Necrotizing enterocolitis treated surgically is associated with high mortality rates and poor neurodevelopmental outcomes.↗
▶Ep 10 · 10:50
host summaryJose Campos summarizing the discussion: Two previous randomized controlled trials comparing surgical techniques for NEC both failed to enroll enough patients to answer the clinical question.↗
▶Ep 10 · 11:05
host summaryJose Campos summarizing the discussion: A 20-center randomized controlled trial by Marty Blakely comparing initial laparotomy versus peritoneal drainage for NEC randomized 310 premature newborns.↗
▶Ep 10 · 11:25
host summaryJose Campos summarizing the discussion: At 18 to 22 months of corrected age, the composite outcome of death and neurodevelopmental impairment was similar in both the laparotomy and peritoneal drainage groups in frequentist analysis.↗
▶Ep 10 · 11:40
host summaryJose Campos summarizing the discussion: Bayesian analysis of the NEC trial showed a high probability of laparotomy being superior to peritoneal drainage.↗
▶Ep 10 · 18:20
host summaryJose Campos summarizing the discussion: A systematic review examining gastrostomy insertion techniques reviewed 900 publications, with 58 being used for final recommendations.↗
▶Ep 10 · 18:50
host summaryJose Campos summarizing the discussion: Twelve studies directly compared outcomes between laparoscopic and percutaneous endoscopic gastrostomy, showing major complication rates were significantly less common with laparoscopic placement.↗
▶Ep 10 · 19:20
host summaryJose Campos summarizing the discussion: The number needed to treat to prevent one major complication from PEG (by using laparoscopic approach instead) is 24.↗
▶Ep 10 · 25:49
host summaryJose Campos summarizing the discussion: A database comparison of 3,000 patients with differentiated papillary thyroid cancer found no survival difference between total thyroidectomy and thyroid lobectomy.↗
Summaries Jose gave as host · Cholelithiasis4 summaries
host summaryJose Campos summarizing a resource: The machine learning algorithm for predicting CBD stones has a negative predictive value of 98%, meaning only 2% chance of missing stones when algorithm predicts low risk↗
▶Ep 3 · 11:56
host summaryJose Campos summarizing a resource: The laparoscopic common bile duct exploration study included 4 centers with a broad range of surgeons, demonstrating feasibility beyond single expert centers↗
▶Ep 3 · 12:15
host summaryJose Campos summarizing a resource: Of patients who had ERCP after failed laparoscopic CBD exploration (14% of OR-first group), outcomes were good without increased bile duct leak or complications↗
▶Ep 3 · 12:30
host summaryJose Campos summarizing a resource: In the stepwise laparoscopic CBD exploration approach, 84% of patients had stones cleared with saline flush through a ureteral catheter alone↗
Summaries Jose gave as host · Cholelithiasis4 summaries
host summaryJose Campos summarizing a resource: The machine learning algorithm for predicting CBD stones has a negative predictive value of 98%, meaning only 2% chance of missing stones when algorithm predicts low risk↗
▶Ep 3 · 11:56
host summaryJose Campos summarizing a resource: The laparoscopic common bile duct exploration study included 4 centers with a broad range of surgeons, demonstrating feasibility beyond single expert centers↗
▶Ep 3 · 12:15
host summaryJose Campos summarizing a resource: Of patients who had ERCP after failed laparoscopic CBD exploration (14% of OR-first group), outcomes were good without increased bile duct leak or complications↗
▶Ep 3 · 12:30
host summaryJose Campos summarizing a resource: In the stepwise laparoscopic CBD exploration approach, 84% of patients had stones cleared with saline flush through a ureteral catheter alone↗
Summaries Jose gave as host · Congenital Diaphragmatic Hernia4 summaries
host summaryJose Campos summarizes what Dr. Fernando Bullettin said: For severe CDH, referral to a center that performs FETO should be considered to evaluate if it would increase the baby's chance of survival↗
▶Ep 24 · 8:26
host summaryJose Campos summarizes what Dr. Fernando Bullettin said: Open repair was associated with more postoperative ventilator time and higher mortality rates in the meta-analysis↗
▶Ep 24 · 8:26
host summaryJose Campos summarizes what Dr. Fernando Bullettin said: 2014 Canadian meta-analysis found MIS approach has higher rates of recurrence (especially with patch) and longer operative time compared to open repair↗
▶Ep 24 · 14:51
host summaryJose Campos summarizes what Dr. Fernando Bullettin said: The UK meta-analysis had heterogeneity due to different synthetic meshes, different biological meshes, and different fixation techniques that were not accounted for↗
Summaries Jose gave as host · Congenital Lung Lesions (CPAM)4 summaries
host summaryJose Campos summarizing the discussion: I was always told that. This should be operated because the risk of them becoming symptomatic was pretty high.↗
▶Ep 27 · 3:32
host summaryJose Campos summarizing the discussion: Retrospective studies show a huge range of 3-85% for risk of becoming symptomatic, but systematic reviews narrow this to 3.2% in one review and 25% in another↗
▶Ep 27 · 5:49
host summaryJose Campos summarizing the discussion: The International Pleuropulmonary Blastoma Registry has 350 cases reported worldwide and has found only 9 cases of prenatally diagnosed lesions that turned out to be pleuropulmonary blastoma↗
▶Ep 27 · 8:17
host summaryJose Campos summarizing the discussion: After infection, there is a higher rate of conversion from thoracoscopy to open surgery↗
Summaries Jose gave as host · Congenital Pulmonary Airway Malformation4 summaries
host summaryJose Campos summarizing the discussion: I was always told that. This should be operated because the risk of them becoming symptomatic was pretty high.↗
▶Ep 22 · 3:32
host summaryJose Campos summarizing the discussion: Retrospective studies show a huge range of 3-85% for risk of becoming symptomatic, but systematic reviews narrow this to 3.2% in one review and 25% in another↗
▶Ep 22 · 5:49
host summaryJose Campos summarizing the discussion: The International Pleuropulmonary Blastoma Registry has 350 cases reported worldwide and has found only 9 cases of prenatally diagnosed lesions that turned out to be pleuropulmonary blastoma↗
▶Ep 22 · 8:17
host summaryJose Campos summarizing the discussion: After infection, there is a higher rate of conversion from thoracoscopy to open surgery↗
Summaries Jose gave as host · Congenital Pulmonary Airway Malformation4 summaries
host summaryJose Campos summarizing the discussion: I was always told that. This should be operated because the risk of them becoming symptomatic was pretty high.↗
▶Ep 22 · 3:32
host summaryJose Campos summarizing the discussion: Retrospective studies show a huge range of 3-85% for risk of becoming symptomatic, but systematic reviews narrow this to 3.2% in one review and 25% in another↗
▶Ep 22 · 5:49
host summaryJose Campos summarizing the discussion: The International Pleuropulmonary Blastoma Registry has 350 cases reported worldwide and has found only 9 cases of prenatally diagnosed lesions that turned out to be pleuropulmonary blastoma↗
▶Ep 22 · 8:17
host summaryJose Campos summarizing the discussion: After infection, there is a higher rate of conversion from thoracoscopy to open surgery↗
Summaries Jose gave as host · Esophageal Atresia2 summaries
Case Based Journal Review: Esophageal Atresia in 2022
▶Ep 32 · 3:25
host summaryJose Campos summarizing a resource: The azygous vein drains the bronchi, trachea, and esophagus, and its division may lead to impaired function postoperatively and impaired clearance of mucus and debris from the tracheobronchial tree↗
▶Ep 32 · 7:32
host summaryJose Campos summarizing a resource: The Quebec study adjusted for gestational age, leak, length of gap, and tension, and still found almost 3 times higher stricture rates with transanastomotic tubes↗
Summaries Jose gave as host · Esophageal Atresia2 summaries
Case Based Journal Review: Esophageal Atresia in 2022
▶Ep 22 · 3:25
host summaryJose Campos summarizing a resource: The azygous vein drains the bronchi, trachea, and esophagus, and its division may lead to impaired function postoperatively and impaired clearance of mucus and debris from the tracheobronchial tree↗
▶Ep 22 · 7:32
host summaryJose Campos summarizing a resource: The Quebec study adjusted for gestational age, leak, length of gap, and tension, and still found almost 3 times higher stricture rates with transanastomotic tubes↗
Summaries Jose gave as host · Etiologies (Gastroschisis/NEC/Atresia/Volvulus)12 summaries
Update Course 2022 - TOP PUBLICATIONS IN NON- PED SURG JOURNALS - Jose Campos
▶Ep 44 · 4:40
host summaryJose Campos summarizing the discussion: A multi-institutional prospective randomized trial comparing piperacillin-tazobactam to ceftriaxone-metronidazole for perforated appendicitis was stopped at 75% enrollment when interim analysis favored the piperacillin-tazobactam group.↗
▶Ep 44 · 5:30
host summaryJose Campos summarizing the discussion: Intra-abdominal abscess formation was significantly lower in the piperacillin-tazobactam group with an odds ratio of 4.8.↗
▶Ep 44 · 5:50
host summaryJose Campos summarizing the discussion: The number needed to treat with piperacillin-tazobactam to prevent one intra-abdominal abscess was 5.7.↗
▶Ep 44 · 10:30
host summaryJose Campos summarizing the discussion: Necrotizing enterocolitis treated surgically is associated with high mortality rates and poor neurodevelopmental outcomes.↗
▶Ep 44 · 10:50
host summaryJose Campos summarizing the discussion: Two previous randomized controlled trials comparing surgical techniques for NEC both failed to enroll enough patients to answer the clinical question.↗
▶Ep 44 · 11:05
host summaryJose Campos summarizing the discussion: A 20-center randomized controlled trial by Marty Blakely comparing initial laparotomy versus peritoneal drainage for NEC randomized 310 premature newborns.↗
▶Ep 44 · 11:25
host summaryJose Campos summarizing the discussion: At 18 to 22 months of corrected age, the composite outcome of death and neurodevelopmental impairment was similar in both the laparotomy and peritoneal drainage groups in frequentist analysis.↗
▶Ep 44 · 11:40
host summaryJose Campos summarizing the discussion: Bayesian analysis of the NEC trial showed a high probability of laparotomy being superior to peritoneal drainage.↗
▶Ep 44 · 18:20
host summaryJose Campos summarizing the discussion: A systematic review examining gastrostomy insertion techniques reviewed 900 publications, with 58 being used for final recommendations.↗
▶Ep 44 · 18:50
host summaryJose Campos summarizing the discussion: Twelve studies directly compared outcomes between laparoscopic and percutaneous endoscopic gastrostomy, showing major complication rates were significantly less common with laparoscopic placement.↗
▶Ep 44 · 19:20
host summaryJose Campos summarizing the discussion: The number needed to treat to prevent one major complication from PEG (by using laparoscopic approach instead) is 24.↗
▶Ep 44 · 25:49
host summaryJose Campos summarizing the discussion: A database comparison of 3,000 patients with differentiated papillary thyroid cancer found no survival difference between total thyroidectomy and thyroid lobectomy.↗
Summaries Jose gave as host · Gallstone Pancreatitis4 summaries
host summaryJose Campos summarizing a resource: The machine learning algorithm for predicting CBD stones has a negative predictive value of 98%, meaning only 2% chance of missing stones when algorithm predicts low risk↗
▶Ep 3 · 11:56
host summaryJose Campos summarizing a resource: The laparoscopic common bile duct exploration study included 4 centers with a broad range of surgeons, demonstrating feasibility beyond single expert centers↗
▶Ep 3 · 12:15
host summaryJose Campos summarizing a resource: Of patients who had ERCP after failed laparoscopic CBD exploration (14% of OR-first group), outcomes were good without increased bile duct leak or complications↗
▶Ep 3 · 12:30
host summaryJose Campos summarizing a resource: In the stepwise laparoscopic CBD exploration approach, 84% of patients had stones cleared with saline flush through a ureteral catheter alone↗
Summaries Jose gave as host · Inguinal Hernia5 summaries
host summaryJose Campos summarizes what Dr. Todd Ponsky said: In the early repair group, 4% of hernias resolved spontaneously; in the late repair group, 11% resolved spontaneously↗
▶Ep 17 · 11:35
host summaryJose Campos summarizes what Dr. Todd Ponsky said: There was no diagnostic uncertainty in the one-stop surgery program↗
▶Ep 17 · 12:26
host summaryJose Campos summarizes what Dr. Todd Ponsky said: A recent Surgery journal article found that routine post-operative visits alter management in less than 1% of cases for routine pediatric surgical conditions including circumcision, orchiopexy, and inguinal hernia↗
▶Ep 17 · 13:28
host summaryJose Campos summarizes what Dr. Todd Ponsky said: When facing medical problems with low risk of complications, family satisfaction becomes a surrogate for quality↗
▶Ep 17 · 13:28
host summaryJose Campos summarizes what Dr. Todd Ponsky said: When you were facing medical problems with a low risk of complications, then family satisfaction becomes a surrogate for quality.↗
Summaries Jose gave as host · Intestinal Rehab12 summaries
Update Course 2022 - TOP PUBLICATIONS IN NON- PED SURG JOURNALS - Jose Campos
▶Ep 60 · 4:40
host summaryJose Campos summarizing the discussion: A multi-institutional prospective randomized trial comparing piperacillin-tazobactam to ceftriaxone-metronidazole for perforated appendicitis was stopped at 75% enrollment when interim analysis favored the piperacillin-tazobactam group.↗
▶Ep 60 · 5:30
host summaryJose Campos summarizing the discussion: Intra-abdominal abscess formation was significantly lower in the piperacillin-tazobactam group with an odds ratio of 4.8.↗
▶Ep 60 · 5:50
host summaryJose Campos summarizing the discussion: The number needed to treat with piperacillin-tazobactam to prevent one intra-abdominal abscess was 5.7.↗
▶Ep 60 · 10:30
host summaryJose Campos summarizing the discussion: Necrotizing enterocolitis treated surgically is associated with high mortality rates and poor neurodevelopmental outcomes.↗
▶Ep 60 · 10:50
host summaryJose Campos summarizing the discussion: Two previous randomized controlled trials comparing surgical techniques for NEC both failed to enroll enough patients to answer the clinical question.↗
▶Ep 60 · 11:05
host summaryJose Campos summarizing the discussion: A 20-center randomized controlled trial by Marty Blakely comparing initial laparotomy versus peritoneal drainage for NEC randomized 310 premature newborns.↗
▶Ep 60 · 11:25
host summaryJose Campos summarizing the discussion: At 18 to 22 months of corrected age, the composite outcome of death and neurodevelopmental impairment was similar in both the laparotomy and peritoneal drainage groups in frequentist analysis.↗
▶Ep 60 · 11:40
host summaryJose Campos summarizing the discussion: Bayesian analysis of the NEC trial showed a high probability of laparotomy being superior to peritoneal drainage.↗
▶Ep 60 · 18:20
host summaryJose Campos summarizing the discussion: A systematic review examining gastrostomy insertion techniques reviewed 900 publications, with 58 being used for final recommendations.↗
▶Ep 60 · 18:50
host summaryJose Campos summarizing the discussion: Twelve studies directly compared outcomes between laparoscopic and percutaneous endoscopic gastrostomy, showing major complication rates were significantly less common with laparoscopic placement.↗
▶Ep 60 · 19:20
host summaryJose Campos summarizing the discussion: The number needed to treat to prevent one major complication from PEG (by using laparoscopic approach instead) is 24.↗
▶Ep 60 · 25:49
host summaryJose Campos summarizing the discussion: A database comparison of 3,000 patients with differentiated papillary thyroid cancer found no survival difference between total thyroidectomy and thyroid lobectomy.↗
Summaries Jose gave as host · Non-perforated Appendicitis9 summaries
host summaryJose Campos summarizing a resource: The RIFT study prospectively evaluated 15 different clinical prediction models in children with right iliac fossa pain by calculating area under the curve and failure rates.↗
▶Ep 3 · 4:56
host summaryJose Campos summarizing a resource: The standardized ultrasound reporting reduced CT use from 19% to 9% without affecting negative laparotomy rates.↗
▶Ep 3 · 4:56
host summaryJose Campos summarizing a resource: A standardized ultrasound reporting template reduced equivocal reports from 27% to 9%.↗
▶Ep 3 · 6:37
host summaryJose Campos summarizing a resource: The non-operative versus appendectomy study randomized 26 patients to surgery and 24 to antibiotics.↗
▶Ep 3 · 6:37
host summaryJose Campos summarizing a resource: In a pilot RCT of non-perforated appendicitis, surgical failure rate was 0% versus 45% medical failure rate, with failure defined as requiring laparoscopic appendectomy during follow-up.↗
▶Ep 3 · 7:35
host summaryJose Campos summarizing a resource: Ceftriaxone plus metronidazole showed a 90% reduction in surgical site infection compared to cefoxitin for non-complicated appendicitis in a large NSQIP-based retrospective cohort study published in Annals of Surgery in 2020.↗
▶Ep 3 · 8:24
host summaryJose Campos summarizing a resource: Dr. Sean Saint Peter and Whitt Holcomb defined perforated appendicitis in 2005 as a hole in the appendix or fecal material in the abdomen.↗
▶Ep 3 · 10:33
host summaryJose Campos summarizing a resource: A double-blind RCT of 243 patients randomized to two doses of postoperative antibiotics versus placebo found a significant reduction in skin infection rate from 6.6% to 0.8% for simple appendicitis.↗
▶Ep 3 · 12:05
host summaryJose Campos summarizing a resource: A pre-post intervention study completely eliminated opioid prescriptions after non-perforated appendectomy and found no increase in self-reported pain or extra medication use via phone interviews and surgical follow-up.↗
Summaries Jose gave as host · Pancreatitis4 summaries
host summaryJose Campos summarizing a resource: The machine learning algorithm for predicting CBD stones has a negative predictive value of 98%, meaning only 2% chance of missing stones when algorithm predicts low risk↗
▶Ep 18 · 11:56
host summaryJose Campos summarizing a resource: The laparoscopic common bile duct exploration study included 4 centers with a broad range of surgeons, demonstrating feasibility beyond single expert centers↗
▶Ep 18 · 12:15
host summaryJose Campos summarizing a resource: Of patients who had ERCP after failed laparoscopic CBD exploration (14% of OR-first group), outcomes were good without increased bile duct leak or complications↗
▶Ep 18 · 12:30
host summaryJose Campos summarizing a resource: In the stepwise laparoscopic CBD exploration approach, 84% of patients had stones cleared with saline flush through a ureteral catheter alone↗
Summaries Jose gave as host · Patent Processus Vaginalis5 summaries
host summaryJose Campos summarizes what Dr. Todd Ponsky said: In the early repair group, 4% of hernias resolved spontaneously; in the late repair group, 11% resolved spontaneously↗
▶Ep 8 · 11:35
host summaryJose Campos summarizes what Dr. Todd Ponsky said: There was no diagnostic uncertainty in the one-stop surgery program↗
▶Ep 8 · 12:26
host summaryJose Campos summarizes what Dr. Todd Ponsky said: A recent Surgery journal article found that routine post-operative visits alter management in less than 1% of cases for routine pediatric surgical conditions including circumcision, orchiopexy, and inguinal hernia↗
▶Ep 8 · 13:28
host summaryJose Campos summarizes what Dr. Todd Ponsky said: When facing medical problems with low risk of complications, family satisfaction becomes a surrogate for quality↗
▶Ep 8 · 13:28
host summaryJose Campos summarizes what Dr. Todd Ponsky said: When you were facing medical problems with a low risk of complications, then family satisfaction becomes a surrogate for quality.↗
Summaries Jose gave as host · Pediatric Oncology13 summaries
2025 Pediatric Surgery Update Course - Updates in Pediatric Surgery feat. non-JPS Journals
▶Ep 592 · 4:33
host summaryJose Campos summarizing the discussion: In the APPY trial, treatment failure was defined differently in each arm: in the antibiotic group as appendectomy needed within one year, and in the surgical group as negative appendectomy or any procedure under general anesthesia related to appendicitis within one year↗
▶Ep 592 · 4:33
host summaryJose Campos summarizing the discussion: At one year in the APPY trial, 31% of children in the antibiotic group failed treatment compared with 7% in the appendectomy group, with the 26.7% difference exceeding the pre-specified 20% non-inferiority margin↗
▶Ep 592 · 4:33
host summaryJose Campos summarizing the discussion: The APPY trial is an international multicenter study comparing appendectomy versus antibiotics for acute uncomplicated appendicitis in children, with 936 patients aged 5-16 years randomized across 11 hospitals↗
▶Ep 592 · 6:10
host summaryJose Campos summarizing the discussion: Children in the antibiotic group of the APPY trial returned to school earlier and needed almost no pain medication↗
▶Ep 592 · 6:10
host summaryJose Campos summarizing the discussion: The APPY trial had 10% of patients with incomplete data and consent refusal reasons were not collected↗
▶Ep 592 · 7:25
host summaryJose Campos summarizing the discussion: Some guidelines recommend against DVT prophylaxis in pediatric trauma, and in the study only 50% of doctors caring for these children gave DVT prophylaxis↗
▶Ep 592 · 13:06
host summaryJose Campos summarizing the discussion: The DVT prophylaxis study was powered to detect any adverse event and there was no adverse event whatsoever from prophylaxis↗
▶Ep 592 · 15:12
host summaryJose Campos summarizing the discussion: No forced disease progression occurred in children treated with appendectomy alone, even when high-risk features like tumor larger than 2 centimeters, positive margins, or positive lymph nodes were present↗
▶Ep 592 · 15:12
host summaryJose Campos summarizing the discussion: A Journal of American College of Surgeons 2025 study using the National Cancer Database between 2004 and 2022 identified 1339 patients under 18 years with appendiceal neuroendocrine tumors, comparing appendectomy versus right hemicolectomy↗
▶Ep 592 · 15:12
host summaryJose Campos summarizing the discussion: In the neuroendocrine tumor study, survival was excellent and equivalent between appendectomy and hemicolectomy groups: 99.9% at 5 years and 99.4% at 10 years without chemotherapy or additional treatment↗
▶Ep 592 · 20:31
host summaryJose Campos summarizing the discussion: The TOUCH trial was the first multicenter randomized control trial comparing stoma versus anastomosis in necrotizing enterocolitis, randomizing patients during laparotomy when both options were deemed feasible↗
▶Ep 592 · 21:30
host summaryJose Campos summarizing the discussion: The TOUCH trial found no difference in mortality or complications in general between stoma and anastomosis groups, but the stoma group had up to 19% of intestinal and stoma complications↗
▶Ep 592 · 21:30
host summaryJose Campos summarizing the discussion: In the TOUCH trial, the likelihood of being weaned from parenteral nutrition was much higher in the anastomosis group, and children were weaned 20 days earlier compared to the stoma group↗
Summaries Jose gave as host · Perforated Appendicitis12 summaries
Update Course 2022 - TOP PUBLICATIONS IN NON- PED SURG JOURNALS - Jose Campos
▶Ep 2 · 4:40
host summaryJose Campos summarizing the discussion: A multi-institutional prospective randomized trial comparing piperacillin-tazobactam to ceftriaxone-metronidazole for perforated appendicitis was stopped at 75% enrollment when interim analysis favored the piperacillin-tazobactam group.↗
▶Ep 2 · 5:30
host summaryJose Campos summarizing the discussion: Intra-abdominal abscess formation was significantly lower in the piperacillin-tazobactam group with an odds ratio of 4.8.↗
▶Ep 2 · 5:50
host summaryJose Campos summarizing the discussion: The number needed to treat with piperacillin-tazobactam to prevent one intra-abdominal abscess was 5.7.↗
▶Ep 2 · 10:30
host summaryJose Campos summarizing the discussion: Necrotizing enterocolitis treated surgically is associated with high mortality rates and poor neurodevelopmental outcomes.↗
▶Ep 2 · 10:50
host summaryJose Campos summarizing the discussion: Two previous randomized controlled trials comparing surgical techniques for NEC both failed to enroll enough patients to answer the clinical question.↗
▶Ep 2 · 11:05
host summaryJose Campos summarizing the discussion: A 20-center randomized controlled trial by Marty Blakely comparing initial laparotomy versus peritoneal drainage for NEC randomized 310 premature newborns.↗
▶Ep 2 · 11:25
host summaryJose Campos summarizing the discussion: At 18 to 22 months of corrected age, the composite outcome of death and neurodevelopmental impairment was similar in both the laparotomy and peritoneal drainage groups in frequentist analysis.↗
▶Ep 2 · 11:40
host summaryJose Campos summarizing the discussion: Bayesian analysis of the NEC trial showed a high probability of laparotomy being superior to peritoneal drainage.↗
▶Ep 2 · 18:20
host summaryJose Campos summarizing the discussion: A systematic review examining gastrostomy insertion techniques reviewed 900 publications, with 58 being used for final recommendations.↗
▶Ep 2 · 18:50
host summaryJose Campos summarizing the discussion: Twelve studies directly compared outcomes between laparoscopic and percutaneous endoscopic gastrostomy, showing major complication rates were significantly less common with laparoscopic placement.↗
▶Ep 2 · 19:20
host summaryJose Campos summarizing the discussion: The number needed to treat to prevent one major complication from PEG (by using laparoscopic approach instead) is 24.↗
▶Ep 2 · 25:49
host summaryJose Campos summarizing the discussion: A database comparison of 3,000 patients with differentiated papillary thyroid cancer found no survival difference between total thyroidectomy and thyroid lobectomy.↗
Summaries Jose gave as host · Tracheoesophageal Fistula2 summaries
Case Based Journal Review: Esophageal Atresia in 2022
▶Ep 22 · 3:25
host summaryJose Campos summarizing a resource: The azygous vein drains the bronchi, trachea, and esophagus, and its division may lead to impaired function postoperatively and impaired clearance of mucus and debris from the tracheobronchial tree↗
▶Ep 22 · 7:32
host summaryJose Campos summarizing a resource: The Quebec study adjusted for gestational age, leak, length of gap, and tension, and still found almost 3 times higher stricture rates with transanastomotic tubes↗
Summaries Jose gave as host · Tracheoesophageal Fistula2 summaries
Case Based Journal Review: Esophageal Atresia in 2022
▶Ep 18 · 3:25
host summaryJose Campos summarizing a resource: The azygous vein drains the bronchi, trachea, and esophagus, and its division may lead to impaired function postoperatively and impaired clearance of mucus and debris from the tracheobronchial tree↗
▶Ep 18 · 7:32
host summaryJose Campos summarizing a resource: The Quebec study adjusted for gestational age, leak, length of gap, and tension, and still found almost 3 times higher stricture rates with transanastomotic tubes↗
Summaries Jose gave as host · Uncomplicated Appendicitis13 summaries
2025 Pediatric Surgery Update Course - Updates in Pediatric Surgery feat. non-JPS Journals
▶Ep 2 · 4:33
host summaryJose Campos summarizing the discussion: At one year in the APPY trial, 31% of children in the antibiotic group failed treatment compared with 7% in the appendectomy group, with the 26.7% difference exceeding the pre-specified 20% non-inferiority margin↗
▶Ep 2 · 4:33
host summaryJose Campos summarizing the discussion: In the APPY trial, treatment failure was defined differently in each arm: in the antibiotic group as appendectomy needed within one year, and in the surgical group as negative appendectomy or any procedure under general anesthesia related to appendicitis within one year↗
▶Ep 2 · 4:33
host summaryJose Campos summarizing the discussion: The APPY trial is an international multicenter study comparing appendectomy versus antibiotics for acute uncomplicated appendicitis in children, with 936 patients aged 5-16 years randomized across 11 hospitals↗
▶Ep 2 · 6:10
host summaryJose Campos summarizing the discussion: Children in the antibiotic group of the APPY trial returned to school earlier and needed almost no pain medication↗
▶Ep 2 · 6:10
host summaryJose Campos summarizing the discussion: The APPY trial had 10% of patients with incomplete data and consent refusal reasons were not collected↗
▶Ep 2 · 7:25
host summaryJose Campos summarizing the discussion: Some guidelines recommend against DVT prophylaxis in pediatric trauma, and in the study only 50% of doctors caring for these children gave DVT prophylaxis↗
▶Ep 2 · 13:06
host summaryJose Campos summarizing the discussion: The DVT prophylaxis study was powered to detect any adverse event and there was no adverse event whatsoever from prophylaxis↗
▶Ep 2 · 15:12
host summaryJose Campos summarizing the discussion: In the neuroendocrine tumor study, survival was excellent and equivalent between appendectomy and hemicolectomy groups: 99.9% at 5 years and 99.4% at 10 years without chemotherapy or additional treatment↗
▶Ep 2 · 15:12
host summaryJose Campos summarizing the discussion: No forced disease progression occurred in children treated with appendectomy alone, even when high-risk features like tumor larger than 2 centimeters, positive margins, or positive lymph nodes were present↗
▶Ep 2 · 15:12
host summaryJose Campos summarizing the discussion: A Journal of American College of Surgeons 2025 study using the National Cancer Database between 2004 and 2022 identified 1339 patients under 18 years with appendiceal neuroendocrine tumors, comparing appendectomy versus right hemicolectomy↗
▶Ep 2 · 20:31
host summaryJose Campos summarizing the discussion: The TOUCH trial was the first multicenter randomized control trial comparing stoma versus anastomosis in necrotizing enterocolitis, randomizing patients during laparotomy when both options were deemed feasible↗
▶Ep 2 · 21:30
host summaryJose Campos summarizing the discussion: In the TOUCH trial, the likelihood of being weaned from parenteral nutrition was much higher in the anastomosis group, and children were weaned 20 days earlier compared to the stoma group↗
▶Ep 2 · 21:30
host summaryJose Campos summarizing the discussion: The TOUCH trial found no difference in mortality or complications in general between stoma and anastomosis groups, but the stoma group had up to 19% of intestinal and stoma complications↗
