From
StayCurrentMD
Journal of Pediatric Surgery Article Review: November 2023
With Dr. Mikko Pakarinen & Dr. Bailey Little · hosted by Dr. Cecilia Gigena & Dr. Em Gootee
Part of
Appendicitis 29 items
Educational content from recorded physician discussions — not medical advice. Talk to your (or your child's) care team about your situation.
Video
Intestinal Atresia Types Explained: Grossfeld Classification for Pediatric Surgery
1 min · Published Sep 2026
Video
Derivation and validation of the Pediatric Community-Acquired Pneumonia Severity (PedCAPS) score: A prospective cohort study
50 s · Published Sep 2026
Video
FETO for Late-Diagnosed Severe Congenital Diaphragmatic Hernia (CDH) at Cincinnati Children's with Dr. Beth Rymeski
4 min · Published Sep 2026
Video
Severe Congenital Diaphragmatic Hernia (CDH) Case: FETO Management & Unexpected Findings with Dr. Beth Rymeski
3 min · Published Sep 2026
Video
Fetoscopic Endoluminal Tracheal Occlusion (FETO) Procedure: Step-by-Step Guide with Dr. Beth Rymeski
4 min · Published Sep 2026
Video
Choledochal Cyst Types Explained: Pediatric Surgery Fundamentals
1 min · Published Sep 2026
What the experts said
Majority of providers preferred to use MRI over CT scan in the midway feedback survey
Persistent barriers to MRI use included lack of availability overnight, challenges with scheduling, and additional time required compared to CT scan
The MRI protocol was only for patients 7 years or older during normal MRI technologist hours
If perforated appendicitis with suspected abscess, CT should be used instead of MRI because CT is better for abscess evaluation
Following the quality improvement campaign, MRI rate increased almost tenfold while CT use decreased markedly
The study included 101 patients who experienced 137 episodes of adhesive small bowel obstruction between 2000 and 2020
Most adhesive small bowel obstructions occurred within the first 5 years of the index surgery
Around 90% of adhesive small bowel obstructions required surgery
The most frequent initial surgeries leading to adhesive small bowel obstruction were necrotizing enterocolitis, duodenal obstruction, and primary adhesive small bowel obstruction
50% of adhesive small bowel obstructions had significant complications (Clavien-Dindo grade 2 or higher)
The median cost of managing one episode of adhesive small bowel obstruction was approximately $36,000
137 episodes in 20 years at one center resulted in nearly $50 million in costs
There is a lack of evidence regarding the effect of laparoscopic surgery and lack of comparative studies on whether laparoscopic surgery reduces long-term postoperative adhesive obstructions in pediatric patients
The esophageal atresia study included 359 patients: 152 open operations and 217 thoracoscopic approaches, all type C (with distal fistula), between January 2010 and December 2021
Surgical time is longer in the thoracoscopic group for esophageal atresia repair
There was no significant difference in complications such as leak or strictures between thoracoscopic and open esophageal atresia repair
With open esophageal atresia surgery, you highly likely have scoliosis and shoulder girdle weakness, which with thoracoscopic repair you can prevent 100%
The Chinese center was able to change their practice from open to thoracoscopic esophageal atresia repair in about 10 years