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Live Event Content
Update Course 2022 - TOP PUBLICATIONS IN NON- PED SURG JOURNALS - Jose Campos
With Dr. Jose Campos & Dr. Shawn St. Peter & Dr. Mira Kotragal · hosted by Dr. Todd Ponsky
Educational content from recorded physician discussions — not medical advice. Talk to your (or your child's) care team about your situation.
Video
Update Course Rewind: 2022 Top Ten Key Takeaways
Dr. Todd Ponsky · Published Jun 2023
Video
Update Course 2021: DEI – CONCORDANCE AND POST OP COMPLICATION STUDIES
Published May 2022
Video
Update Course 2022 - APSA PDC UPDATES - Mary Edwards, Paul Jeziorczak, Craig Lillehei, and Charles Snyder,
64 min · Published Sep 2022
Podcast
Journal of Pediatric Surgery Article Review: November 2023
12 min · Published May 2024
Video
Update Course 2023 - Update Course 2022 and Best of the Best Recap
17 min · Published Aug 2023
Video
Standardization of Care for Pediatric Perforated Appendicitis
Dr. Todd Ponsky · 2 min · Published Jan 2018
Video
Impact of social determinants of health on outcomes in pediatric short bowel syndrome...
43 s · Published Aug 2026
Video
Advancements in Pediatric Intestinal Failure: Innovative Therapies and Improved Outcomes
17 min · Published Aug 2026
Podcast
Update Course Rewind: Omphalocele & Gastroschisis 2020
Miguel Guelfand · 15 min · Published Jul 2026
Video
Update Course Rewind 2025: Updates in NEC Management
11 min · Published Jul 2026
Video
Availability, utilization, and barriers to bowel ultrasound for necrotizing enterocolitis...
55 s · Published Jul 2026
Video
Malrotation and Volvulus with Trinity
Dr. Steve Rothenberg · 8 min · Published May 2026
Video
2025 Pediatric Surgery Update Course - Updates in Pediatric Surgery feat. non-JPS Journals
Dr. Todd Ponsky · 22 min · Published Aug 2025
Podcast
Case-Based Journal Review: Inguinal Hernia 2025
19 min · Published Apr 2025
Podcast
Case-Based Journal Review: Cholelithiasis 2024
18 min · Published Jul 2024
Podcast
Case-Based Journal Review: G-Tube & Fundoplication for GERD 2023
18 min · Published Sep 2023
Podcast
Case Based Journal Review: Esophageal Atresia in 2022
17 min · Published Aug 2022
Podcast
Case Based Journal Review - CPAM in 2022
12 min · Published Apr 2022
Video
Clinical & Research Update: Renal Tumors with Drs. Ethan Smith, Lindsay Haacker, Michael Daugherty, and Meera Kotagal
71 min · Published Sep 2026
Video
Clinical & Research Update: Neuroblastoma with Drs. Katherine Somers, Cara Morin, Juan Gurria, and Meera Kotagal
67 min · Published Sep 2026
Video
Clinical & Research Update: Sarcoma w/ Drs. Roshni Dasgupta, Joseph Pressey, Arthur Meyer, Luke Pater
66 min · Published Sep 2026
Video
2026 Laparoscopic Pediatric Hernia Repair
123 min · Published Jun 2026
Video
Beyond the Spectrum: Diagnosis, Myths & Management - Caitlin Couch & Leslie Lopez - APP Conference 2026
50 min · Published May 2026
Video
Dysautonomia: Navigating the Journey - Martha Willis - APP Conference 2026
55 min · Published May 2026
What the experts said
The 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.
One participating hospital in the appendicitis antibiotic trial did not see a difference in abscess rates between the two antibiotic regimens in their cohort, while the overall study results were driven entirely by Phoenix Children's Hospital's experience.
NSQIP-P national data shows no difference in abscess rates between ceftriaxone-metronidazole and piperacillin-tazobactam across much larger patient numbers.
In the NEC trial, there was significant surgeon intention to treat, with most patients who received initial peritoneal drainage going to laparotomy shortly after drain placement.
Peritoneal drainage for NEC often serves as a temporizing measure to stabilize septic patients before laparotomy rather than as definitive therapy.
Peritoneal drainage started as a temporizing measure for NEC but morphed into a definitive management strategy in approximately 40-50% of surgeons' minds.
The original description of percutaneous endoscopic gastrostomy (PEG) was done by Todd Ponsky Sr.
The article by Todd Ponsky Sr. and Mike Goddard on PEG tube placement remains the most cited article in the history of the Journal of Pediatric Surgery, with approximately three times the citations of the number two article.
PEG tubes are difficult to change to button tubes, often requiring a second anesthetic with GI specialists to remove the PEG endoscopically before placing a button.
Sleeve gastrectomy is a very safe operation in adolescents with good long-term data showing resolution of comorbidities, especially in pre-diabetic and diabetic patients.
The Teen Labs Consortium has been conducting NIH-funded prospective trials on bariatric surgery in adolescents since 2007.
The average time pediatric patients spend in bariatric surgery programs before proceeding to surgery is approximately nine months.
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.
Intra-abdominal abscess formation was significantly lower in the piperacillin-tazobactam group with an odds ratio of 4.8.
The number needed to treat with piperacillin-tazobactam to prevent one intra-abdominal abscess was 5.7.
Necrotizing enterocolitis treated surgically is associated with high mortality rates and poor neurodevelopmental outcomes.
Two previous randomized controlled trials comparing surgical techniques for NEC both failed to enroll enough patients to answer the clinical question.
A 20-center randomized controlled trial by Marty Blakely comparing initial laparotomy versus peritoneal drainage for NEC randomized 310 premature newborns.
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.
Bayesian analysis of the NEC trial showed a high probability of laparotomy being superior to peritoneal drainage.
In the original papers by Ziggy Hein on peritoneal drainage for NEC, approximately one-third of patients died, one-third received laparotomy, and one-third were managed with drainage alone.
A systematic review examining gastrostomy insertion techniques reviewed 900 publications, with 58 being used for final recommendations.
Twelve studies directly compared outcomes between laparoscopic and percutaneous endoscopic gastrostomy, showing major complication rates were significantly less common with laparoscopic placement.
The number needed to treat to prevent one major complication from PEG (by using laparoscopic approach instead) is 24.
A database comparison of 3,000 patients with differentiated papillary thyroid cancer found no survival difference between total thyroidectomy and thyroid lobectomy.