Hirschsprung disease and Down syndrome: From the reappraisal of risk factors to the impact of surgery
The association of Hirschsprung disease (HSCR) and Down Syndrome (DS) is not uncommon (HSCR+DS). This paper aims at reporting the results of a 24-year series focusing on surgical approach, complications and long term outcome. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 24, 2019 Category: Surgery Authors: Alessio Pini Prato, Rossella Arnoldi, Alberto Sgr ò, Enrico Felici, Fabrizio Racca, Paolo Nozza, Narcisio Mariani, Manuela Mosconi, Cinzia Mazzola, Girolamo Mattioli Tags: Down Syndrome and Intestinal Condition Source Type: research

Evolution and Outcomes of a Canadian Pediatric Bariatric Surgery Program
We report the evolution of surgical management within the program and outcomes following bariatric surgery. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 23, 2019 Category: Surgery Authors: Adesola C. Akinkuotu, Jill K. Hamilton, Catherine Birken, Alene Toulany, Michele Strom, Rebecca Noseworthy, John Hagen, Elizabeth Dettmer, Jacob C. Langer Source Type: research

High-resolution manometric guidance during laparoscopic Heller myotomy: Impact on quality of life and symptom severity for children with achalasia
High-resolution esophageal manometry (HREM) during laparoscopic Heller myotomy (LHM) with fundoplication for achalasia allows tailoring of myotomy length and wrap tightness. The purpose of this study is to quantify long-term postoperative symptom severity and quality of life using validated questionnaires. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 23, 2019 Category: Surgery Authors: Yangyang R Yu, Eric H Rosenfeld, Eric H Chiou, Bruno P Chumpitazi, Sara C Fallon, Mary L Brandt Source Type: research

The evolution of the serial transverse enteroplasty for pediatric short bowel syndrome at a single institution
The serial transverse enteroplasty (STEP) tapers and lengthens the gut to improve adaptation. Mortality has decreased with multidisciplinary intestinal rehabilitation programs (IRP) allowing more time to reach adaptive potential. We reviewed our STEP experience to compare surgical outcomes between early and late eras of our IRP. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 23, 2019 Category: Surgery Authors: Kevin Fitzgerald, Mitsuru Muto, Christina Belza, Nicole De Silva, Yaron Avitzur, Paul W. Wales Source Type: research

Outcomes of extracorporeal, transumbilical versus intracorporeal laparoscopic appendectomy for acute uncomplicated appendicitis in children and adolescents: A retrospective observational cohort study
This study assessed the 30-day perioperative outcomes and cost between ECA and traditional intracorporeal (ICA) techniques for acute uncomplicated appendicitis. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 22, 2019 Category: Surgery Authors: Mostafa El-Beheiry, Jacob Davidson, Sarah Jones, Andreana B ütter, Leslie Scott, Neil Merritt Source Type: research

Factors associated with early peritoneal dialysis catheter malfunction
Peritoneal dialysis (PD) catheter obstruction often leads to surgical revision and may require transition to hemodialysis. The purpose of this study was to evaluate risk factors (including omentectomy) associated with early PD catheter obstruction ( (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 22, 2019 Category: Surgery Authors: Caroline Lemoine, Mahima Keswani, Riccardo Superina Source Type: research

Letter to the Editor
This study has already been conducted [2]. The authors (and your readers) may be interested to know that a prospective study of 2471 boys with this condition looked specifically at factors that predicted an increased likelihood of later recurrence. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 20, 2019 Category: Surgery Authors: Spencer W. Beasley Source Type: research

The Canadian pediatric surgery workforce: A 5-year prospective study
In 2014, a survey study of the Canadian pediatric surgery workforce predicted a need for 2 new pediatric surgeons/yr. in Canada. We sought to assess these predictions and evaluate the status of the workforce. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 20, 2019 Category: Surgery Authors: Sherif Emil, Jacob C. Langer, Geoffrey Blair, Grant Miller, Ann Aspirot, Guy Brisseau, B.J. Hancock Source Type: research

Management of ovarian lesions diagnosed during infancy
Prior studies of infant ovarian cysts have recommended intervention for those larger than 4  cm. We reviewed the natural history and features of those managed operatively versus nonoperatively. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 19, 2019 Category: Surgery Authors: Kristy L. Rialon, Adesola Akinkuotu, Aodhnait S. Fahy, Susan Shelmerdine, Jeffrey Traubici, Priscilla Chiu Source Type: research

Demographic factors affecting parental attitudes to clinical research in pediatric surgery: A pilot study
The purpose of this study was to evaluate demographic factors impacting parental attitudes to clinical research in pediatric surgery. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 19, 2019 Category: Surgery Authors: Li Wen Lee, Yoong Wend Chen, Candy S.C. Choo, Yong Chen, Shireen A. Nah Source Type: research

Should you pick the PICC? Prolonged use of peripherally inserted central venous catheters in children with intestinal failure
Prolonged central vascular access is a source of significant morbidity in children with intestinal failure (IF). In an effort to decrease morbidity, our multidisciplinary IF team has primarily used peripherally inserted central catheters (PICCs) for these patients. We compared outcomes of PICCs to Broviacs ®. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 19, 2019 Category: Surgery Authors: Kathryn LaRusso, Geraldine Schaack, Tiffany Fung, Kevin McGregor, Justin Long, Marie-Pier Dumas, Zahia Attari, Yasmine Yousef, Hidy Girgis, Rajam Raghunathan, Ana Sant'Anna, Sherif Emil Source Type: research

Risk-stratification enables accurate single-center outcomes assessment in congenital diaphragmatic hernia (CDH)
Management of CDH is highly variable from center to center, as are patient outcomes. The purpose of this study was to examine risk-stratified survival and extracorporeal membrane oxygenation (ECMO) rates at a single center, and to determine whether adverse outcomes are related to patient characteristics or management. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 18, 2019 Category: Surgery Authors: Tim Jancelewicz, Elizabeth A. Paton, Jorie Jones, Mark F. Weems, Pamela A. Lally, Max R. Langham Jr., Congenital Diaphragmatic Hernia Study Group Source Type: research

The effects of tracheal occlusion on Wnt signaling in a rabbit model of congenital diaphragmatic hernia
Tracheal occlusion (TO) reverses pulmonary hypoplasia (PH) in congenital diaphragmatic hernia (CDH), but its mechanism of action remains poorly understood. Wnt signaling plays a critical role in lung development, but few studies exist. The purpose of our study was to a) confirm that our CDH rabbit model produced PH which was reversed by TO and b) determine the effects of CDH +/ − TO on Wnt signaling. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 18, 2019 Category: Surgery Authors: Martina Mudri, Shane A. Smith, Christina Vanderboor, Jacob Davidson, Timothy R.H. Regnault, Andreana B ütter Source Type: research

Incidence and prevalence of congenital anomalies in low- and middle-income countries: A systematic review
In the absence of robust data from low- and middle-income countries (LMICs), most disease burden estimates and related resource allocation choices are based on historic Northern demographics. We hypothesize that significant discrepancies exist between directly reported LMIC data and surrogate high-income country (HIC) disease burden estimates of correctible congenital anomalies. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 18, 2019 Category: Surgery Authors: Asra Toobaie, Yasmine Yousef, Saba Balvardi, Etienne St-Louis, Robert Baird, Elena Guadagno, Dan Poenaru Source Type: research

Cystic fibrosis and portal hypertension: Distal splenorenal shunt can prevent the need for future liver transplant
We present our experience with distal splenorenal shunting (DSRS) for the treatment of PHT as an alternative to liver transplantation (LT). (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 18, 2019 Category: Surgery Authors: Caroline Lemoine, Joan Lokar, Susanna A. McColley, Estella M. Alonso, Riccardo Superina Source Type: research

A transition to discipline curriculum for pediatric surgery trainees: Evaluation of a pediatric surgery boot camp from 2017 to 2018
Boot camps seek to impart knowledge and skills for individuals entering new roles. We sought to evaluate knowledge, skills, and confidence of in-coming pediatric surgery trainees with a 2.5-day pediatric surgery boot camp. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 18, 2019 Category: Surgery Authors: Christopher Blackmore, Pramod S. Puligandla, Sherif Emil, Rodrigo Romao, Steven R. Lopushinsky Source Type: research

Safety of mucous fistula refeeding in neonates with functional short bowel syndrome: A retrospective review
This study aimed to assess the safety of this practice in neonates. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 18, 2019 Category: Surgery Authors: Tessa Elliott, J Mark Walton Source Type: research

Canadian Association of Pediatric Surgeons' state of wellness
The following is a summary of the fourth Ein Panel Debate Session from the 50th Annual Meeting of the Canadian Association of Pediatric Surgeons (CAPS) held in Toronto, ON, from September 26 –29, 2018. The session focused on surgeon well-being at different stages of career: role of mentorship at the start of career, second victim syndrome, litigation stress syndrome, and retirement. Using Maslach Burnout Inventory Survey, CAPS members were presented their wellness scores as a group co mpared to other health care providers. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 17, 2019 Category: Surgery Authors: Ioana Bratu, Kurt Heiss, Claudia Mueller, Andrea Winthrop, Geoffrey Blair, Carol-Anne Moulton Source Type: research

Conference proceeding from the 50th Annual Meeting of the Canadian Association of Paediatric Surgeons: “CAPS Serving Canada – Gender, Diversity, and CAPS”
Gender and diversity in the workforce are hot topics in both the public and professional spheres. Medicine has not been immune to these discussions, with many recent publications highlighting the lack of equal representation of women and minorities within medicine and surgery. This paper will review the history and current state of gender and minority representation in the Canadian Association of Pediatric Surgeons (CAPS) as presented at the 50th Annual Meeting of CAPS in September 2018 in Toronto, Ontario, Canada. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 17, 2019 Category: Surgery Authors: Kathryn Martin Source Type: research

Management preferences in ECMO mode for congenital diaphragmatic hernia
The purpose of this study was to identify management preferences that may exist in the care of infants with CDH receiving ECMO with emphasis on VV-ECMO. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 17, 2019 Category: Surgery Authors: Patrick T. Delaplain, Tim Jancelewicz, Matteo Di Nardo, Lishi Zhang, Peter T. Yu, John P. Cleary, Francesco Morini, Matthew T. Harting, Danh V. Nguyen, Yigit S. Guner, Study by ELSO CDH Interest Group Source Type: research

Prenatal prediction of survival in congenital diaphragmatic hernia: An audit of postnatal outcomes
Effective antenatal counseling in congenital diaphragmatic hernia (CDH) relies on proper measurement of prognostic indices. This quality initiative audited the accuracy of prenatal imaging with postnatal outcomes at two tertiary pediatric referral centers. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 17, 2019 Category: Surgery Authors: Robin T. Petroze, Natasha G. Caminsky, Jos ée Trebichavsky, Sarah Bouchard, Annie Le-Nguyen, Jean-Martin Laberge, Sherif Emil, Pramod S. Puligandla Source Type: research

Long-term growth outcomes in neonates diagnosed with necrotizing enterocolitis: a 20-year analysis
Limited data exists for longitudinal growth outcomes in neonates with a history of necrotizing enterocolitis (NEC). We aimed to study 20-year growth outcomes in NEC survivors. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 17, 2019 Category: Surgery Authors: Adil J. Malek, Mary M. Mrdutt, Marinda G. Scrushy, Lea H. Mallet, Courtney N. Shaver, Emily C. Sanders, Hayden W. Stagg, Lena Perger Source Type: research

Utilization of a handheld telemedicine device in postoperative pediatric surgical care
The purpose of this study was to assess the utilization of a handheld telemedicine (TM) device in the postoperative care of pediatric surgical patients. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 17, 2019 Category: Surgery Authors: Jonathan H. DeAntonio, Hae Sung Kang, Hannah C. Cockrell, William Rothstein, Claudio Oiticica, David A. Lanning Source Type: research

Sclerotherapy for rectal prolapse in children: A systematic review and meta-analysis
This study systematically evaluates the effectiveness and complications of various sclerosing agents in treating pediatric rectal prolapse. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 17, 2019 Category: Surgery Authors: Graeme Charles Hintz, Vito Zhaoxin Zou, Robert Baird Source Type: research

Bowel preparation for colostomy reversal in children
Pediatric bowel preparation protocols used before colostomy reversal vary. The aim of this study is to determine institutional practices at our institution and evaluate the impact of bowel preparations on postoperative outcomes and hospital length of stay in children. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 17, 2019 Category: Surgery Authors: Eric H. Rosenfeld, Yangyang R. Yu, Nathaniel J. Fernandes, Aleena Karediya, David E. Wesson, Monica E. Lopez, Sohail R. Shah, Adam M. Vogel, Mary L. Brandt Source Type: research

Intestinal failure associated cholestasis in surgical necrotizing enterocolitis and spontaneous intestinal perforation
Surgery for necrotizing enterocolitis (NEC) and spontaneous intestinal perforation (SIP) is often complicated by intestinal failure (IF) and intestinal failure associated cholestasis (IFAC). (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 16, 2019 Category: Surgery Authors: Kristiina Karila, Annaleena Anttila, Tarja Iber, Mikko Pakarinen, Antti Koivusalo Tags: Neonatal Condition Source Type: research

Table of Contents
(Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 16, 2019 Category: Surgery Source Type: research

Announcements of Future Meetings
(Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 16, 2019 Category: Surgery Source Type: research

Corrigendum to ‘Disparities in Pediatric Gonadal Torsion: Does Gender, Race and Insurance Status Affect Outcomes?’ [J Pediatr Surg 2018;53(7):1392-1395]
The authors regret that the above article, upon revision, was submitted omitting one of the key authors. We thereby request an erratum and apologize for the inconvenience. We, the listed authors, attest that Chad M. Thorson MD, MSPH should be the third author due to his work revising and answering reviewer requests, reanalyzing data, and serving as a critical final review. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 16, 2019 Category: Surgery Authors: Jessica L. Buicko, Shevonne S. Satahoo, Krishnamurti A. Rao, Juan E. Sola, Holly L. Neville Tags: Corrigendum Source Type: research

Reply to Letter to the Editor
Thank you for this response. Surgeons across the world strive to better understand post-operative complications of one of the most commonly performed pediatric operations, inguinal hernia repair. Our recent Journal of Pediatric Surgery article describes the contemporary, population-level incidence of and risk factors for recurrent inguinal hernia. Beasley commented that his work, “Predictors of recurrence after inguinal herniotomy in boys,” previously published univariable predictors of 15 recurrences among 224 boys who underwent initial repair [1]. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 16, 2019 Category: Surgery Authors: Kristin A. Sonderman, Kathryn K. Taylor, Samuel E. Rice-Townsend Source Type: research

Hospital factors associated with higher costs in pediatric blunt abdominal trauma: A national study
Our objective was to evaluate hospital factors, including children's hospital status, associated with higher costs for blunt solid organ pediatric abdominal trauma. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 14, 2019 Category: Surgery Authors: Robert A. Tessler, Janessa M. Graves, Monica S. Vavilala, Adam Goldin, Frederick P. Rivara Source Type: research

Retrograde endoscopic dilatation for difficult caustic esophageal strictures: Feasibility and effectiveness
Difficult caustic esophageal strictures may need a more sophisticated dilatation technique before referring for esophageal replacement surgery. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 14, 2019 Category: Surgery Authors: Khaled Mohamed El-Asmar, Ahmed Abdelhaseeb Youssef Source Type: research

Fertility and hormone preservation and restoration for female children and adolescents receiving gonadotoxic cancer treatments: A systematic review
The purpose of this systematic review by the American Pediatric Surgical Cancer Committee was to summarize evidence from the current medical literature regarding fertility restoration and hormone replacement for female children and adolescents treated with gonadotoxic treatments. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 14, 2019 Category: Surgery Authors: Kristine S. Corkum, Daniel S. Rhee, Q. Eileen Wafford, Isabelle Demeestere, Roshni Dasgupta, Reto Baertschiger, Marcus M. Malek, Jennifer H. Aldrink, Todd E. Heaton, Brent R. Weil, Mary Beth Madonna, Timothy B. Lautz Source Type: research

Anti-TNF biologic therapy does not increase postoperative morbidity in pediatric Crohn's patients
Limited knowledge exists as to what impact preoperative biologic therapy has on postoperative complications in pediatric patients undergoing abdominal surgery for Crohn's disease (CD). Therefore, we sought to determine the 30-day postoperative infectious complication rate among pediatric CD patients who received biologic therapy within 12  weeks of an abdominal operation. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 14, 2019 Category: Surgery Authors: Amy L. Lightner, Nicholas P. McKenna, Ahmad Alsughayer, Edward V. Loftus, Laura E. Raffals, William A. Faubion, Christopher Moir Source Type: research

Non-operative management of solid organ injuries in children: An American Pediatric Surgical Association Outcomes and Evidence Based Practice Committee systematic review
The American Pediatric Surgical Association (APSA) guidelines for the treatment of isolated solid organ injury (SOI) in children were published in 2000 and have been widely adopted. The aim of this systematic review by the APSA Outcomes and Evidence Based Practice Committee was to evaluate the published evidence regarding treatment of solid organ injuries in children. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 14, 2019 Category: Surgery Authors: Robert L. Gates, Mitchell Price, Danielle B. Cameron, Stig Somme, Robert Ricca, Tolulope A. Oyetunji, Yigit S. Guner, Ankush Gosain, Robert Baird, Dave R. Lal, Tim Jancelewicz, Julia Shelton, Karen A. Diefenbach, Julia Grabowski, Akemi Kawaguchi, Roshni D Source Type: research

Requirement and Duration of Tube Feed Supplementation among Congenital Diaphragmatic Hernia Patients
Oral feeds pose a challenge for congenital diaphragmatic hernia (CDH) infants. Tube feed (TF) supplementation may be required to support the achievement of normal growth. The aim of this study was to determine the duration and factors associated with TF use in CDH infants at our institution. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 14, 2019 Category: Surgery Authors: Matthew K.W. Wong, Beth Haliburton, Ashley Graham, Eveline Lapidus-Krol, Theo J. Moraes, Margaret A. Marcon, Priscilla P.L. Chiu Source Type: research

Adjuvant therapy of cytomegalovirus IgM  + ve associated biliary atresia: Prima facie evidence of effect
We report our experience with adjuvant antiviral therapy after Kasai portoenterostomy (KP E). (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 13, 2019 Category: Surgery Authors: Filippo Parolini, Nedim Hadzic, Mark Davenport Source Type: research

Prospective evaluation of the management of bowel dysfunction in children with neuropathic lower urinary tract dysfunction and its effect on bladder dynamics
Children with neuropathic lower urinary tract dysfunction usually suffer from associated bowel dysfunction, urinary tract infection and vesicoureteral reflux. This work aimed to highlight the impact of bowel management on bladder dynamics. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 12, 2019 Category: Surgery Authors: Ahmed Abulfotooh Eid, Haytham Badawy, Mostafa Elmissiry, Ahmed Foad, Mohammed Ebada, Ashraf Koraitim Source Type: research

The Pediatric Surgical Team: a Model for Increased Surgeon Index Case Exposure
High surgical volume for both surgeons and hospital systems has been linked to improved outcomes for many surgical problems, yet case volumes per pediatric surgeon are diminishing nationally in complex pediatric surgery. We therefore sought to review our experience in a geographically isolated setting where a surgical team approach has been used to improve per-surgeon exposure to index pediatric surgical cases. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 12, 2019 Category: Surgery Authors: Sidney M. Johnson, William G. Lee, Devin P. Puapong, Russell K. Woo Source Type: research

Defining massive transfusion in civilian pediatric trauma
The purpose of this study was to identify an optimal definition of massive transfusion (MT) in civilian pediatric trauma. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 12, 2019 Category: Surgery Authors: Eric Rosenfeld, Patricio Lau, Wei Zhang, Robert T. Russell, Sohail R. Shah, Bindi Naik-Mathuria, Adam M. Vogel Source Type: research

Sternal fractures in children: An analysis of the National Trauma Data Bank
The purpose of this study was to describe the epidemiology and evaluate the clinical significance of traumatic sternal fractures. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 12, 2019 Category: Surgery Authors: Eric H. Rosenfeld, Patricio Lau, Sohail R. Shah, Bindi Naik-Mathuria, David E. Wesson, Derek S. Wakeman, Adam M. Vogel Tags: Trauma Source Type: research

Preventing patient harm via adverse event review: An APSA survey regarding the role of morbidity and mortality (M & M) conference
Peer-review endeavors represent the continual learning environment critical for a culture of patient safety. Morbidity and mortality (M&M) conferences are designed to review adverse events to prevent future similar events. The extent to which pediatric surgeons participate in M&M, and believe M&M improves patient safety, is unknown. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 11, 2019 Category: Surgery Authors: Loren Berman, Madelene Ottosen, Elizabeth Renaud, Belinda Hsi-Dickie, Annie Fecteau, David Skarda, Adam Goldin, Shawn Rangel, KuoJen Tsao, APSA Quality and Safety Committee Source Type: research

Does the initial surgery for necrotizing enterocolitis matter? Comparative outcomes for laparotomy vs. peritoneal drain as initial surgery for necrotizing enterocolitis in infants < 1000  g birth weight
Quantify short-term outcomes associated with initial surgery [laparotomy (LAP) vs. peritoneal drain (PD)] for necrotizing enterocolitis (NEC) in extremely-low-birth-weight (ELBW) infants. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 11, 2019 Category: Surgery Authors: Toby Debra Yanowitz, Kevin M. Sullivan, Anthony J. Piazza, Beverly Brozanski, Isabella Zaniletti, Jotishna Sharma, Robert DiGeronimo, Sujir Pritha Nayak, Rajan Wadhawan, Kristina M. Reber, Karna Murthy, for the CHND Surgical NEC Focus Group Source Type: research

Retroperitoneal tumors and congenital variations in vascular anatomy of retroperitoneal great vessels
Variations in vascular anatomy (VIVAs) of the retroperitoneal great vessels are uncommon but can potentially complicate surgical procedures and negatively affect treatment outcomes, yet their incidence and clinical impact are poorly studied. We sought to assess the incidence and clinical impact of VIVAs of retroperitoneal great vessels in patients with retroperitoneal tumors. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 11, 2019 Category: Surgery Authors: Sai Woon Merng Tip, York Tien Lee, Phua Hwee Tang, Kenneth Tou En Chang, Shui Yen Soh, Ah Moy Tan, Amos Hong Pheng Loh Source Type: research

A pilot study of laparoscopic gastric plication in adolescent patients with severe obesity
Metabolic and bariatric surgery in adolescents with severe obesity has been demonstrated to be safe and have long-term treatment efficacy. However, less than 0.1% of adolescents meeting criteria undergo surgery. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 11, 2019 Category: Surgery Authors: Jonathan DeAntonio, Hannah Cockrell, Hae Sung Kang, Melanie K. Bean, Nancy Thompson, Matthew Brengman, Claudio Oiticica, Edmond Wickham, David Lanning Source Type: research

Is “gallbladder length-to-width ratio” useful in diagnosing biliary atresia?
The objective of this study was to examine the reliability of gallbladder length-to-width ratio (LTWR) by US measurement for diagnosis of BA. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 11, 2019 Category: Surgery Authors: Panjai Choochuen, Supika Kritsaneepaiboon, Vorawan Charoonratana, Surasak Sangkhathat Source Type: research

Surgical management of pulmonary aspergillosis in pediatric population
Aspergillosis is an invasive infection that affects mainly immunocompromised patients, and the lung is the most common site of infection. We reviewed our experience with the surgical management of pulmonary aspergillosis (PA) in pediatric population at a tertiary care institution. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 9, 2019 Category: Surgery Authors: S. AlShanafey, N. AlMoosa, Bin Hussain, H. AlHindi Source Type: research

Postnatal germ cell development during first 18  months of life in testes from boys with non-syndromic cryptorchidism and complete or partial androgen insensitivity syndrome
This study examined gonocyte transformation in cryptorchid testes in children ≤18 months of age with unilateral, bilateral undescended testes (UDT), complete or partial androgen insensitivity syndrome (CAIS, PAIS) [3,4]. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 7, 2019 Category: Surgery Authors: Ruili Li, Damian Azzollini, Ruidong Shen, Jorgen Thorup, Erick Clasen-Linde, Dina Cortes, John M Hutson Source Type: research

A novel streamlined trauma response team training improves imaging efficiency for pediatric blunt abdominal trauma patients
The morbidity and mortality of children with traumatic injuries are directly related to the time to definitive management of their injuries. Imaging studies are used in the trauma evaluation to determine the injury type and severity. The goal of this project is to determine if a formal streamlined trauma response improves efficiency in pediatric blunt trauma by evaluating time to acquisition of imaging studies and definitive management. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 6, 2019 Category: Surgery Authors: Benjamin K. Nti, Megan Laniewicz, Tracy Skaggs, Keith Cross, Mary E. Fallat, Annie Rominger Source Type: research

The effectiveness of transoral marsupialization for lingual thyroglossal duct cysts — Twelve successfully treated cases at a single institution
Lingual thyroglossal duct cysts (L-TGDCs) are rare and sometimes lethal owing to their association with asphyxia. We aimed to analyze our single institutional experience with L-TGDCs. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 4, 2019 Category: Surgery Authors: Toshio Harumatsu, Goki Uchida, Takumi Fujimura, Mototoshi Kato, Hirofumi Tomita, Shigeki Ishioka, Akihiro Shimotakahara, Naoki Shimojima, Satoshi Ieiri, Seiichi Hirobe Source Type: research