Pediatric Surgery International最新文献_第10页

Responding to the challenges of Global Children Surgery: a unique program in Burkina Faso. 应对全球儿童外科手术的挑战：布基纳法索的一项独特计划。

IF 1.5 3区医学

Pediatric Surgery International Pub Date : 2024-11-15 DOI: 10.1007/s00383-024-05903-w

Sophie Inglin, Anata Bara, Yacouba Traoré, Saïd N Ganame, Abou Coulibaly, Bertille Ki, Seydou Barro, Karim Barro, Emile Bandre, Seni Kouanda, Barbara E Wildhaber

{"title":"Responding to the challenges of Global Children Surgery: a unique program in Burkina Faso.","authors":"Sophie Inglin, Anata Bara, Yacouba Traoré, Saïd N Ganame, Abou Coulibaly, Bertille Ki, Seydou Barro, Karim Barro, Emile Bandre, Seni Kouanda, Barbara E Wildhaber","doi":"10.1007/s00383-024-05903-w","DOIUrl":"10.1007/s00383-024-05903-w","url":null,"abstract":"Purpose: The challenges are immense when it comes to enhancing the development of pediatric surgery in low- and middle-income countries in line with current recommendations for holistic and sustainable approaches. The Pediatric surgery development plan in Burkina Faso was started in 2020. This paper reports on our unique experience, focusing on the main actions and indicators monitored.Methods: The program was developed based on the core principles of the Global Initiative for Children's Surgery, employing a comprehensive health system-strengthening strategy. Our approach aimed to address the pediatric surgical ecosystem through partnerships, research, and interventions at all levels of the healthcare system.Results: Significant actions were implemented across various domains, including infrastructure, quality of care, workforce, community awareness, research, and advocacy. These efforts have led to a substantial strengthening of the pediatric surgical ecosystem in the country, achieving major milestones and outcomes in each of these areas.Conclusion: This program has not only helped to create a major impulse for the expansion of pediatric surgery in Burkina Faso, but also enriched the community of interest with a robust implementation program to confirm the main challenge to succeed: integrating this most essential discipline into the wider framework of global health.","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"40 1","pages":"310"},"PeriodicalIF":1.5,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11568049/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142639139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A decade of managing pediatric major traumatic vascular injuries: insights from a referral center. 管理儿科重大创伤性血管损伤的十年：来自转诊中心的启示。

IF 1.5 3区医学

Pediatric Surgery International Pub Date : 2024-11-13 DOI: 10.1007/s00383-024-05887-7

Norhafiza Ab Rahman, Dirk von Delft, Alp Numanoglu, Edre Mohammad Aidid, Marion Arnold

{"title":"A decade of managing pediatric major traumatic vascular injuries: insights from a referral center.","authors":"Norhafiza Ab Rahman, Dirk von Delft, Alp Numanoglu, Edre Mohammad Aidid, Marion Arnold","doi":"10.1007/s00383-024-05887-7","DOIUrl":"10.1007/s00383-024-05887-7","url":null,"abstract":"Purpose: Incidence, management, and outcomes of pediatric vascular injuries secondary to non-iatrogenic trauma were reviewed over a decade in our institution.Methods: A retrospective review of medical records (2013-2022) of major traumatic vascular injuries, focusing on injury profiles, treatment modalities, and clinical outcomes.Results: Thirty patients with 48 vessel injuries were included. Firearms were the leading mechanism, accounting for 43.3% (n = 13) of cases. We identified 29 arterial injuries and 19 venous injuries, with 30 (62.5%) of the overall injuries occurred in the lower extremities. Shock (17; 56.7%) and associated injuries (25; 83.3%) were common. Surgery was the most common management strategy. Autologous bypass graft was the most frequently performed procedure for arterial injuries (8; 42.1%), while ligation dominated in venous injuries (9; 64.3%). Blood transfusion requirements (24; 82.7%) and post-operative prescription of anticoagulant and antiplatelet agents (12; 41.4%) were similar for arterial and venous injuries (p > 0.05). Three patients demised, resulting in a 90% survival rate. Neither the mechanism of injury, anatomical location, and presence of shock on arrival nor the baseline hemoglobin level served as predictors of mortality.Conclusion: Intensive resuscitation with blood transfusion and prompt surgical intervention achieve favorable survival rates for pediatric traumatic vascular injuries. Optimal post-operative anticoagulant and antiplatelet regimens remain unclear.","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"40 1","pages":"306"},"PeriodicalIF":1.5,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11557644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142623540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Favorable inhibitory effect of clodronate on hepatic steatosis in short bowel syndrome model rats. 氯膦酸盐对短肠综合征模型大鼠肝脏脂肪变性的有利抑制作用

IF 1.5 3区医学

Pediatric Surgery International Pub Date : 2024-11-13 DOI: 10.1007/s00383-024-05858-y

Yudai Tsuruno, Ayaka Nagano, Koshiro Sugita, Shun Onishi, Yumiko Tabata, Chihiro Kedoin, Masakazu Murakami, Keisuke Yano, Takafumi Kawano, Nao Hasuzawa, Masatoshi Nomura, Tatsuru Kaji, Yuko Bitoh, Satoshi Ieiri

{"title":"Favorable inhibitory effect of clodronate on hepatic steatosis in short bowel syndrome model rats.","authors":"Yudai Tsuruno, Ayaka Nagano, Koshiro Sugita, Shun Onishi, Yumiko Tabata, Chihiro Kedoin, Masakazu Murakami, Keisuke Yano, Takafumi Kawano, Nao Hasuzawa, Masatoshi Nomura, Tatsuru Kaji, Yuko Bitoh, Satoshi Ieiri","doi":"10.1007/s00383-024-05858-y","DOIUrl":"10.1007/s00383-024-05858-y","url":null,"abstract":"Purpose: This study investigated the anti-inflammatory effect of clodronate, a vesicular nucleotide transporter (VNUT) inhibitor, on intestinal-failure-associated liver disease (IFALD) in a rat model of short bowel syndrome (SBS).Methods: The rats underwent jugular vein catheterization for continuous total parenteral nutrition (TPN) and 90% small bowel resection. The animals were divided into the following groups: TPN/SBS (Control group), TPN/SBS/intravenous administration of low-dose clodronate (20 mg/kg twice per week; Low group), or TPN/SBS/intravenous administration of high-dose clodronate (60 mg/kg twice per week; High group). On day 7, the rats were euthanized. Hepatic steatosis and hepatocellular injury were also assessed.Results: Hepatic steatosis and lobular inflammation in the liver were observed in all groups. The High group showed histologically reduced hepatic steatosis compared with the Control group. IL-6 and Nlrp3 expression in the High group was significantly suppressed compared to that in the Control group. The expression of other inflammatory cytokines tended to be lower in the High dose group than in the control group. The lipid metabolism gene expression in the liver specimens showed no significant differences among the groups.Conclusion: The high-dose administration of clodronate may, therefore, inhibit hepatic steatosis and inflammation associated with IFALD in patients with SBS.","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"40 1","pages":"307"},"PeriodicalIF":1.5,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11561034/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142624812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Thoracotomy patch repair of large diaphragmatic herniae in a porcine model: a tale of two patches. 在猪模型中对巨大膈疝进行胸膜补片修补：两个补片的故事。

IF 1.5 3区医学

Pediatric Surgery International Pub Date : 2024-11-12 DOI: 10.1007/s00383-024-05893-9

Dermot T McDowell, Tegan Cheng, Alexandre Darani, Raf Dye, Susan Arbuckle, Ralph C Cohen

{"title":"Thoracotomy patch repair of large diaphragmatic herniae in a porcine model: a tale of two patches.","authors":"Dermot T McDowell, Tegan Cheng, Alexandre Darani, Raf Dye, Susan Arbuckle, Ralph C Cohen","doi":"10.1007/s00383-024-05893-9","DOIUrl":"10.1007/s00383-024-05893-9","url":null,"abstract":"Purpose: Congenital diaphragmatic herniae (CDH) may require patch closure in 50% of the cases. We assessed a biologic and composite mesh in a porcine CDH model.Methods: Left sided thoracotomy was performed in 20 pigs. Approximately, 30% of the diaphragm was excised and the patch (Surgisis® or Parietex®) inserted to close this defect. The pigs were killed at 6 months and the diaphragm was harvested for biomechanical and histological assessment.Results: The mean weight of the pigs at surgery and killing were 6.1 kg (4.2-8.4 kg) and 94.1 kg (80-131 kg), respectively. There were two recurrences and three eventrations, all with Surgisis®. There were less dense lung and abdominal adhesions in the Parietex group (P < 0.0001 and 0.025, respectively). The tensile strength of the Surgisis®, the Parietex® groups and controls were similar. There was significantly more muscle in-growth in the Parietex® patch over Surgisis® (p = 0.016).Conclusion: Parietex® and Surgisis® patches at 6 months have a similar tensile strength to normal tissue. All recurrences and eventrations were in the Surgisis® group. Parietex® patches demonstrated more muscle in-growth into the patch compared to Surgisis®. This is the first study utilising Parietex® composite patch in the repair of large diaphragmatic defects in a porcine model.","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"40 1","pages":"305"},"PeriodicalIF":1.5,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142625006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Factors contributing to parental stress in newborns requiring surgical care: a cross-sectional study. 导致需要外科护理的新生儿父母压力的因素：一项横断面研究。

IF 1.5 3区医学

Pediatric Surgery International Pub Date : 2024-11-11 DOI: 10.1007/s00383-024-05901-y

Veerabhadra Radhakrishna, Bahubali Deepak Gadgade, Nitin Kumar, Raghunath Bangalore Vasudev, Alladi Anand, Mamatha Basavaraju, Raghu Sampalli Ramareddy, Venkatesh Kesarla Lakshmaiah

{"title":"Factors contributing to parental stress in newborns requiring surgical care: a cross-sectional study.","authors":"Veerabhadra Radhakrishna, Bahubali Deepak Gadgade, Nitin Kumar, Raghunath Bangalore Vasudev, Alladi Anand, Mamatha Basavaraju, Raghu Sampalli Ramareddy, Venkatesh Kesarla Lakshmaiah","doi":"10.1007/s00383-024-05901-y","DOIUrl":"10.1007/s00383-024-05901-y","url":null,"abstract":"Purpose: To assess parental stress in newborns undergoing surgical care.Methods: A cross-sectional study was conducted in the Department of Pediatric Surgery at a tertiary center. The study included all parents of newborns requiring surgery, admitted between July 2023 and June 2024.Results: The overall stress score among the study population was 3.3 ± 1. Approximately 90% of parents reported experiencing at least some level of stress (stress score ≥ 2), with the \"parental role alteration\" domain scoring the highest (3.9 ± 1.1). In the \"surgical aspects\" domain, 27% reported extreme stress and 22% reported high stress. Higher stress scores were found among parents of preterm infants (3.6 ± 0.9 vs. 3.1 ± 1.1, p = 0.04), infants with a birth order ≥ 2 (3.4 ± 1.1 vs. 3.1 ± 1, p = 0.04), and those from the Muslim community. Graduate parents (2.8 ± 0.9, p = 0.01) and parents of upper socioeconomic status (2.3 ± 0.7, p < 0.0001) were found to have lower stress scores.Conclusion: Parental stress is significant among surgical newborns, especially in parents of preterm babies, babies with severe medical conditions, and those with lower education and socioeconomic status. \"Parental role alteration\" was the most stressful aspect, highlighting the need for targeted support.","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"40 1","pages":"303"},"PeriodicalIF":1.5,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142624637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Increased risk of clinically relevant neurodevelopmental disorders in survivors of congenital diaphragmatic hernia: a population-based study. 先天性膈疝幸存者患临床相关神经发育障碍的风险增加：一项基于人群的研究。

IF 1.5 3区医学

Pediatric Surgery International Pub Date : 2024-11-11 DOI: 10.1007/s00383-024-05871-1

Balazs Kutasy, Charlotte Skoglund, Anna Löf-Granström, Elin Öst, Björn Frenckner, Carmen Mesas Burgos

{"title":"Increased risk of clinically relevant neurodevelopmental disorders in survivors of congenital diaphragmatic hernia: a population-based study.","authors":"Balazs Kutasy, Charlotte Skoglund, Anna Löf-Granström, Elin Öst, Björn Frenckner, Carmen Mesas Burgos","doi":"10.1007/s00383-024-05871-1","DOIUrl":"10.1007/s00383-024-05871-1","url":null,"abstract":"Purpose: Neurodevelopmental disorders (ND) have been recognized as the most common and potentially most disabling outcome of congenital diaphragmatic hernia (CDH). Our aim was to evaluate the incidence of ND in patients with a history of CDH referred for ND assessment on the basis of clinically relevant symptoms rather than through a screening process.Methods: The study was a nationwide, population-based prospective nested case-control study within a cohort of newborn children who survived the newborn period in Sweden during the observational period from 1st January 1982 until 31st December 2015.Results: In the study period, 641 non-syndromic CDH survivors were identified, and 3080 control cases were selected. Significantly higher incidence of clinically relevant any ND (11.5% vs 5.6%,p < 0.001), ASD (3.9% vs 2.1%,p:0.011), and intellectual disorder (6.6% vs 0.7%,p < 0.001) were observed in CDH compared to controls. When compared with controls, those with CDH were found to have a 2.179 times higher risk to develop any ND (p < 0.001), 1.867 times higher risk for ASD (p = 0.008), and 10.63 times higher for intellectual disorder (p < 0.001).Conclusion: CDH survivors have a higher risk of clinically relevant ND than the general population, independent of the effect of screening.","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"40 1","pages":"304"},"PeriodicalIF":1.5,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142636102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of physician specialty training on pediatric appendectomy outcomes: an NSQIP-P analysis. 医生专科培训对小儿阑尾切除术结果的影响：NSQIP-P 分析。

IF 1.5 3区医学

Pediatric Surgery International Pub Date : 2024-11-10 DOI: 10.1007/s00383-024-05891-x

Eli M Snyder, Maveric K Abella, Ivana J Yoon, Anson Y Lee, Sneha A Singh, Cameron J Harvey, Devin P Puapong, Russell K Woo

{"title":"Effect of physician specialty training on pediatric appendectomy outcomes: an NSQIP-P analysis.","authors":"Eli M Snyder, Maveric K Abella, Ivana J Yoon, Anson Y Lee, Sneha A Singh, Cameron J Harvey, Devin P Puapong, Russell K Woo","doi":"10.1007/s00383-024-05891-x","DOIUrl":"10.1007/s00383-024-05891-x","url":null,"abstract":"Purpose: Appendectomies are the most common abdominal emergency surgery in pediatric patients. Both pediatric and general surgeons are credentialed to perform this procedure, however pediatric surgeons are specialized in pediatrics. This study seeks to determine differences in pediatric appendectomy outcomes between general and pediatric surgeons.Methods: Pediatric patients undergoing appendectomies between 2015 and 2020 were identified in the National Surgical Quality Improvement Program-Pediatric (NSQIP-P) database. Multivariable logistic regression models examined association of surgeon specialty with readmission, postoperative complications, reoperation, non-home discharge destination, operative time, etc. Adjusted odds ratios (AOR) and 95% confidence intervals (CI) were calculated.Results: Average ages of pediatric patients undergoing appendectomy by pediatric and general surgeons were 11.2 (n = 68,638) and 12.3 (n = 3,986) years, respectively (p < .001). General surgeons were not more likely to have adverse outcomes [AOR: 1.00 (0.99-1.01), p = 0.57], readmissions [AOR: 0.995 (0.98-1.00), p = 0.11], reoperations [AOR: 1.00 (0.99-1.00), p = 0.54], or non-home discharges [AOR: 0.99 (0.99-1.00), p = 0.94].Conclusions: Similar outcomes arise in pediatric appendectomies performed by general surgery at a children's hospital or hospitals with a pediatric wing. Significant limitations to using the NSQIP-P database persist. Further research including hospitals contributing to both adult and pediatric databases can provide a clearer picture of post-surgical outcomes in appendectomies.","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"40 1","pages":"302"},"PeriodicalIF":1.5,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142623486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Medical Alert Cards for patients with an anorectal malformation: a useful tool to increase awareness. 肛门直肠畸形患者医疗警示卡：提高意识的有用工具。

IF 1.5 3区医学

Pediatric Surgery International Pub Date : 2024-11-10 DOI: 10.1007/s00383-024-05886-8

Elizaveta Bokova, Ismael Elhalaby, Ninad Prasade, Margaret Martin-McLain, Wendy E Lewis, Christine N Feira, Irene Isabel P Lim, Rebecca M Rentea

{"title":"Medical Alert Cards for patients with an anorectal malformation: a useful tool to increase awareness.","authors":"Elizaveta Bokova, Ismael Elhalaby, Ninad Prasade, Margaret Martin-McLain, Wendy E Lewis, Christine N Feira, Irene Isabel P Lim, Rebecca M Rentea","doi":"10.1007/s00383-024-05886-8","DOIUrl":"10.1007/s00383-024-05886-8","url":null,"abstract":"Purpose: Anorectal malformations (ARMs) are rare congenital anomalies causing altered anatomy and frequent hospitalizations. Parental awareness and clear communication are crucial in family-centered care. This study assesses the impact of patient-held ARM Medical Alert Cards on healthcare providers and caregivers.Methods: Caregivers of children with ARMs, including cloacal anomalies, received Medical Alert Cards with (1) contact details; (2) disease-related information; and (3) patient-specific data. A survey evaluated these cards' effectiveness in enhancing ARM awareness among healthcare professionals and caregivers.Results: Among 33 respondents, 29 (88%) found the cards helpful in increasing ARM awareness. Both caregivers and providers found the content coherent, with a median readability score of 9 (IQR 8-10). The card layout was well-received by 30 out of 32 respondents (94%), and all noted the clarity of the contact details, facilitating patient referrals to specialized care. Most caregivers (13 out of 14, 93%) expressed willingness to use these cards in medical settings. Suggestions for improvement included adding more patient-specific information, enhancing readability, and providing visual anatomy diagram.Conclusion: Medical Alert Cards for patients with ARMs can enhance understanding of ARMs among caregivers and healthcare providers, serving as a vital tool in patient-centered management strategies tailored to individual needs.","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"40 1","pages":"301"},"PeriodicalIF":1.5,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142624988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ultrasound and computed tomography in differentiating between simple and complicated appendicitis in pediatric patients. 超声波和计算机断层扫描在区分小儿单纯性阑尾炎和复杂性阑尾炎方面的作用。

IF 1.5 3区医学

Pediatric Surgery International Pub Date : 2024-11-09 DOI: 10.1007/s00383-024-05880-0

Mohamad Badlis, Kamil Amari, Maya Alkheshi, Karim Alolaby, Bayan Alsaid

{"title":"Ultrasound and computed tomography in differentiating between simple and complicated appendicitis in pediatric patients.","authors":"Mohamad Badlis, Kamil Amari, Maya Alkheshi, Karim Alolaby, Bayan Alsaid","doi":"10.1007/s00383-024-05880-0","DOIUrl":"10.1007/s00383-024-05880-0","url":null,"abstract":"Objectives: This study aims to measure the diagnostic accuracy and reliability of US and CT in diagnosing complicated appendicitis among pediatric patients and to find the performance of the imaging modalities in detecting complication signs.Methods: a systematic review and meta-analysis were done on 15 eligible studies from the Medline Database concerning pediatric appendicitis and its complications. Studies either provided an overall estimate of sensitivity and specificity of the imaging modality or addressed signs of complicated appendicitis The reference standard employed was either surgical findings or histopathology reports.Results: The review included assessments of 4,497 pediatric patients, with 285 undergoing CT and 4,212 undergoing US imaging. CT demonstrated sensitivities of 62% and 68.4%, and specificities of 81% and 92.4%. US showed sensitivities of 33.9% to 51.5% and specificities ranging from 68.8% to 95%. The ultrasound's ability to detect appendiceal wall diameter > 5 mm showed the highest sensitivity (99.4%), while the conglomerate sign indicated the highest specificity (99.9%).Conclusion: The findings suggest that both US and CT exhibit higher specificity than sensitivity in diagnosing complicated appendicitis in pediatric patients. Given its favorable specificity, non-invasiveness, and lack of radiation exposure, US should be the first-line imaging modality in suspected cases of pediatric appendicitis. CT, offering robust specificity, should be reserved for ambiguous cases where US results are inconclusive. These insights underscore the critical role of precise imaging modalities in enhancing diagnostic accuracy, reducing unnecessary surgeries, and improving clinical outcomes in pediatric appendicitis management.","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"40 1","pages":"299"},"PeriodicalIF":1.5,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142625124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Follow-up and transition practices in esophageal atresia: a review of European Reference Network on rare Inherited and Congenital Anomalies (ERNICA) centres and affiliates. 食道闭锁的随访和过渡做法：对欧洲罕见遗传性和先天性畸形参考网络（ERNICA）中心和附属机构的回顾。

IF 1.5 3区医学

Pediatric Surgery International Pub Date : 2024-11-09 DOI: 10.1007/s00383-024-05865-z

Natalie Durkin, Marco Pellegrini, Ramon Gorter, Graham Slater, Kate M K Cross, Benno Ure, Rene Wijnen, Frédéric Gottrand, Simon Eaton, Paolo De Coppi

{"title":"Follow-up and transition practices in esophageal atresia: a review of European Reference Network on rare Inherited and Congenital Anomalies (ERNICA) centres and affiliates.","authors":"Natalie Durkin, Marco Pellegrini, Ramon Gorter, Graham Slater, Kate M K Cross, Benno Ure, Rene Wijnen, Frédéric Gottrand, Simon Eaton, Paolo De Coppi","doi":"10.1007/s00383-024-05865-z","DOIUrl":"10.1007/s00383-024-05865-z","url":null,"abstract":"Purpose: The purpose of this study was to understand the provision and distribution of esophageal atresia (EA) follow-up (FU) and transition services across European Reference Network for rare Inherited and Congenital Anomalies (ERNICA) member and affiliate centers.Methods: A REDCap questionnaire was sent to clinical leads of 18 ERNICA members and 14 affiliate centers.Results: 29 of 32 centers responded (91%), the majority of which were highly specialized. Two-thirds had a dedicated EA clinic with a specialist multi-disciplinary team (MDT), offered to selected/complex patients only in 40% of centers. ERNICA centers were more likely to offer an MDT FU clinic than affiliates, with lack of resources most cited as a barrier to uptake (67%). Delivery of routine investigations was heterogeneous, particularly provision of three endoscopies over the course of FU (24%). Only 55% had a dedicated transition pathway, more prevalent in ERNICA centers (81% vs. 30%; p < 0.01). Self-reported awareness of ERNICA and European Society for Pediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) guidance for FU and transition was poor (28%).Conclusion: Despite the existence of European follow-up and transition guidelines, their delivery is not uniform and may be limited by lack of awareness of the guidelines and a lack of resources.","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"40 1","pages":"300"},"PeriodicalIF":1.5,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11550284/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142624813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0