Seminars in Pediatric Surgery最新文献

Bariatric surgery - Forward. 减肥手术-前进。

IF 2.5 3区医学

Seminars in Pediatric Surgery Pub Date : 2026-03-25 DOI: 10.1016/j.sempedsurg.2026.151630

Jason D Fraser

引用次数: 0

Saving limbs and lives: Vascular lessons from the combat zone. 拯救四肢和生命：来自战区的血管教训。

IF 2.5 3区医学

Seminars in Pediatric Surgery Pub Date : 2026-03-18 DOI: 10.1016/j.sempedsurg.2026.151629

Natalie A Drucker, Erin K Greenleaf, Charles S Cox

引用次数: 0

From battlefield to bedside: How military surgeons advanced pediatric critical care transport and ECMO. 从战场到床边：军医如何推进儿科重症监护运输和ECMO。

IF 2.5 3区医学

Seminars in Pediatric Surgery Pub Date : 2026-03-18 DOI: 10.1016/j.sempedsurg.2026.151628

Micah Wolfsohn, Howard Heiman, Colleen M Fitzpatrick

{"title":"From battlefield to bedside: How military surgeons advanced pediatric critical care transport and ECMO.","authors":"Micah Wolfsohn, Howard Heiman, Colleen M Fitzpatrick","doi":"10.1016/j.sempedsurg.2026.151628","DOIUrl":"https://doi.org/10.1016/j.sempedsurg.2026.151628","url":null,"abstract":"<p><p>While the mission of the United States military medical corps has always been to care for combat wounded and military troops, the passage of the 1956 Dependents' Medical Care Act extended the provision of medical services to military dependents into that mission. Our nation's goals have also included military humanitarian assistance in peace and war, which contributes to operational readiness. Given the global reach of the United States military, this support serves patients in all corners of the planet. Neonatal and pediatric patients have benefited significantly from the military development of global transport, Extracorporeal Membrane Oxygenation, and Pediatric Critical Care Air Transport Teams. This article highlights the development of these programs. Colleen M. Fitzpatrick, MD, MPA, FACS, FAAP served as a pediatric surgeon in the United States Air Force from 2008 to 2016. Additionally, she completed her general surgery training and research on active duty at Wilford Hall Medical Center, Lackland AFB from 1999 to 2006. During her military tenure, she was initially stationed at Wilford Hall Medical Center and Brooke Army Medical Center at the San Antonio Military Medical Center. She was then stationed at the Center for the Sustainment of Trauma and Readiness Skills, St. Louis at St. Louis University where she completed her military commitment. During her time on active duty, she served at the Pediatric Surgery Consultant to the US Air Force Surgeon General, and she deployed to Bagram Airfield, Afghanistan, in support of Operation Enduring Freedom.</p>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":" ","pages":"151628"},"PeriodicalIF":2.5,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147516184","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

The disproportionate burden of severe obesity in youth with special needs and the role of metabolic and bariatric surgery. 有特殊需要的青少年严重肥胖的不成比例的负担以及代谢和减肥手术的作用。

IF 2.5 3区医学

Seminars in Pediatric Surgery Pub Date : 2026-03-04 DOI: 10.1016/j.sempedsurg.2026.151613

Adil A Shah, Evan Nadler

引用次数: 0

How to build an adolescent bariatric surgery program. 如何建立青少年减肥手术项目。

IF 2.5 3区医学

Seminars in Pediatric Surgery Pub Date : 2026-03-04 DOI: 10.1016/j.sempedsurg.2026.151612

Sadie Crouch, Kanika A Bowen-Jallow

{"title":"How to build an adolescent bariatric surgery program.","authors":"Sadie Crouch, Kanika A Bowen-Jallow","doi":"10.1016/j.sempedsurg.2026.151612","DOIUrl":"https://doi.org/10.1016/j.sempedsurg.2026.151612","url":null,"abstract":"<p><p>Adolescent bariatric surgery has shown itself to be an effective method of weight loss, particularly for young patients suffering from severe obesity. Timely surgical intervention in the adolescent patient results in long-term weight loss, reversal of comorbidities, and overall improvement in health. Despite proven success, there are still too few programs for the growing volumes of adolescents who need intervention. Many institutions are evaluating adolescent bariatric program development. The impact of a well-structured adolescent bariatric surgery program is invaluable to the pediatric community. Developing and maintaining an effective program requires intentionality and institutional commitment. A focus on growth and sustainability supported by clear benchmarks and consistent measurements is necessary. The more adolescent bariatric programs that are created and are able to grow and sustain themselves, the more opportunities there will be for children suffering with severe obesity to obtain the treatment that can lengthen and drastically improve their lives. This article provides a blueprint full of practical steps for those looking to build their own adolescent bariatric surgery program.</p>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":" ","pages":"151612"},"PeriodicalIF":2.5,"publicationDate":"2026-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147445792","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

Non-pharmacologic strategies and barriers in the management of childhood obesity. 儿童肥胖管理中的非药物策略和障碍。

IF 2.5 3区医学

Seminars in Pediatric Surgery Pub Date : 2026-03-04 DOI: 10.1016/j.sempedsurg.2026.151609

Gabriella P Morantes, Maria Silva, Dorothee Newbern

{"title":"Non-pharmacologic strategies and barriers in the management of childhood obesity.","authors":"Gabriella P Morantes, Maria Silva, Dorothee Newbern","doi":"10.1016/j.sempedsurg.2026.151609","DOIUrl":"https://doi.org/10.1016/j.sempedsurg.2026.151609","url":null,"abstract":"<p><p>Childhood obesity is a complex and multifactorial chronic disease affecting approximately 20% of U.S. children and adolescents. This article reviews the 2023 American Academy of Pediatrics Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents with Obesity, highlighting social factors, non-pharmacological treatments, barriers involved, and additional resources available in the management of childhood obesity. Environmental and social factors, such as social determinants of health (SDoH) and adverse childhood experiences (ACEs), contribute significantly to obesity risk and treatment outcomes. Intensive health behavior and lifestyle treatment (IHBLT) serves as first-line therapy as well as the foundation for all interventions. Motivational interviewing (MI) is an essential clinical tool that enhances patient engagement, supports autonomy, and reduces the impact of weight bias and stigma. Effective treatment of obesity in children involves an individualized, family-centered approach, which incorporates screening of ACEs and SDoH in clinical practice. Addressing barriers to access and expanding community partnerships remain crucial to improving outcomes.</p>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":" ","pages":"151609"},"PeriodicalIF":2.5,"publicationDate":"2026-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500389","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

Pharmacotherapy in childhood obesity: Key points from the 2023 AAP clinical practice guideline. 儿童肥胖的药物治疗：来自2023 AAP临床实践指南的要点

IF 2.5 3区医学

Seminars in Pediatric Surgery Pub Date : 2026-03-03 DOI: 10.1016/j.sempedsurg.2026.151608

Fatima Alam, Dorothee Newbern

{"title":"Pharmacotherapy in childhood obesity: Key points from the 2023 AAP clinical practice guideline.","authors":"Fatima Alam, Dorothee Newbern","doi":"10.1016/j.sempedsurg.2026.151608","DOIUrl":"https://doi.org/10.1016/j.sempedsurg.2026.151608","url":null,"abstract":"<p><p>Despite increased awareness and interventions, childhood obesity continues to rise and remains a major public health and global challenge. In the United States, approximately one fifth of youth are affected, leading to significant cardiometabolic, psychosocial, and economic consequences. The 2023 American Academy of Pediatrics (AAP) Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents with Obesity introduced evidence-based recommendations focused on early identification, comprehensive evaluation, and multimodal management of pediatric obesity. This article summarizes the guideline's major screening and treatment recommendations and focuses on current pharmacotherapy. Body Mass Index (BMI) remains the primary screening tool, supported by assessment of comorbidities and contributing factors such as genetics, endocrinopathies, medications, and environmental influences. Intensive health behavior and lifestyle treatment (IHBLT) is the cornerstone of therapy with pharmacotherapy recommended for adolescents aged 12 years and older as adjunct therapy when appropriate, with bariatric surgery reserved for adolescents aged 13 years and older with higher levels of obesity, which is safe and effective for achieving durable weight loss and improving obesity-related comorbidities. Despite advances, significant gaps persist in long-term safety data, efficacy in younger children, equitable access to care, and sustained weight maintenance after pharmacological treatment ends.</p>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":" ","pages":"151608"},"PeriodicalIF":2.5,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147373507","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

Current updates and anesthetic considerations for adolescent metabolic and bariatric surgery. 青少年代谢和减肥手术的最新进展和麻醉考虑。

IF 2.5 3区医学

Seminars in Pediatric Surgery Pub Date : 2026-03-03 DOI: 10.1016/j.sempedsurg.2026.151610

Nichole M Doyle, Emily L Weisberg, Todd A Glenski, Christian M Taylor

{"title":"Current updates and anesthetic considerations for adolescent metabolic and bariatric surgery.","authors":"Nichole M Doyle, Emily L Weisberg, Todd A Glenski, Christian M Taylor","doi":"10.1016/j.sempedsurg.2026.151610","DOIUrl":"https://doi.org/10.1016/j.sempedsurg.2026.151610","url":null,"abstract":"<p><p>Pediatric obesity has grown in prevalence over the last several decades and is a major public health crisis. Early intervention is favored to prevent obesity related co-morbidities. Metabolic and bariatric surgery (MBS) in the pediatric population has increased in frequency and is shown to be safe and effective as part of a multifaceted and multidisciplinary approach to weight loss. However, surgical management currently remains an underutilized option compared to the significant number of patients who meet current eligibility criteria. Most adolescent MBS procedures are performed on patients greater than 16 years of age. Anesthetic management of pediatric bariatric patients should include a thorough preoperative evaluation, with attention to obesity related co-morbidities and home medications. Intraoperative management and postoperative planning should include consideration of obesity-related potential complications. Development and implementation of ERAS pathways for pediatric MBS can mirror the success of adult MBS outcomes due to the synergy of multidisciplinary management of this complex patient population.</p>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":" ","pages":"151610"},"PeriodicalIF":2.5,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147445743","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

Effects of caudal versus penile block on the incidence of hypospadias complications following primary repairs: A prospective, double-blind, randomized controlled trial 尾侧阻滞与阴茎阻滞对尿道下裂初次修复后并发症发生率的影响：一项前瞻性、双盲、随机对照试验。

IF 2.5 3区医学

Seminars in Pediatric Surgery Pub Date : 2026-03-01 Epub Date: 2025-11-19 DOI: 10.1016/j.sempedsurg.2025.151576

Fikret Salık , Meral Erdal Erbatur , Mehmet Ali Turgut , Zülfü Savaş , Ayhan Kaydu , Mehmet Hanifi Okur , Hakkari Aydogdu , Mustafa Azizoglu

{"title":"Effects of caudal versus penile block on the incidence of hypospadias complications following primary repairs: A prospective, double-blind, randomized controlled trial","authors":"Fikret Salık , Meral Erdal Erbatur , Mehmet Ali Turgut , Zülfü Savaş , Ayhan Kaydu , Mehmet Hanifi Okur , Hakkari Aydogdu , Mustafa Azizoglu","doi":"10.1016/j.sempedsurg.2025.151576","DOIUrl":"10.1016/j.sempedsurg.2025.151576","url":null,"abstract":"<div><h3>Introduction</h3><div>This prospective, randomized, double-blinded study aimed to compare the incidence of postoperative complications and perioperative analgesic efficacy between caudal and penile block in children undergoing primary hypospadias repair.</div></div><div><h3>Methods</h3><div>Sixty-two boys aged 6–48 months were randomly assigned to receive either caudal block group (CB, <em>n</em> = 31) or penile block group (PB, <em>n</em> = 31) for preemptive analgesia before surgery. All patients underwent tubularized incised plate urethroplasty. The primary outcome was the incidence of postoperative complications, including urethrocutaneous fistula and meatal stenosis, assessed at 3- and 6-months post-surgery. Secondary outcomes included total perioperative fentanyl consumption and the number of patients requiring rescue analgesia.</div></div><div><h3>Results</h3><div>There were no significant differences in the incidence of total complications (9.7 % vs. 16.1 %, <em>p</em> = 0.449), fistula (6.5 % vs. 3.2 %, <em>p</em> = 0.554), or meatal stenosis (3.2 % vs. 12.9 %, <em>p</em> = 0.162) between the CB and PB groups. However, fistula rate was significantly higher in patients with midpenil compared to distal hypospadias (13 % vs. 0 %, <em>p</em> = 0.021). Total perioperative fentanyl consumption and the number of patients requiring rescue analgesia were significantly lower in the CB group (<em>p</em> = 0.041 and <em>p</em> = 0.01, respectively).</div></div><div><h3>Conclusion</h3><div>In conclusion, caudal block provides superior perioperative analgesia without increasing the risk of postoperative complications compared to penile block in children undergoing primary hypospadias repair.</div></div><div><h3>Level of evidence</h3><div>Level I.</div></div>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"41 ","pages":"Article 151576"},"PeriodicalIF":2.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145642328","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

A novel dynamic in-vitro model of esophageal button battery ingestion demonstrating benefits of honey, but not acetic acid 一种新的动态体外食道纽扣电池摄入模型显示蜂蜜的益处，而不是醋酸。

IF 2.5 3区医学

Seminars in Pediatric Surgery Pub Date : 2026-03-01 Epub Date: 2026-02-11 DOI: 10.1016/j.sempedsurg.2026.151584

Charlotte Reich, Yannick Schmidt, Karina Khakim, Andreas Lindner, Nomin Krespach, Oliver Muensterer, Danielle S Wendling-Keim

{"title":"A novel dynamic in-vitro model of esophageal button battery ingestion demonstrating benefits of honey, but not acetic acid","authors":"Charlotte Reich, Yannick Schmidt, Karina Khakim, Andreas Lindner, Nomin Krespach, Oliver Muensterer, Danielle S Wendling-Keim","doi":"10.1016/j.sempedsurg.2026.151584","DOIUrl":"10.1016/j.sempedsurg.2026.151584","url":null,"abstract":"<div><h3>Purpose</h3><div>Retained esophageal button batteries (BBs) cause significant morbidity in children. Current guidelines recommend oral honey administration in children over 1 year and esophageal irrigation with 0.25 % acetic acid (ACA) after BB removal, but supporting evidence is limited. We aimed to develop a dynamic in vitro esophageal model to evaluate these interventions.</div></div><div><h3>Methods</h3><div>Our novel model consisted of fresh porcine oesophagi suspended in an environment simulating body temperature, peristalsis, and saline perfusion. BBs or sham BBs were placed in the oesophagus. Honey was administered at specific intervals after BB insertion. After BB removal, the lesions were washed with ACA or buffer solution. Paraffin slides were stained with hematoxylin and eosin (HE) to quantify the ulceration.</div></div><div><h3>Results</h3><div>The mean pH was significantly lower in samples exposed to honey (<span><math><mi>p</mi></math></span>≤0.0001) and the voltage discharge was reduced with honey as well (<span><math><mi>p</mi></math></span>≤0.0001). Application of honey resulted in macroscopically smaller ulcers than in untreated oesophagi. HE staining confirmed the macroscopic results with significantly reduced ulcers with honey application (<span><math><mi>p</mi></math></span> < 0.009). Irrigation with ACA had no effect.</div></div><div><h3>Conclusion</h3><div>We developed a dynamic in vitro model of oesophageal button battery ingestion by including peristalsis, body temperature, an upright lumen and saline perfusion. Our data supports the recommendations that oral honey application before endoscopic battery removal protects the mucosa after oesophageal BB retention, whereas ACA irrigation at the time of BB removal showed no effect in this study.</div></div>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"41 ","pages":"Article 151584"},"PeriodicalIF":2.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272490","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