Abstract：
:In neonates requiring operation for necrotizing enterocolitis (NEC), the complications due to enterostomy (ES) and the need for another operation to restore continuity have prompted several surgeons to employ primary anastomosis (PA) after resection as the operative strategy of choice. Our objective was to compare primary anastomosis to stoma formation in this population using systematic review and meta-analysis. Publications describing both interventions were identified by searching multiple databases. Appropriate studies that reported outcomes after PA and ES for NEC were included for analysis that was performed using the MedCalc3000 software. Results are reported as odds ratios (OR, 95% CI). No randomized trials were identified. Twelve studies were included for the final analysis. Neonates who underwent PA were associated with significantly less risk of mortality when compared to those who underwent ES (OR 0.34, 95% CI 0.17-0.68, p 0.002), possibly due to differences in severity of NEC. Although the types of complications in these groups were different, there was no significant difference in risk of complication (OR 0.86, 0.55-1.33, p 0.50). In neonates undergoing an operation for severe NEC, there is no significant difference in the risk of complications between primary anastomosis and enterostomy. A definitive suggestion cannot be made regarding the choice of one operative strategy over another.
journal_name
Pediatr Surg Intjournal_title
Pediatric surgery internationalauthors
Haricharan RN,Gallimore JP,Nasr Adoi
10.1007/s00383-017-4126-zsubject
Has Abstractpub_date
2017-11-01 00:00:00pages
1139-1145issue
11eissn
0179-0358issn
1437-9813pii
10.1007/s00383-017-4126-zjournal_volume
33pub_type
杂志文章,评审abstract：:To categorize variant persistent müllerian-duct derivatives (MDD) in males and determine their related clinical presentations for further management, five male patients with retained MDDs from abnormal müllerian remnants were studied. They comprised one patient with persistent müllerian-duct syndrome, one with transve...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-002-0718-2
更新日期：2002-09-01 00:00:00
abstract：:In the published version, the Acknowledgements section was missing a funding note of co-author Dr C Verrill. The corrected version should read as follows. ...
journal_title：Pediatric surgery international
pub_type： 已发布勘误
doi：10.1007/s00383-020-04624-0
更新日期：2020-04-01 00:00:00
abstract：BACKGROUND:Subclinical varicocele is a relative rare condition. The aim of this study is to identify the role of bioflavonoids in the management of subclinical varicocele. MATERIALS AND METHODS:We analyzed the medical charts of patients treated for subclinical varicocele with bioflavonoids between 1999 and 2004; inclu...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-010-2574-9
更新日期：2010-05-01 00:00:00
abstract：:From January 1972 to June 1993, 166 patients with posterior urethral valves (PUV) were treated in our surgical department, 59 with a milder form of PUV (upper urinary tract [UUT] complication rate 29%) and 107 with a severer form (UUT complication rate 96.3%). Only the latter group was studied for long-term (mean 9.3 ...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/BF00497807
更新日期：1996-06-01 00:00:00
abstract：PURPOSE:Hepatopulmonary syndrome (HPS) is a progressive, deteriorating complication of end-stage liver disease (ESLD) that occurs in 13-47% of liver transplant candidates. Although LT is the only therapeutic option for HPS, it has a high morbidity and mortality, especially in patients with severe hypoxemia before trans...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-011-2866-8
更新日期：2011-08-01 00:00:00
abstract：:Primary hydatid disease of the pancreas is rare. The authors report a 3-year-old girl who had a cystic mass in the head of the pancreas with no other viscera involved. At laparatomy the entire endocyst was totally extracted from the surrounding pancreatic parenchyma. The postoperative course was uneventful. She is cur...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s003830050677
更新日期：1999-01-01 00:00:00
abstract：INTRODUCTION:Objectively evaluating the lack of bowel control (fecal incontinence) continues to be a challenge. Many have attempted to measure the severity of fecal incontinence and to evaluate its impact on the quality of life by developing standardized scoring systems. Some of these systems have been validated but no...
journal_title：Pediatric surgery international
pub_type： 杂志文章,评审
doi：10.1007/s00383-016-3909-y
更新日期：2016-08-01 00:00:00
abstract：:We present the case of a 10-year-old girl with biliary atresia in whom focal nodular hyperplasia (FNH) of the liver occurred following successful "Kasai" hepatic portoenterostomy at the age of 2 months. Her jaundice completely disappeared a few weeks after the operation. A 4-cm diameter liver tumor in segment IV was f...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-007-2090-8
更新日期：2008-05-01 00:00:00
abstract：INTRODUCTION:Applicants in the NRMP for pediatric surgery have little objective data available regarding factors predicting successful matching. We analyzed data from applicants at our institution to attempt to identify parameters correlated with three outcomes: successfully matching, or attaining either a top ten or t...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-011-2912-6
更新日期：2011-11-01 00:00:00
abstract：:An infant developed massive lower gastrointestinal haemorrhage secondary to necrotising enterocolitis after cardiac surgery. The haemorrhage was only controlled following a colectomy. ...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s003830050613
更新日期：1999-07-01 00:00:00
abstract：INTRODUCTION:We assessed the impact of intestinal transplantation on Japanese pediatric patients with intestinal failure with data from the Japanese intestinal transplant registry. METHODS:Standardized forms were sent to all known intestinal transplantation programs, requesting information on transplants performed bet...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-013-3392-7
更新日期：2013-10-01 00:00:00
abstract：PURPOSE:The aims of this study were to assess the short- and long-term complication rates after video-assisted gastrostomy (VAG), the effects of age and gender on long-term complications and the effect of duration of gastrostomy tube retention on the need for gastroraphy when the gastrostomy device was removed. METHOD...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-016-4001-3
更新日期：2017-01-01 00:00:00
abstract：:Rhabdoid tumour of the kidney is not common. Presentation of such a lethal tumour along with blunt abdominal trauma is even rarer. We report such a case of Rhabdoid tumour of kidney which presented as renal trauma, and discuss the diagnostic difficulties and rapidly fatal outcome. ...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s003839900290
更新日期：2000-01-01 00:00:00
abstract：:The aim of this study was to determine whether barium enema reduction (BER) is safe and effective in patients with a long duration of intussusception. Over the last 17 years, 104 patients were admitted to our hospital with a diagnosis of intussusception. All except 1 with peritonitis underwent BER primarily. Of the 10...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s003830050526
更新日期：1999-01-01 00:00:00
abstract：:A small phallus causes great concern regarding genital adequacy. A concealed penis, although of normal size, appears small either because it is buried in prepubic tissues, enclosed in scrotal tissue penis palmatus (PP), or trapped due to phimosis or a scar following circumcision or trauma. From July 1978 to January 20...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-002-0770-y
更新日期：2002-12-01 00:00:00
abstract：BACKGROUND:Cervicovaginal atresia is a rare Mullerian anomaly. The management of cervicovaginal atresia has evolved from historical recommendations of hysterectomy to various reconstructive procedures more recently. The latter carries a risk of significant morbidity and unknown fertility. We present our experience in t...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-014-3550-6
更新日期：2014-10-01 00:00:00
abstract：:The issues of sexual function and fertility are becoming relevant in patients with posterior urethral valves (PUV), as more of them reach adulthood. To evaluate the semen of post-pubertal patients with PUV as a determinant of future fertility, all such patients (age >16 years) attending the follow-up urology clinic of...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s003830100679
更新日期：2002-03-01 00:00:00
abstract：PURPOSE:We investigated the relationship between the affected lobe and symptom onset in prenatally diagnosed congenital pulmonary airway malformation (CPAM). METHODS:53 CPAM patients diagnosed prenatally were reviewed retrospectively by creating 2 groups according to symptom onset. Group Sneo: (symptomatic during the ...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-019-04460-x
更新日期：2019-05-01 00:00:00
abstract：:To determine which laser can be used for a vascular lesion, the different working mechanisms of the individual lasers must first be understood. The localization and diameter of the vessels to be treated define whether a certain laser is appropriate for that lesion. For teleangiectasias and port-wine stains the pulsed-...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/BF00497797
更新日期：1996-06-01 00:00:00
abstract：:A 6-year-old girl presented with intractable constipation. On investigation, she was found to have an association of anorectal stenosis, anterior sacral defect, and anterior meningocoele (Currarino's triad). The meningocoele was excised and a Duhamel pull-through procedure performed after resection of a massively dist...
journal_title：Pediatric surgery international
pub_type： 杂志文章,评审
doi：10.1007/s003830050362
更新日期：1998-07-01 00:00:00
abstract：:Two patients who presented with a history of right inguinal hernia and a third with an impalpable left testis were found to have transverse testicular ectopia. Both testes were fixed in their own scrotum, through a modified Ombredanne operation in two patients and a subdartos pouch in one. ...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：
更新日期：1997-02-01 00:00:00
abstract：:The authors report two patients with extrahepatic portal hypertension and repeated massive bleeding from esophageal varices who underwent urgent distal splenorenal shunting (DSRS) after having proved refractory to medical treatment, endoscopic sclerotherapy, and ligation of esophageal varices. Their ages and weights w...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s003830100014
更新日期：2001-11-01 00:00:00
abstract：:Incarcerated inguinal hernias in infants are commonly encountered. Reduction with intravenous sedation using morphine and related drugs carries risks of apnoea and/or respiratory arrest, especially in small, ex-premature babies who have an increased incidence of incarceration and thus opiate use is best avoided. Cauda...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-005-1534-2
更新日期：2005-09-01 00:00:00
abstract：AIM:An experimental study was performed to investigate the efficacy of colchicine in the prevention of fibrosis in the alkaline burn of the esophagus in rats. METHOD:A standard esophageal alkaline burn was produced by the application of 37.5% NaOH for a period of 90 s to the distal esophagus followed by a water rinse....
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-006-1644-5
更新日期：2006-04-01 00:00:00
abstract：PURPOSE:The optimal treatment for pediatric Graves' disease (GD) is controversial. Antithyroid drugs are often used initially, but they are associated with a high failure rate. Therefore alternative therapies have become important. In the present study, we analyze our institution's experience regarding the safety and e...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-012-3095-5
更新日期：2012-06-01 00:00:00
abstract：:Pulmonary sequestration is a rare congenital pulmonary malformation. We report a case of a 10-month-old infant with intralobar pulmonary sequestration diagnosed in utero. The lesion had an uncommon blood supply consisting of three large arteries deriving from the thoracic aorta and venous drainage into the inferior ve...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-012-3088-4
更新日期：2012-07-01 00:00:00
abstract：PURPOSE:To compare integration of bladder acellular matrix (BAM) with the bladder when seeded with mesenchymal stem cells (MSC) and when MSC are injected intravenously (IV). METHODS:MSCs were isolated from bone marrow of EPM-1 Wistar male rats. Female rats were distributed into: Group A-BAM augmentation; Group B-BAM a...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-014-3465-2
更新日期：2014-04-01 00:00:00
abstract：:Endoscopic management is the accepted form of treatment for posterior urethral valves (PUV). The Nd:YAG laser has been in clinical use for many decades, but has been used only sporadically for ablating PUV. In this study, PUV were diagnosed by micturating cystourethrogram (MCU). In the 9-month period beginning March 1...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s003830050018
更新日期：2000-01-01 00:00:00
abstract：:Pharyngeal perforations are uncommon in children and are usually secondary to instrumentation or external penetrating injuries. A delay in management can lead to life-threatening complications such as retropharyngeal abscess, mediastinitis, and airway compromise. We report three children who had pharyngeal perforation...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-005-1447-0
更新日期：2005-06-01 00:00:00
abstract：PURPOSE:Experience with male cloaca (MC), a single opening in perineum for passage of urine and meconeum is described. METHODS:Cases of MC were ambispectively studied, prospectively from July 2007 to April 2015 and retrospectively for last three decades. RESULTS:Seven cases of MC were identified, between the ages of ...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-015-3738-4
更新日期：2015-08-01 00:00:00
