Abstract：
BACKGROUND:Pediatric patients with medically refractory ulcerative colitis (UC) often undergo an initial subtotal colectomy end ileostomy (STC-I). The role of fecal diversion in the subsequent completion proctectomy/ileal-pouch anal anastomosis (CP-IPAA) remains controversial. METHODS:A multi-institutional retrospective review was performed of pediatric UC patients who underwent an STC-I followed by CP-IPAA from 2008 to 2016. 37 patients were included [diverted (n = 20), undiverted (n = 17)]. RESULTS:Children who underwent undiverted CP-IPAA had a longer length of stay (days) compared to the diverted group (9, 6.5-13 vs. 6, 5-6, p = 0.002). The 30-day complication rate was significantly higher in the undiverted group (p = 0.003) although the difference in anastomotic leak, readmission rate, unplanned computer tomography use, and reoperation was not statistically significant. Three patients with undiverted CP-IPAA required additional surgery in the perioperative period for fecal diversion. The mean long-term follow-up was 25.68 ± 21.56 months. There were no significant differences in functional pouch outcomes. CONCLUSIONS:Patients who underwent an undiverted CP-IPAA after initial STC-I had significantly more complications in the immediate postoperative period compared to diverted patients, although this did not translate into long-term differences in functional outcomes. Questions remain regarding careful patient selection and counseling for undiverted pouches in the pediatric UC population.
journal_name
Pediatr Surg Intjournal_title
Pediatric surgery internationalauthors
Chen YJ,Grant R,Lindholm E,Lipskar A,Dolgin S,Khaitov S,Greenstein Adoi
10.1007/s00383-019-04440-1subject
Has Abstractpub_date
2019-04-01 00:00:00pages
443-448issue
4eissn
0179-0358issn
1437-9813pii
10.1007/s00383-019-04440-1journal_volume
35pub_type
杂志文章,多中心研究abstract：:Mortality rates in neonatal surgery have dropped markedly, illustrating the enormous progress made. Yet, new questions have arisen. To mention one, health care budgets have tightened. It follows that the effects of medical interventions should be weighted against their costs. As evidence was particularly sparse, we se...
journal_title：Pediatric surgery international
pub_type： 杂志文章,评审
doi：10.1007/s00383-007-2045-0
更新日期：2008-02-01 00:00:00
abstract：PURPOSE:The aim of this study was to determine the incidence of gastroschisis-related complications (GRCs) after closure of the abdominal wall defect, with a focus on frequency, type and timing of required surgical interventions, and to identify the impact of these on further outcome. METHODS:All gastroschisis patient...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-014-3500-3
更新日期：2014-06-01 00:00:00
abstract：:Esophageal hiatal hernias (EHH) are probably caused by congenital, traumatic, or iatrogenic factors, although the etiology remains unknown. EHHs may develop after abdominal wall closure for omphalocele or gastroschisis due to the increased intra-abdominal pressure, however, there have been few reports in the literatur...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s003830050352
更新日期：1998-07-01 00:00:00
abstract：:Congenital/infantile fibrosarcoma (IFS) is a relatively rare form of fibrosarcoma diagnosed at birth or during early years of life and that differs from its adult counterpart because of a more favorable behavior. IFS is also known as cellular congenital mesoblastic nephroma, when it affects the kidney and is often but...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-015-3670-7
更新日期：2015-04-01 00:00:00
abstract：:Hirschsprung's disease (HD) in Down's syndrome (DS) patients is stated to have a worse outcome than HD alone. In our study we reviewed the immediate and long-term outcomes of these children and questioned whether DS should influence the operative management. Data were collected on all children with HD (including total...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-005-1617-0
更新日期：2006-02-01 00:00:00
abstract：:The incidence of postoperative cholangitis has changed very little despite progressive improvement in the treatment of biliary atresia. The role of the bilioenteric conduit in its pathogenesis is still uncertain. A retrospective study of 39 patients undergoing either a conventional Kasai operation (group 1, n = 20) or...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s003830050008
更新日期：2000-01-01 00:00:00
abstract：:The purpose of this report was to analyze the patients requiring preoperative extracorporeal membrane oxygenation (ECMO) as the most critical group of patients with congenital diaphragmatic hernia (CDH) and to identify any special features. Over the past 11 years, out of 72 neonates with CDH admitted before 24 h of ag...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s003830050428
更新日期：1998-11-01 00:00:00
abstract：:Our presentation of four cases demonstrates the essential features of limb-body wall complex (LBWC), representing a compound anomaly pattern in body-wall defects. The diagnosis of this entity is based on two of the three following characteristics: (1) exencephaly/encephalocele and facial clefts; (2) thoraco- and/or ab...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s003830000497
更新日期：2001-07-01 00:00:00
abstract：PURPOSE:To study the effects of frenulotomy on nipple pain, latch and the success in exclusive breastfeeding (EBF) at 3-month follow-up. METHODS:A prospective cross-sectional study of 328 mother-infant pairs with both tongue-tie and breastfeeding problems was performed. Nipple pain and latch were evaluated using numer...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-016-3952-8
更新日期：2016-10-01 00:00:00
abstract：:The n-3 and n-6 polyunsaturated fatty acids (PUFAs) are essential dietary constituents. They are important as a source of energy, as structural components of cell membranes, and as signalling molecules. They have been demonstrated to be potent modulators of the immune response, and research has endeavoured to optimise...
journal_title：Pediatric surgery international
pub_type： 杂志文章,评审
doi：10.1007/s00383-005-1385-x
更新日期：2005-05-01 00:00:00
abstract：:Rhabdomyosarcoma (RMS) is the most common soft tissue tumour in children. This is the first time a facial RMS metastatic to the pancreas is reported. The patient was a 3-year-old boy with a symptomatic solitary pancreatic metastasis of a primary facial RMS, with already one relapse in a submental lymph node. Since thi...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-009-2539-z
更新日期：2010-03-01 00:00:00
abstract：:The Thomsen-Friedenreich cryptantigen (TCA) is located on the surface of all red cells, but is concealed by a layer of neuraminic acid. When bacteria that produce neuraminidase disrupt this coating, the TCA can be exposed and activated. If blood products containing antibody to the TCA are subsequently administered, ha...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s003830050488
更新日期：1998-12-01 00:00:00
abstract：:Anorectal malformations (ARM) remain a significant birth defect with geographic variation in incidence, individual phenotypes and regional geographic subtypes. Although early studies indicated a low incidence in Black patients, there is a great paucity of knowledge as to the types, frequency and incidence of ARMs enco...
journal_title：Pediatric surgery international
pub_type： 杂志文章,多中心研究
doi：10.1007/s00383-008-2131-y
更新日期：2008-06-01 00:00:00
abstract：AIM:The aim of this study was to examine the relationship between birth weight, pulmonary artery (PA) size, and outcome in congenital diaphragmatic hernia (CDH) to establish if PA size has prognostic value. METHODS:The subjects for this study were 39 consecutive left-sided CDH patients treated at our institution accor...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-011-2899-z
更新日期：2011-08-01 00:00:00
abstract：AIM OF STUDY:Few studies have evaluated the incidence of familial vesicoureteral reflux (VUR) among multiple gestation births. The purpose of this study was to determine the incidence and characteristics of VUR in twins in a large cohort of families with VUR. METHODS:Between 1998 and 2010, data were collected on 251 f...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-010-2821-0
更新日期：2011-05-01 00:00:00
abstract：:The aspiration of a bronchial foreign body (FB) remains a common pediatric problem with serious and sometimes fatal sequelae. The diagnosis is often delayed or overlooked. With the aim of determining a reliable clinical and/or radiologic finding to indicate the requirement for bronchoscopy, 100 patients admitted to ou...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s003830050080
更新日期：1997-03-21 00:00:00
abstract：BACKGROUND:Preoperative factors have been correlated with pre-incision hypotension (PIH) in children undergoing surgery, suggesting that PIH can be predicted through preoperative screening. We studied blood pressure (BP) changes in the 12 min following the induction of anesthesia to study the incidence of post-inductio...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-018-4359-5
更新日期：2018-12-01 00:00:00
abstract：INTRODUCTION:This review aims to (1) assess the breadth of pediatric orthopaedic research in low- and middle-income countries (LMICs) and (2) determine the impact of academic collaboration (an LMIC and a non-LMIC investigator) in published LMIC research. METHODS:Pediatric orthopaedic clinical studies conducted in LMIC...
journal_title：Pediatric surgery international
pub_type： 杂志文章,评审
doi：10.1007/s00383-018-4412-4
更新日期：2019-03-01 00:00:00
abstract：PURPOSE:In 2006, The Japanese Society of Pediatric Endoscopic Surgeons devised a plan to develop a pediatric endoscopic surgical skill qualification (ESSQ) system. This system is controlled by The Japan Society for Endoscopic Surgery. The standard requirement for skills qualification is the ability of each applicant to...
journal_title：Pediatric surgery international
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00383-011-2871-y
更新日期：2011-07-01 00:00:00
abstract：:Neonates with congenital tracheal stenosis (CTS) sometimes develop respiratory distress and may be difficult to intubate. We used balloon tracheoplasty with a rigid bronchoscope for emergency airway management in neonates with symptomatic CTS. Herein, we describe the balloon tracheoplasty procedure and the early outco...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-014-3571-1
更新日期：2014-09-01 00:00:00
abstract：:Antral web is a rare cause of gastric-outlet obstruction. We report a case of gastric antral web with intermittent vomiting in a 10-year-old girl who received medical treatment for 6 months. The literature on this anomaly is reviewed with respect to differential diagnosis on the basis of upper gastrointestinal radiogr...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s003839900317
更新日期：2000-01-01 00:00:00
abstract：AIM:We assessed continence after scope-assisted anorectovaginoplasty (SARVP) for female anorectal malformation (FARM). METHODS:Five FARM cases were assessed; cases 1 and 2: cloacal malformation; case 3: urogenital sinus, and rectovestibular fistula (RF); case 4: RF, absent vagina, and sacral anomaly; case 5: covered c...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-012-3141-3
更新日期：2012-09-01 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：:Three cases are reported of pyogenic (non-tuberculous) myositis involving the ilio-psoas and/or iliacus muscles in children presenting to John Hunter Hospital, Newcastle, Australia, in a 12-month period. In one, cultures grew Haemophilus influenzae type B and in the other two Staphylococcus aureus was isolated. Biopsy...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/BF00183769
更新日期：1996-03-01 00:00:00
abstract：:Extensive loss of small bowel in all age groups has significant morbidity and mortality consequences. Despite the astonishing ability of the small bowel to compensate for an extensive loss, long-term parenteral nutrition and enteral nutrition, tailored to the need of the patients in relation to the missing intestinal ...
journal_title：Pediatric surgery international
pub_type： 杂志文章,评审
doi：10.1007/s00383-016-4043-6
更新日期：2017-04-01 00:00:00
abstract：PURPOSE:Pancreatic neoplasms are uncommon in children. This study sought to analyze the clinical and pathological features of surgically resected pancreatic tumors in children and discuss management strategies. METHODS:We conducted a retrospective review of patients ≤21 years with pancreatic neoplasms who underwent su...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-016-3925-y
更新日期：2016-08-01 00:00:00
abstract：PURPOSE:To review the effectiveness of the longitudinal intestinal lengthening and tailoring (LILT) and serial transverse enteroplasty (STEP) operations in a cohort of patients with short bowel syndrome (SBS). METHODS:We conducted a retrospective analysis of children with SBS treated at our institution from 2004 until...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-019-04468-3
更新日期：2019-06-01 00:00:00
abstract：PURPOSE:The objective of this study was to characterize the clinical course and outcomes of children with pancreatic pseudocysts that were initially treated non-operatively or with percutaneous drainage. METHODS:A retrospective review of children with pancreatic pseudocysts over a 12-year period was completed. Categor...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-012-3236-x
更新日期：2013-03-01 00:00:00
abstract：:Aim was to describe the challenges faced in the management of bilateral multicystic kidney disease (MCKD). A case of antenatally detected bilateral polycystic disease was referred at 28 weeks of gestation. The patient was advised to continue pregnancy till term and be in regular follow-up. Postnatally, the male baby p...
journal_title：Pediatric surgery international
pub_type： 杂志文章,评审
doi：10.1007/s00383-007-1962-2
更新日期：2007-08-01 00:00:00
abstract：AIM:In chick embryos, administration of cadmium (Cd) induces ventral body wall defects (VBWD) similar to human omphalocele. It has been shown that failure of proper VBW formation may be due to disruption of somite development during early embryogenesis. In the VBWD chick model, Cd causes abnormal cell death in the somi...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-012-3202-7
更新日期：2013-01-01 00:00:00
