Ian Glenn

160 statements · 5 topics · summaries given as host listed separately

Abdominal Wall Defects · episode host Colorectal / ARM & Hirschsprung · episode host Congenital Lung Lesions (CPAM) · episode host Etiologies (Gastroschisis/NEC/Atresia/Volvulus) · episode host Fetal Surgery · episode host Intestinal Failure · episode host Intestinal Rehab · episode host Intestinal Transplant · episode host Motility / Pseudo-obstruction · episode host Short Bowel Syndrome · episode host Single Ventricle / HLHS · guest expert

Featured statements

the risk factors for catheter retention seem to be patients who have chemotherapy infused through their lines, patients who have catheters that are indwelling for longer than about a year and a half. And then there seems to be an association with polyurethane catheter material when compared with silicone catheters.
quote · Catheter Fracture
whenever multiple studies which have looked at patients who actually had retained catheter fragments in follow-up periods from months to the order of 5 years, there weren't any complications. So, no thrombosis associated with the line. Fragments and no infections.
quote · Catheter Fracture
in an interventional radiology case series, when they tried to go and endovascularly remove the catheters, there was a risk of the line completely breaking and embolizing distally or of thrombosis occurring during the procedure.
quote · Catheter Retention
One study showed that mechanical bowel prep by itself led to a higher rate of infection and longer hospital stays in kids, and addition of antibiotics didn't make any difference.
quote · Single Ventricle / HLHS
17% of the patients in the esophagogastric dissociation group continued to require them, whereas 54% required it in the Nissan group, um, and that was statistically significant.
quote · Single Ventricle / HLHS
If you surgically, if you're gonna go in for an immunotomy, tug at the catheter, you run into a risk of bleeding.
quote · Catheter Retention

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Ian's statements about Catheter Fracture 40 statements

Open the Catheter Fracture collection →

Retained Central Venous Catheters

Quotation in a couple case the looking retrospectively at patients who had catheters removed, anywhere from 5 to 15% of patients are going to require some sort of. Additional intervention to remove the catheter. Open
Statement 0.2–2% of catheter removals result in at least part of the catheter being left behind. Open
Statement 5–15% of patients who have catheters removed require some additional intervention (enlarging incision, venotomy, or interventional radiology). Open
Quotation The actual number of catheters or catheter fragments that get left behind is gonna be from 0.2 to 2%. Open
Quotation the risk factors for catheter retention seem to be patients who have chemotherapy infused through their lines, patients who have catheters that are indwelling for longer than about a year and a half. And then there seems to be an association with polyurethane catheter material when compared with silicone catheters. Open
Statement Risk factors for catheter retention include chemotherapy infusion through the line, indwelling duration longer than about 1.5 years, and polyurethane catheter material compared with silicone. Open
Statement For long-term chemotherapy access, a silastic line should be considered instead of a polyurethane line. Open
Statement Endovascular retrieval by interventional radiology carries risks of the line completely breaking and embolizing distally or of thrombosis occurring during the procedure. Open
Quotation in an interventional radiology case series, when they tried to go and endovascularly remove the catheters, there was a risk of the line completely breaking and embolizing distally or of thrombosis occurring during the procedure. Open
Statement Surgical venotomy to retrieve a retained catheter carries a risk of bleeding. Open
Quotation If you surgically, if you're gonna go in for an immunotomy, tug at the catheter, you run into a risk of bleeding. Open

Retained Central Venous Catheters

Quotation The actual number of catheters or catheter fragments that get left behind is gonna be from 0.2 to 2%. Open
Quotation in a couple case the looking retrospectively at patients who had catheters removed, anywhere from 5 to 15% of patients are going to require some sort of. Additional intervention to remove the catheter. Open
Statement The actual number of catheters or catheter fragments that get left behind is 0.2 to 2%. Open
Statement 5 to 15% of patients who have catheters removed require some sort of additional intervention to remove the catheter. Open
Statement There is an association between polyurethane catheter material and catheter retention when compared with silicone catheters. Open
Statement Risk factors for catheter retention include catheters that are indwelling for longer than about a year and a half. Open
Statement Risk factors for catheter retention include chemotherapy infused through the lines. Open
Quotation the risk factors for catheter retention seem to be patients who have chemotherapy infused through their lines, patients who have catheters that are indwelling for longer than about a year and a half. And then there seems to be an association with polyurethane catheter material when compared with silicone catheters. Open
Statement For long-term chemotherapy, a silastic line should be considered instead of a polyurethane line. Open
Quotation We should be considering maybe a silastic line instead of a polyurethane line. Open
Quotation If you surgically, if you're gonna go in for an immunotomy, tug at the catheter, you run into a risk of bleeding. Open
Statement In interventional radiology retrieval, there is a risk of the line completely breaking and embolizing distally or of thrombosis occurring during the procedure. Open
Statement If you surgically go in for a venotomy and tug at the catheter, you run a risk of bleeding. Open

Management of Retained Central Venous Catheters

Statement 5 to 15% of patients who have catheters removed require some sort of additional intervention to remove the catheter. Open
Quotation in a couple case series looking retrospectively uh at patients who had catheters removed, anywhere from 5 to 15% of patients are going to require some sort of. Additional intervention to remove the catheter. Open
Statement The actual number of catheters or catheter fragments that get left behind is 0.2 to 2%. Open
Quotation The actual number of catheters or catheter fragments that get left behind is gonna be from 0.2 to 2%. Open
Quotation the risk factors for catheter retention seem to be patients who have chemotherapy infused through their lines, patients who have catheters that are indwelling for longer than about a year and a half. And then there seems to be an association with polyurethane catheter material when compared with silicone catheters. Open
Statement Risk factors for catheter retention include catheters that are indwelling for longer than about a year and a half. Open
Statement Risk factors for catheter retention include chemotherapy infusion through the line. Open
Statement There is an association between polyurethane catheter material and catheter retention when compared with silicone catheters. Open
Statement The recommendation would be to go with silastic catheters for long-term chemotherapy cases. Open
Statement Surgical venotomy to retrieve a retained catheter carries a risk of bleeding. Open
Statement In interventional radiology case series attempting endovascular catheter removal, there was a risk of the line completely breaking and embolizing distally. Open
Statement In interventional radiology case series attempting endovascular catheter removal, there was a risk of thrombosis occurring during the procedure. Open
Statement Multiple studies of patients with retained catheter fragments, with follow-up periods from months to the order of 5 years, found no complications. Open
Quotation whenever multiple studies which have looked at patients who actually had retained catheter fragments in follow-up periods from months to the order of 5 years, there weren't any complications. So, no thrombosis associated with the line. Fragments and no infections. Open
Statement No infections were associated with retained catheter fragments in studies with follow-up from months to 5 years. Open
Statement No thrombosis was associated with retained catheter fragments in studies with follow-up from months to 5 years. Open
Ian's statements about Catheter Retention 40 statements

Open the Catheter Retention collection →

Retained Central Venous Catheters

Quotation in a couple case the looking retrospectively at patients who had catheters removed, anywhere from 5 to 15% of patients are going to require some sort of. Additional intervention to remove the catheter. Open
Statement 5–15% of patients who have catheters removed require some additional intervention (enlarging incision, venotomy, or interventional radiology). Open
Statement 0.2–2% of catheter removals result in at least part of the catheter being left behind. Open
Quotation The actual number of catheters or catheter fragments that get left behind is gonna be from 0.2 to 2%. Open
Statement Risk factors for catheter retention include chemotherapy infusion through the line, indwelling duration longer than about 1.5 years, and polyurethane catheter material compared with silicone. Open
Quotation the risk factors for catheter retention seem to be patients who have chemotherapy infused through their lines, patients who have catheters that are indwelling for longer than about a year and a half. And then there seems to be an association with polyurethane catheter material when compared with silicone catheters. Open
Statement For long-term chemotherapy access, a silastic line should be considered instead of a polyurethane line. Open
Quotation If you surgically, if you're gonna go in for an immunotomy, tug at the catheter, you run into a risk of bleeding. Open
Statement Surgical venotomy to retrieve a retained catheter carries a risk of bleeding. Open
Quotation in an interventional radiology case series, when they tried to go and endovascularly remove the catheters, there was a risk of the line completely breaking and embolizing distally or of thrombosis occurring during the procedure. Open
Statement Endovascular retrieval by interventional radiology carries risks of the line completely breaking and embolizing distally or of thrombosis occurring during the procedure. Open

Retained Central Venous Catheters

Quotation in a couple case the looking retrospectively at patients who had catheters removed, anywhere from 5 to 15% of patients are going to require some sort of. Additional intervention to remove the catheter. Open
Quotation The actual number of catheters or catheter fragments that get left behind is gonna be from 0.2 to 2%. Open
Statement 5 to 15% of patients who have catheters removed require some sort of additional intervention to remove the catheter. Open
Statement The actual number of catheters or catheter fragments that get left behind is 0.2 to 2%. Open
Quotation the risk factors for catheter retention seem to be patients who have chemotherapy infused through their lines, patients who have catheters that are indwelling for longer than about a year and a half. And then there seems to be an association with polyurethane catheter material when compared with silicone catheters. Open
Statement Risk factors for catheter retention include chemotherapy infused through the lines. Open
Statement There is an association between polyurethane catheter material and catheter retention when compared with silicone catheters. Open
Statement Risk factors for catheter retention include catheters that are indwelling for longer than about a year and a half. Open
Statement For long-term chemotherapy, a silastic line should be considered instead of a polyurethane line. Open
Quotation We should be considering maybe a silastic line instead of a polyurethane line. Open
Statement If you surgically go in for a venotomy and tug at the catheter, you run a risk of bleeding. Open
Quotation If you surgically, if you're gonna go in for an immunotomy, tug at the catheter, you run into a risk of bleeding. Open
Statement In interventional radiology retrieval, there is a risk of the line completely breaking and embolizing distally or of thrombosis occurring during the procedure. Open

Management of Retained Central Venous Catheters

Statement 5 to 15% of patients who have catheters removed require some sort of additional intervention to remove the catheter. Open
Quotation in a couple case series looking retrospectively uh at patients who had catheters removed, anywhere from 5 to 15% of patients are going to require some sort of. Additional intervention to remove the catheter. Open
Statement The actual number of catheters or catheter fragments that get left behind is 0.2 to 2%. Open
Quotation The actual number of catheters or catheter fragments that get left behind is gonna be from 0.2 to 2%. Open
Quotation the risk factors for catheter retention seem to be patients who have chemotherapy infused through their lines, patients who have catheters that are indwelling for longer than about a year and a half. And then there seems to be an association with polyurethane catheter material when compared with silicone catheters. Open
Statement Risk factors for catheter retention include catheters that are indwelling for longer than about a year and a half. Open
Statement Risk factors for catheter retention include chemotherapy infusion through the line. Open
Statement There is an association between polyurethane catheter material and catheter retention when compared with silicone catheters. Open
Statement The recommendation would be to go with silastic catheters for long-term chemotherapy cases. Open
Statement Surgical venotomy to retrieve a retained catheter carries a risk of bleeding. Open
Statement In interventional radiology case series attempting endovascular catheter removal, there was a risk of thrombosis occurring during the procedure. Open
Statement In interventional radiology case series attempting endovascular catheter removal, there was a risk of the line completely breaking and embolizing distally. Open
Quotation whenever multiple studies which have looked at patients who actually had retained catheter fragments in follow-up periods from months to the order of 5 years, there weren't any complications. So, no thrombosis associated with the line. Fragments and no infections. Open
Statement Multiple studies of patients with retained catheter fragments, with follow-up periods from months to the order of 5 years, found no complications. Open
Statement No infections were associated with retained catheter fragments in studies with follow-up from months to 5 years. Open
Statement No thrombosis was associated with retained catheter fragments in studies with follow-up from months to 5 years. Open
Ian's statements about Gastroesophageal Reflux Disease 2 statements

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Esophagogastric Dissociation for GERD in Severe Neurodisability

Quotation Yeah, it's definitely a much bigger surgery. Open
Statement Esophagogastric dissociation is a much bigger surgery than Nissen fundoplication. Open
Ian's statements about Single Ventricle / HLHS 75 statements

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Posterior Tracheopexy For Severe Tracheomalacia

Statement There is a need for standardization in the approach to tracheomalacia. Open

Posterior Tracheopexy For Severe Tracheomalacia

Quotation I think the important thing this paper showed us was that tracheomalacia isn't just one homogeneous disease. Open
Statement There is a need for standardization in the treatment of tracheomalacia. Open

Esophagogastric Dissociation for GERD in Severe Neurodisability

Quotation Primary outcome was operative failure, which they defined as either recurrence of their preoperative reflux symptoms or a requirement of an additional uh anti-reflux surgery. Open
Statement In the study, operative failure was defined as either recurrence of preoperative reflux symptoms or requirement of additional anti-reflux surgery. Open
Statement The Nissen fundoplication group had a 21% operative failure rate. Open
Quotation there was a 4% failure rate in the esophagogastric dissociation group, there was a 21% failure rate in the Nissen group. However, that wasn't statistically significant. Open
Statement The esophagogastric dissociation group had a 4% operative failure rate. Open
Statement The difference in operative failure rates between esophagogastric dissociation and Nissen fundoplication was not statistically significant. Open
Statement 17% of patients in the esophagogastric dissociation group continued to require anti-reflux medications after surgery. Open
Statement The difference in continued requirement for anti-reflux medications between groups was statistically significant. Open
Statement 54% of patients in the Nissen fundoplication group continued to require anti-reflux medications after surgery. Open
Quotation 17% of the patients in the esophagogastric dissociation group continued to require them, whereas 54% required it in the Nissan group, um, and that was statistically significant. Open
Statement Caregiver-evaluated quality of life and symptom scores were the same between the esophagogastric dissociation and Nissen groups. Open
Statement The lack of statistical significance in operative failure rates could represent a type 2 error where the sample size was too small to detect an actual difference. Open
Quotation this could potentially be a type 2 error where there was actually a difference between the two groups and the sample size was just a little bit too small to detect that. Open
Statement The study examined perioperative factors including OR time, length of hospital stay, need for ICU stay, and time to full feeds, finding statistically significant differences following expected trends. Open
Statement The study did not report on leaks, strictures, or long-term requirement for additional surgeries other than anti-reflux operations. Open

Esophagogastric Dissociation for GERD in Severe Neurodisability

Statement The study compared patients with severe GERD and neurologic disability, half undergoing esophagogastric dissociation and half undergoing laparoscopic Nissen. Open
Statement Primary outcome was operative failure, defined as either recurrence of preoperative reflux symptoms or requirement of additional anti-reflux surgery. Open
Quotation Primary outcome was operative failure, which they defined as either recurrence of their preoperative reflux symptoms or a requirement of an additional uh anti-reflux surgery. Open
Statement There was a 4% failure rate in the esophagogastric dissociation group and a 21% failure rate in the Nissen group. Open
Statement The difference in failure rates between esophagogastric dissociation (4%) and Nissen (21%) was not statistically significant. Open
Statement 17% of patients in the esophagogastric dissociation group continued to require anti-reflux medications after surgery, compared to 54% in the Nissen group. Open
Statement The difference in continued requirement for anti-reflux medications (17% vs 54%) was statistically significant. Open
Statement Caregiver-evaluated quality of life and symptom scores were the same between the two groups with no statistically significant difference. Open
Quotation So there's no statistically significant difference there. Open
Statement The lack of statistical significance in failure rates could potentially be a type 2 error where there was actually a difference but the sample size was too small to detect it. Open
Quotation And the authors brought up that this could potentially be a type 2 error where there was actually a difference between the two groups and the sample size was just a little bit too small to detect that. Open
Quotation Yeah, it's definitely a much bigger surgery. Open
Statement Esophagogastric dissociation is a much bigger surgery than Nissen fundoplication. Open
Statement The study examined perioperative factors including time in the OR, length of hospital stay, need for ICU stay, and time to full feeds, with statistically significant differences following expected trends. Open
Statement The study did not report on leaks, strictures, or long-term requirement for additional surgeries other than anti-reflux operations. Open

Management of Retained Central Venous Catheters

Statement 5 to 15% of patients who have catheters removed require some sort of additional intervention to remove the catheter. Open
Statement 5 to 15% of patients who have catheters removed require some sort of additional intervention to remove the catheter. Open
Quotation in a couple case series looking retrospectively uh at patients who had catheters removed, anywhere from 5 to 15% of patients are going to require some sort of. Additional intervention to remove the catheter. Open
Quotation in a couple case series looking retrospectively uh at patients who had catheters removed, anywhere from 5 to 15% of patients are going to require some sort of. Additional intervention to remove the catheter. Open
Statement The actual number of catheters or catheter fragments that get left behind is 0.2 to 2%. Open
Statement The actual number of catheters or catheter fragments that get left behind is 0.2 to 2%. Open
Quotation The actual number of catheters or catheter fragments that get left behind is gonna be from 0.2 to 2%. Open
Quotation The actual number of catheters or catheter fragments that get left behind is gonna be from 0.2 to 2%. Open
Statement Risk factors for catheter retention include chemotherapy infusion through the line. Open
Quotation the risk factors for catheter retention seem to be patients who have chemotherapy infused through their lines, patients who have catheters that are indwelling for longer than about a year and a half. And then there seems to be an association with polyurethane catheter material when compared with silicone catheters. Open
Statement Risk factors for catheter retention include catheters that are indwelling for longer than about a year and a half. Open
Statement Risk factors for catheter retention include catheters that are indwelling for longer than about a year and a half. Open
Quotation the risk factors for catheter retention seem to be patients who have chemotherapy infused through their lines, patients who have catheters that are indwelling for longer than about a year and a half. And then there seems to be an association with polyurethane catheter material when compared with silicone catheters. Open
Statement Risk factors for catheter retention include chemotherapy infusion through the line. Open
Statement There is an association between polyurethane catheter material and catheter retention when compared with silicone catheters. Open
Statement There is an association between polyurethane catheter material and catheter retention when compared with silicone catheters. Open
Statement The recommendation would be to go with silastic catheters for long-term chemotherapy cases. Open
Statement The recommendation would be to go with silastic catheters for long-term chemotherapy cases. Open
Statement Surgical venotomy to retrieve a retained catheter carries a risk of bleeding. Open
Statement Surgical venotomy to retrieve a retained catheter carries a risk of bleeding. Open
Statement In interventional radiology case series attempting endovascular catheter removal, there was a risk of the line completely breaking and embolizing distally. Open
Statement In interventional radiology case series attempting endovascular catheter removal, there was a risk of the line completely breaking and embolizing distally. Open
Statement In interventional radiology case series attempting endovascular catheter removal, there was a risk of thrombosis occurring during the procedure. Open
Statement In interventional radiology case series attempting endovascular catheter removal, there was a risk of thrombosis occurring during the procedure. Open
Statement Multiple studies of patients with retained catheter fragments, with follow-up periods from months to the order of 5 years, found no complications. Open
Quotation whenever multiple studies which have looked at patients who actually had retained catheter fragments in follow-up periods from months to the order of 5 years, there weren't any complications. So, no thrombosis associated with the line. Fragments and no infections. Open
Quotation whenever multiple studies which have looked at patients who actually had retained catheter fragments in follow-up periods from months to the order of 5 years, there weren't any complications. So, no thrombosis associated with the line. Fragments and no infections. Open
Statement Multiple studies of patients with retained catheter fragments, with follow-up periods from months to the order of 5 years, found no complications. Open
Statement No thrombosis was associated with retained catheter fragments in studies with follow-up from months to 5 years. Open
Statement No infections were associated with retained catheter fragments in studies with follow-up from months to 5 years. Open
Statement No thrombosis was associated with retained catheter fragments in studies with follow-up from months to 5 years. Open
Statement No infections were associated with retained catheter fragments in studies with follow-up from months to 5 years. Open

Do we need Bowel Prep

Statement Adult prospective randomized trials show mechanical bowel prep alone does no good or probably harms patients Open
Quotation Mechanical bowel prep alone in adults is doing them no good or probably harming them, and oral antibiotics that aren't absorbed are probably a good idea. Open
Statement Oral antibiotics that are not absorbed are probably beneficial in adult colorectal surgery Open
Statement In one pediatric study, addition of antibiotics to mechanical bowel prep did not make any difference in outcomes Open
Statement One pediatric study showed mechanical bowel prep by itself led to longer hospital stays in children Open
Quotation One study showed that mechanical bowel prep by itself led to a higher rate of infection and longer hospital stays in kids, and addition of antibiotics didn't make any difference. Open
Statement One pediatric study showed mechanical bowel prep by itself led to higher infection rates in children Open
Statement Another pediatric study showed mechanical bowel prep with oral antibiotics made no difference compared to no prep Open
Quotation I think for your patient, it probably makes sense to not do either one. Open
Statement For pediatric colostomy takedown, it is reasonable to omit both mechanical bowel prep and oral antibiotics Open
Ian's statements about Tracheomalacia 3 statements

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Posterior Tracheopexy For Severe Tracheomalacia

Statement There is a need for standardization in the approach to tracheomalacia. Open

Posterior Tracheopexy For Severe Tracheomalacia

Quotation I think the important thing this paper showed us was that tracheomalacia isn't just one homogeneous disease. Open
Statement There is a need for standardization in the treatment of tracheomalacia. Open

Summaries Ian gave as host · 114 summaries

Recaps of other experts' statements, not Ian's own clinical position.

Summaries Ian gave as host · Abdominal Wall Defects 1 summary

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Intestinal Failure with Dr. Brad Warner

Host summary Ian Glenn summarizes what Dr. Brad Warner said: This episode features Doctor Brad Warner from Washington University in Saint Louis and Saint Louis Children's Hospital. Open
Summaries Ian gave as host · Colorectal / ARM & Hirschsprung 1 summary

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Intestinal Failure with Dr. Brad Warner

Host summary Ian Glenn summarizes what Dr. Brad Warner said: This episode features Doctor Brad Warner from Washington University in Saint Louis and Saint Louis Children's Hospital. Open
Summaries Ian gave as host · Etiologies (Gastroschisis/NEC/Atresia/Volvulus) 1 summary

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Intestinal Failure with Dr. Brad Warner

Host summary Ian Glenn summarizes what Dr. Brad Warner said: This episode features Doctor Brad Warner from Washington University in Saint Louis and Saint Louis Children's Hospital. Open
Summaries Ian gave as host · Gastroesophageal Reflux Disease 28 summaries

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Esophagogastric Dissociation for GERD in Severe Neurodisability

Host summary Ian Glenn summarizing a resource: In the study, operative failure was defined as either recurrence of preoperative reflux symptoms or requirement of additional anti-reflux surgery. Open
Host summary Ian Glenn summarizing a resource: Primary outcome was operative failure, which they defined as either recurrence of their preoperative reflux symptoms or a requirement of an additional uh anti-reflux surgery. Open
Host summary Ian Glenn summarizing a resource: The Nissen fundoplication group had a 21% operative failure rate. Open
Host summary Ian Glenn summarizing a resource: there was a 4% failure rate in the esophagogastric dissociation group, there was a 21% failure rate in the Nissen group. However, that wasn't statistically significant. Open
Host summary Ian Glenn summarizing a resource: The esophagogastric dissociation group had a 4% operative failure rate. Open
Host summary Ian Glenn summarizing a resource: The difference in operative failure rates between esophagogastric dissociation and Nissen fundoplication was not statistically significant. Open
Host summary Ian Glenn summarizing a resource: 54% of patients in the Nissen fundoplication group continued to require anti-reflux medications after surgery. Open
Host summary Ian Glenn summarizing a resource: 17% of patients in the esophagogastric dissociation group continued to require anti-reflux medications after surgery. Open
Host summary Ian Glenn summarizing a resource: The difference in continued requirement for anti-reflux medications between groups was statistically significant. Open
Host summary Ian Glenn summarizing a resource: 17% of the patients in the esophagogastric dissociation group continued to require them, whereas 54% required it in the Nissan group, um, and that was statistically significant. Open
Host summary Ian Glenn summarizing a resource: Caregiver-evaluated quality of life and symptom scores were the same between the esophagogastric dissociation and Nissen groups. Open
Host summary Ian Glenn summarizing a resource: The lack of statistical significance in operative failure rates could represent a type 2 error where the sample size was too small to detect an actual difference. Open
Host summary Ian Glenn summarizing a resource: this could potentially be a type 2 error where there was actually a difference between the two groups and the sample size was just a little bit too small to detect that. Open
Host summary Ian Glenn summarizing a resource: The study examined perioperative factors including OR time, length of hospital stay, need for ICU stay, and time to full feeds, finding statistically significant differences following expected trends. Open
Host summary Ian Glenn summarizing a resource: The study did not report on leaks, strictures, or long-term requirement for additional surgeries other than anti-reflux operations. Open

Esophagogastric Dissociation for GERD in Severe Neurodisability

Host summary Ian Glenn summarizing a resource: The study compared patients with severe GERD and neurologic disability, half undergoing esophagogastric dissociation and half undergoing laparoscopic Nissen. Open
Host summary Ian Glenn summarizing a resource: Primary outcome was operative failure, which they defined as either recurrence of their preoperative reflux symptoms or a requirement of an additional uh anti-reflux surgery. Open
Host summary Ian Glenn summarizing a resource: Primary outcome was operative failure, defined as either recurrence of preoperative reflux symptoms or requirement of additional anti-reflux surgery. Open
Host summary Ian Glenn summarizing a resource: There was a 4% failure rate in the esophagogastric dissociation group and a 21% failure rate in the Nissen group. Open
Host summary Ian Glenn summarizing a resource: The difference in failure rates between esophagogastric dissociation (4%) and Nissen (21%) was not statistically significant. Open
Host summary Ian Glenn summarizing a resource: 17% of patients in the esophagogastric dissociation group continued to require anti-reflux medications after surgery, compared to 54% in the Nissen group. Open
Host summary Ian Glenn summarizing a resource: The difference in continued requirement for anti-reflux medications (17% vs 54%) was statistically significant. Open
Host summary Ian Glenn summarizing a resource: Caregiver-evaluated quality of life and symptom scores were the same between the two groups with no statistically significant difference. Open
Host summary Ian Glenn summarizing a resource: So there's no statistically significant difference there. Open
Host summary Ian Glenn summarizing a resource: And the authors brought up that this could potentially be a type 2 error where there was actually a difference between the two groups and the sample size was just a little bit too small to detect that. Open
Host summary Ian Glenn summarizing a resource: The lack of statistical significance in failure rates could potentially be a type 2 error where there was actually a difference but the sample size was too small to detect it. Open
Host summary Ian Glenn summarizing a resource: The study examined perioperative factors including time in the OR, length of hospital stay, need for ICU stay, and time to full feeds, with statistically significant differences following expected trends. Open
Host summary Ian Glenn summarizing a resource: The study did not report on leaks, strictures, or long-term requirement for additional surgeries other than anti-reflux operations. Open
Summaries Ian gave as host · Hirschsprung disease 1 summary

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Intestinal Failure with Dr. Brad Warner

Host summary Ian Glenn summarizes what Dr. Brad Warner said: This episode features Doctor Brad Warner from Washington University in Saint Louis and Saint Louis Children's Hospital. Open
Summaries Ian gave as host · Intestinal Failure 1 summary

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Intestinal Failure with Dr. Brad Warner

Host summary Ian Glenn summarizes what Dr. Brad Warner said: This episode features Doctor Brad Warner from Washington University in Saint Louis and Saint Louis Children's Hospital. Open
Summaries Ian gave as host · Intestinal Rehab 1 summary

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Intestinal Failure with Dr. Brad Warner

Host summary Ian Glenn summarizes what Dr. Brad Warner said: This episode features Doctor Brad Warner from Washington University in Saint Louis and Saint Louis Children's Hospital. Open
Summaries Ian gave as host · Intestinal Transplant 1 summary

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Intestinal Failure with Dr. Brad Warner

Host summary Ian Glenn summarizes what Dr. Brad Warner said: This episode features Doctor Brad Warner from Washington University in Saint Louis and Saint Louis Children's Hospital. Open
Summaries Ian gave as host · Intussusception 1 summary

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Intussusception - Soft Tissue Abscess - Pilonidal Cyst - Bleeding Meckel's...

Host summary Ian Glenn summarizing the discussion: The Karydakis flap is superior to excision alone for pilonidal disease and comparable to the modified Limberg flap; the modified elliptical rotation flap has comparable short-term results. Open
Summaries Ian gave as host · Motility / Pseudo-obstruction 1 summary

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Intestinal Failure with Dr. Brad Warner

Host summary Ian Glenn summarizes what Dr. Brad Warner said: This episode features Doctor Brad Warner from Washington University in Saint Louis and Saint Louis Children's Hospital. Open
Summaries Ian gave as host · Short Bowel Syndrome 1 summary

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Intestinal Failure with Dr. Brad Warner

Host summary Ian Glenn summarizes what Dr. Brad Warner said: This episode features Doctor Brad Warner from Washington University in Saint Louis and Saint Louis Children's Hospital. Open
Summaries Ian gave as host · Single Ventricle / HLHS 46 summaries

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Posterior Tracheopexy For Severe Tracheomalacia

Host summary Ian Glenn summarizing a resource: This paper is about patients who have tracheomalacia and specifically it's called Posterior tracheopexy for severe tracheomalacia. Open
Host summary Ian Glenn summarizing a resource: The paper by first author Hester Sche and last author Russell Jennings examined 98 patients who had severe tracheomalacia with posterior membranous intrusion. Open
Host summary Ian Glenn summarizing a resource: All patients received bronchoscopy showing the trachea tended to collapse inward from the posterior aspect. Open
Host summary Ian Glenn summarizing a resource: The authors distinguished between anterior compression (from the aortic arch) and posterior compression (collapse). Open
Host summary Ian Glenn summarizing a resource: Posterior tracheopexy involves taking pledgeted sutures and sewing the posterior wall of the trachea to the anterior longitudinal ligament of the spine. Open
Host summary Ian Glenn summarizing a resource: Patients were followed anywhere from 1 week to 36 months. Open
Host summary Ian Glenn summarizing a resource: 88% of the 98 patients had esophageal atresia with or without TEF. Open
Host summary Ian Glenn summarizing a resource: Clinical symptoms including cough, barking cough, noisy breathing, and infections improved across the board. Open
Host summary Ian Glenn summarizing a resource: Patients improved on bronchoscopic evaluation. Open
Host summary Ian Glenn summarizing a resource: Exercise tolerance did not improve statistically but showed a trend towards improvement. Open
Host summary Ian Glenn summarizing a resource: I think the important thing this paper showed us was that tracheomalacia isn't just one homogeneous disease. Open
Host summary Ian Glenn summarizing a resource: Tracheomalacia is not a homogeneous disease. Open
Host summary Ian Glenn summarizing a resource: The paper emphasized the importance of systematic bronchoscopic evaluation. Open
Host summary Ian Glenn summarizing a resource: Some patients benefit from posterior tracheopexy, some from aortopexy or anterior approach, and some need both. Open
Host summary Ian Glenn summarizing a resource: Approximately 20% of patients in the study required both posterior tracheopexy and aortopexy. Open

Posterior Tracheopexy For Severe Tracheomalacia

Host summary Ian Glenn summarizing a resource: This paper is about patients who have tracheomalacia and specifically it's called Posterior tracheopexy for severe tracheomalacia. Open
Host summary Ian Glenn summarizing a resource: The first author is Hester She and the last author is Russell Jennings. Open
Host summary Ian Glenn summarizing a resource: The paper examined 98 patients who had severe tracheomalacia with posterior membranous intrusion. Open
Host summary Ian Glenn summarizing a resource: All patients received bronchoscopy showing the trachea tended to collapse inward from the posterior aspect. Open
Host summary Ian Glenn summarizing a resource: The study distinguished between anterior compression (from the aortic arch) and posterior compression (collapse). Open
Host summary Ian Glenn summarizing a resource: Posterior tracheopexy involves taking pledgeted sutures and sewing the posterior wall of the trachea to the anterior longitudinal ligament of the spine. Open
Host summary Ian Glenn summarizing a resource: 88% of the 98 patients had esophageal atresia with or without TEF. Open
Host summary Ian Glenn summarizing a resource: Patients were followed anywhere from 1 week to 36 months. Open
Host summary Ian Glenn summarizing a resource: Clinical symptoms improved pretty much across the board, including cough, barking cough, noisy breathing, and infections. Open
Host summary Ian Glenn summarizing a resource: Patients improved on bronchoscopic evaluation. Open
Host summary Ian Glenn summarizing a resource: Exercise tolerance did not improve statistically but showed a trend towards improvement. Open
Host summary Ian Glenn summarizing a resource: Tracheomalacia is not one homogeneous disease. Open
Host summary Ian Glenn summarizing a resource: The paper emphasized the importance of systematic bronchoscopic evaluation. Open
Host summary Ian Glenn summarizing a resource: Some patients benefit from posterior tracheopexy, some from aortopexy or anterior approach, and some need both. Open
Host summary Ian Glenn summarizing a resource: Almost 20% of patients in the study required both posterior tracheopexy and aortopexy. Open

Esophagogastric Dissociation for GERD in Severe Neurodisability

Host summary Ian Glenn summarizing a resource: Primary outcome was operative failure, which they defined as either recurrence of their preoperative reflux symptoms or a requirement of an additional uh anti-reflux surgery. Open
Host summary Ian Glenn summarizing a resource: In the study, operative failure was defined as either recurrence of preoperative reflux symptoms or requirement of additional anti-reflux surgery. Open
Host summary Ian Glenn summarizing a resource: The Nissen fundoplication group had a 21% operative failure rate. Open
Host summary Ian Glenn summarizing a resource: there was a 4% failure rate in the esophagogastric dissociation group, there was a 21% failure rate in the Nissen group. However, that wasn't statistically significant. Open
Host summary Ian Glenn summarizing a resource: The esophagogastric dissociation group had a 4% operative failure rate. Open
Host summary Ian Glenn summarizing a resource: The difference in operative failure rates between esophagogastric dissociation and Nissen fundoplication was not statistically significant. Open
Host summary Ian Glenn summarizing a resource: The difference in continued requirement for anti-reflux medications between groups was statistically significant. Open
Host summary Ian Glenn summarizing a resource: 54% of patients in the Nissen fundoplication group continued to require anti-reflux medications after surgery. Open
Host summary Ian Glenn summarizing a resource: 17% of patients in the esophagogastric dissociation group continued to require anti-reflux medications after surgery. Open
Host summary Ian Glenn summarizing a resource: 17% of the patients in the esophagogastric dissociation group continued to require them, whereas 54% required it in the Nissan group, um, and that was statistically significant. Open
Host summary Ian Glenn summarizing a resource: Caregiver-evaluated quality of life and symptom scores were the same between the esophagogastric dissociation and Nissen groups. Open
Host summary Ian Glenn summarizing a resource: this could potentially be a type 2 error where there was actually a difference between the two groups and the sample size was just a little bit too small to detect that. Open
Host summary Ian Glenn summarizing a resource: The lack of statistical significance in operative failure rates could represent a type 2 error where the sample size was too small to detect an actual difference. Open
Host summary Ian Glenn summarizing a resource: The study examined perioperative factors including OR time, length of hospital stay, need for ICU stay, and time to full feeds, finding statistically significant differences following expected trends. Open
Host summary Ian Glenn summarizing a resource: The study did not report on leaks, strictures, or long-term requirement for additional surgeries other than anti-reflux operations. Open

Intussusception - Soft Tissue Abscess - Pilonidal Cyst - Bleeding Meckel's...

Host summary Ian Glenn summarizing the discussion: The Karydakis flap is superior to excision alone for pilonidal disease and comparable to the modified Limberg flap; the modified elliptical rotation flap has comparable short-term results. Open
Summaries Ian gave as host · Tracheomalacia 30 summaries

Open the Tracheomalacia collection →

Posterior Tracheopexy For Severe Tracheomalacia

Host summary Ian Glenn summarizing a resource: This paper is about patients who have tracheomalacia and specifically it's called Posterior tracheopexy for severe tracheomalacia. Open
Host summary Ian Glenn summarizing a resource: The paper by first author Hester Sche and last author Russell Jennings examined 98 patients who had severe tracheomalacia with posterior membranous intrusion. Open
Host summary Ian Glenn summarizing a resource: All patients received bronchoscopy showing the trachea tended to collapse inward from the posterior aspect. Open
Host summary Ian Glenn summarizing a resource: The authors distinguished between anterior compression (from the aortic arch) and posterior compression (collapse). Open
Host summary Ian Glenn summarizing a resource: Posterior tracheopexy involves taking pledgeted sutures and sewing the posterior wall of the trachea to the anterior longitudinal ligament of the spine. Open
Host summary Ian Glenn summarizing a resource: 88% of the 98 patients had esophageal atresia with or without TEF. Open
Host summary Ian Glenn summarizing a resource: Patients were followed anywhere from 1 week to 36 months. Open
Host summary Ian Glenn summarizing a resource: Clinical symptoms including cough, barking cough, noisy breathing, and infections improved across the board. Open
Host summary Ian Glenn summarizing a resource: Patients improved on bronchoscopic evaluation. Open
Host summary Ian Glenn summarizing a resource: Exercise tolerance did not improve statistically but showed a trend towards improvement. Open
Host summary Ian Glenn summarizing a resource: I think the important thing this paper showed us was that tracheomalacia isn't just one homogeneous disease. Open
Host summary Ian Glenn summarizing a resource: Tracheomalacia is not a homogeneous disease. Open
Host summary Ian Glenn summarizing a resource: The paper emphasized the importance of systematic bronchoscopic evaluation. Open
Host summary Ian Glenn summarizing a resource: Some patients benefit from posterior tracheopexy, some from aortopexy or anterior approach, and some need both. Open
Host summary Ian Glenn summarizing a resource: Approximately 20% of patients in the study required both posterior tracheopexy and aortopexy. Open

Posterior Tracheopexy For Severe Tracheomalacia

Host summary Ian Glenn summarizing a resource: This paper is about patients who have tracheomalacia and specifically it's called Posterior tracheopexy for severe tracheomalacia. Open
Host summary Ian Glenn summarizing a resource: The first author is Hester She and the last author is Russell Jennings. Open
Host summary Ian Glenn summarizing a resource: The paper examined 98 patients who had severe tracheomalacia with posterior membranous intrusion. Open
Host summary Ian Glenn summarizing a resource: All patients received bronchoscopy showing the trachea tended to collapse inward from the posterior aspect. Open
Host summary Ian Glenn summarizing a resource: The study distinguished between anterior compression (from the aortic arch) and posterior compression (collapse). Open
Host summary Ian Glenn summarizing a resource: Posterior tracheopexy involves taking pledgeted sutures and sewing the posterior wall of the trachea to the anterior longitudinal ligament of the spine. Open
Host summary Ian Glenn summarizing a resource: 88% of the 98 patients had esophageal atresia with or without TEF. Open
Host summary Ian Glenn summarizing a resource: Patients were followed anywhere from 1 week to 36 months. Open
Host summary Ian Glenn summarizing a resource: Clinical symptoms improved pretty much across the board, including cough, barking cough, noisy breathing, and infections. Open
Host summary Ian Glenn summarizing a resource: Patients improved on bronchoscopic evaluation. Open
Host summary Ian Glenn summarizing a resource: Exercise tolerance did not improve statistically but showed a trend towards improvement. Open
Host summary Ian Glenn summarizing a resource: Tracheomalacia is not one homogeneous disease. Open
Host summary Ian Glenn summarizing a resource: The paper emphasized the importance of systematic bronchoscopic evaluation. Open
Host summary Ian Glenn summarizing a resource: Some patients benefit from posterior tracheopexy, some from aortopexy or anterior approach, and some need both. Open
Host summary Ian Glenn summarizing a resource: Almost 20% of patients in the study required both posterior tracheopexy and aortopexy. Open