Quick Literature Updates Episode 9

Patients with a transanastomotic tube had a 2.72 times higher risk of developing a stricture post-operatively after esophageal atresia with tracheoesophageal fistula repair

The Midwest Pediatric Surgery Consortium study examined every patient who had a laparoscopic pyloric myotomy to identify patent processus vaginalis and followed them annually

Of 526 patients enrolled in the PPV study, 283 had a patent processus vaginalis (bilateral, right, or left)

Of 208 patients with at least one year follow-up, only three underwent inguinal hernia repair, all within the first year

Most patent processus vaginalis do not turn into inguinal hernias based on four-year interim analysis data

Liver transplantation for biliary atresia can be performed as initial treatment (primary) or after failed Kasai hepatoportoenterostomy (salvage)

The current standard in the US for biliary atresia is Kasai first and liver transplant only if that fails

Children who had an early salvage liver transplant (before age one) and children who had a primary liver transplant had similar outcomes

Children who had a late salvage liver transplant had improved graft survival compared to other groups

Some children who undergo the Kasai procedure will never end up needing a liver transplant

Social risk screening in pediatrics involves screening for risk factors including food and housing insecurity, financial strain, and unsafe environments

Current social risk screening protocols may not be effective and may actually lead to more inequities

There is low concordance between screening results showing who might need resources and who is actually asking for more resources

Families may feel uncomfortable with social risk screening and may think there might be downstream repercussions based on their answers

There may be racial biases in screening practices, with non-white patients potentially being asked social risk questions more often