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Hello, pediatric surgery family.

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I'm Emgody, a research fellow from Cincinnati Children's Hospital Medical Center.

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And today our team is going to deliver the articles that you should know about.

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We have three papers today.

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Two of them are from the Journal of Pediatric Surgery.

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And the last one is from the Journal of Trauma and Acute Care Surgery.

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We don't have much time, so let's start.

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Our first paper titled, Hirschsprung Associated Inflammatory Bowel Disease, a multi-center

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study from the APSA Hirschsprung Disease Interest by Sadataran et al.

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This paper is summarized by Cecilia Highena.

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She's a research fellow at Cincinnati Children's Hospital.

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This is a retrospective study that gathered patients through 2000 to 2021 at 17 institutions.

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And their aim was to identify potential risk factors for IVD symptoms in Hirschsprung patients.

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They gathered 55 patients and 50% of them had lung segment disease.

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So 68% got Hirschsprung Associated Enterocolitis and 10% got Trisomy 21.

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So it seems that lung segment disease, Hirschsprung Associated Enterocolitis and Trisomy 21 can

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be potential risk factors for IVD-like symptoms in Hirschsprung patients after a pull-through.

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Amazing.

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Our second paper is Outcomes of Lobroscopic versus Open Resection of Pediatric Colorectal

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Cyst by Remzi et al.

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And this paper is summarized by Ellen Ancisco.

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She was a research fellow at Cincinnati Children's Hospital.

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And as of July, she's back to being a general surgery resident at Mayo Clinic.

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The authors of this study wanted to compare the outcomes for open versus laparoscopic

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resection of colorectal cysts in pediatric patients.

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They used the Nationwide Readmissions Database and identified 577 children who underwent colorectal

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cyst resection between 2016 and 2018.

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They found that the majority of these patients underwent open resection and that the patients

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who underwent open resection were more likely to have a RU and Y-hepatocode J-dynostomy,

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while the patients who underwent laparoscopic resection were more likely to have a hepatocode

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D-dynostomy.

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They also found that the patients who underwent open resection were more likely to have a

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longer length of hospital stay, more complications, and higher total costs.

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Let's now move to the last paper of the day.

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Isolated, low-grade solid organ injuries in children following blunt abdominal trauma.

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Is it time to consider discharge from the emergency department?

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By Plum Lee et al.

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This one is again summarized by Cecilia Gihena.

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She's a research fellow at Cincinnati Children's Hospital.

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This is a retrospective study done in South Carolina, and they wanted to see if every

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isolated solid organ injury after an abdominal blunt trauma can be discharged from the ED.

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They gathered 262 patients with isolated solid organ injuries grades 1 to 3.

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148 patients had solid organ injuries grades 1 or 2, and none of them required an acute

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intervention.

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Among the 114 patients with grades 3 injuries, only 3 patients that require an acute intervention.

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So it seems that isolated solid organ injuries after a blunt abdominal trauma, grades 1 or

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2 can be discharged from the ED.

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Thank you for listening.

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Please check the link in the description below to read each paper.

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We hope you liked this episode.

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