We’re back with a new episode from the intestinal rehabilitation center at Cincinnati Children’s Hospital. 
This time we’re talking about peptides that enteroendocrine cells secretes with Drs. Helmrath and Wales.
Hosts: Ellen Encisco, Cecilia Gigena

Articles for further reading:

Safety and Efficacy of Teduglutide in Pediatric Patients with Intestinal Failure due to Short Bowel Syndrome: A 24-Week, Phase III Study. 
https://aspenjournals.onlinelibrary.wiley.com/doi/full/10.1002/jpen.1690

Outcomes from a 12-Week, Open-Label, Multicenter Clinical Trial of Teduglutide in Pediatric Short Bowel Syndrome.
https://pubmed.ncbi.nlm.nih.gov/27855998/

Experience With Teduglutide in Pediatric Short Bowel Syndrome: First Real-life Data
https://pubmed.ncbi.nlm.nih.gov/32804906/ 

Enteroendocrine cells couple nutrient sensing to nutrient absorption by regulating ion transport. https://www.nature.com/articles/s41467-020-18536-z

StayCurrent Podcast

Intestinal Rehabilitation Episode 5: Literature Review

We're featuring Journal of pediatric surgery articles earlier in the week to bring you some of the latest news!

This week we're discussing two articles from the September 2022 issue, with the editor Dr. Whit Holcomb and Authors Drs Andrew Murphy and Hafeez Abdelhafeez

Hosts: Em Tombash and Cecilia Gigena 

Articles: 

"Management of intravascular thrombus in cases of bilateral Wilms tumor or horseshoe kidney"  Pattamon Sutthatarn a , b , Oswaldo Gomez Quevedo a , Joesph Gleason a , c , Andrew M. Davidoffa , d , Andrew J. Murphya , d , ∗

DOI: https://www.jpedsurg.org/article/S0022-3468(21)00534-0/fulltext

"Indocyanine green–guided nephron-sparing surgery for pediatric renal tumors" Abdelhafeez H. Abdelhafeez a , b , ∗, Andrew J. Murphy a , b , Rachel Brennan c , Teresa C. Santiago d , Zhaohua Lu e , Matthew J. Krasin f , John J. Bissler g , Joseph M. Gleason a , h , Andrew M. Davidoff

DOI: https://www.jpedsurg.org/article/S0022-3468(21)00566-2/fulltext

Journal of Pediatric Surgery Article Review: September 2022, Part 1

Join Dr. Todd Ponsky for a refresher on the anatomy, workup, and management of Pediatric Inguinal Hernia. This video has quick hits the surgical trainee needs to know for rounds, exams, and clinical care.

Pediatric Inguinal Hernia with Dr. Todd Ponsky

Dr. José Campos is back, this time helping us review some of the latest literature on the diagnosis and management of pilonidal disease in children. In this podcast, we're reviewing a typical case with Dr. Todd Ponsky and incorporating literature from the last few years.

Hosts: Ellen Encisco, Em Tombash and Cecilia Gigena

Hardy EJO, Herrod PJ, Doleman B, Phillips HG, Ranat R, Lund JN. Surgical interventions for the treatment of sacrococcygeal pilonidal sinus disease in children: A systematic review and meta-analysis. https://pubmed.ncbi.nlm.nih.gov/30940347/

Prieto JM, Checchi KD, Kling KM, Ignacio RC, Bickler SW, Saenz NC, Fairbanks TJ, Nicholson SI, Lazar DA. Trephination versus wide excision for the treatment of pediatric pilonidal disease. https://pubmed.ncbi.nlm.nih.gov/31301885/

Erculiani M, Mottadelli G, Carlini C, Barbetta V, Dusio MP, Pini Prato A. Long-term results of EPSiT in children and adolescents: still the right way to go. https://pubmed.ncbi.nlm.nih.gov/35779104/

Şengül S, Güler Y, Çalış H, Kubat M, Karabulut Z. Crystallized phenol treatment vs excision and primary closure in pilonidal sinus disease: A randomized clinical trial in adolescent patients. https://pubmed.ncbi.nlm.nih.gov/33814182/

Case-Based Journal Review: Pilonidal Disease in 2022

We're featuring Journal of Pediatric Surgery articles earlier in the week to bring you some of the latest news! This week we're discussing two articles from the September 2022 issue, with editor Dr. Whit Holcomb and authors Drs. Andrew Murphy, Michelle Yang, Bradly Yoder & Katie Russell

Hosts: Ellen Encisco, Cecilia Gigena.

Articles:

"Why do subcutaneous ports get stuck? A case-control study" Jennifer Crook et.al. https://www.jpedsurg.org/article/S0022-3468(21)00537-6/fulltext 

"Operative repair in congenital diaphragmatic hernia: How long do we really need to wait?" Kyley Cox https://www.jpedsurg.org/article/S0022-3468(22)00091-4/fulltext

Journal of Pediatric Surgery Article Review: September 2022, Part 2

We’re back with the third episode of our image guided surgery video series! In this episode we're discussing deep brain electrode placement with ROSA robot in hybrid OR with some of our Interventional Radiology and Pediatric Neurosurgery colleagues at Cincinnati Children’s Hospital. Our guests are Dr. Francesco Mangano, Dr. John Racadio and Nicole Hilvert. And we’re joined by Dr. Denise Liu, radiology resident at University of Toledo.

Hosts: Rod Gerardo, MD, Em Tombash, MD

With image guided surgery, surgeon uses real-time images of the inside of the body during an operation. These images are generally produced by a combination of X-rays, ultrasound, CT's etc.

Hybrid OR (operating room) at Cincinnati Children’s is a collaboration between Radiology’s Dr. John Racadio and Surgeon-in-Chief Dr. Daniel von Allmen. The hybrid OR offers imaging capabilities in a sterile operating room.

It creates an environment for surgeons and interventional radiologists to combine their individual skills and expertise in order to benefit patient care. The room is equipped with X-ray, fluoroscopy (live X-ray), ultrasound and C-arm Cone Beam computed tomography (CBCT). Surgeons work together in the hybrid OR with interventional radiologists, who specialize in using these imaging technologies.

Imaging can be performed just before the surgery to help plan the procedure, during the surgery to identify important anatomy or disease, and after the surgery to evaluate results in the hybrid OR. Any surgery requiring radiologic imaging including open and minimally invasive surgeries, may take place in the hybrid OR.

The hybrid OR at Cincinnati Children’s opened in 2018 and serves for general surgery, urology, orthopedic surgery, neurosurgery, pulmonology, and many more.

Image Guided Surgery Series, Episode 3 - Deep Brain Electrode Placement with ROSA

We are featuring Journal of Pediatric surgery articles earlier this week to bring you some of the latest news!

This week we are discussing two articles from the september 2022 issue  with editor Dr. Whit Holcomb and authors Drs. Raval Mehul and Roman Sydorak

Hosts: Em Tombash, Ellen Encisco and Cecilia Gigena

Articles: 
"Effect of surgeon volume on pediatric thyroid surgery outcomes: A systematic review" Sydney L. Olson et. al. 
https://www.jpedsurg.org/article/S0022-3468(21)00834-4/fulltext

"Same day discharge for pectus excavatum-is it possible?" Luke Rettig et.al.
https://www.jpedsurg.org/article/S0022-3468(21)00114-7/fulltext

Journal of Pediatric Surgery Article Review: September 2022, Part 3

The 10th Annual Pediatric Surgery Update Course was held on August 30, 2022 in Cleveland, Ohio and was livestreamed to a global audience. The full day symposium is designed to give an update each year on the contemporary management of common problems in pediatric surgery. We highlight what's new in pediatric surgery that you need to know!

In this session we are summarizing the main topics on this talk.

As hosts we have Brittany Levy and Cecilia Gigena

Topics and articles discussed:

1. Spontaneous pneumothorax

Changing the Paradigm for Management of Pediatric Primary Spontaneous Pneumothorax: A Simple Aspiration Test Predicts Need for Operation

Conservative versus Interventional Treatment for Spontaneous Pneumothorax

2. Asymptomatic spontaneous pneumomediastinum

Are esophagrams indicated in pediatric patients with spontaneous pneumomediastinum?

3. Equivocal US for appendicitis

Cost-Effectiveness of Diagnostic Approaches to Suspected Appendicitis in Children

4. Straddle injuries

Pediatric female genital trauma managed under conscious sedation in the emergency department versus general anesthesia in the operating room- a single center comparison of outcomes and cost

5. Loss of consciousness with negative CT

Admission of Pediatric Concussion Injury Patients: Is It Necessary?

6. Intussusception

Outpatient management of intussusception: a systematic review and meta-analysis

7. Skull fractures

Observation for isolated traumatic skull fractures in the pediatric population: unnecessary and costly

Update Course Rewind: ED Utilization 2022

Check out this StayCurrent Short, where Dr. Rebeccah Brown gives us insight into the workup and management of Pilomatrixoma. 

Don't forget to like and subscribe to see more entertaining medical educational videos!

See more lectures, articles, and more on the Stay Current app: https://www.globalcastmd.com/stay-current-app-download

Pilomatrixoma with Dr. Rebeccah Brown

Dr. José Campos is back, this time helping us review some of the latest literature on the management of gastroschisis in children. In this podcast, we're reviewing a typical case with Dr. Todd Ponsky and incorporating literature from the last few years.

Hosts: Ellen Encisco, Em Tombash and Cecilia Gigena

Chen Y, Zhao J, Alganabi M, Mesas-Burgos C, Eaton S, Wester T, Pierro A. Elective Delivery versus Expectant Management for Gastroschisis: A Systematic Review and Meta-Analysis. https://pubmed.ncbi.nlm.nih.gov/35817335/

Allin BSR, Opondo C, Kurinczuk JJ, Baird R, Puligandla P, Skarsgard E, Knight M; on behalf of the BAPS-CASS/NETS /CAPSNet/CNN gastroschisis collaborations. Management of Gastroschisis: Results From the NETS2G Study, a Joint British, Irish, and Canadian Prospective Cohort Study of 1268 Infants. https://pubmed.ncbi.nlm.nih.gov/33201118/

Miyata S, Joharifard S, Trudeau MO, Villeneuve A, Yang J, Bouchard S; Canadian Pediatric Surgery Network (CAPSNet). Tu-be or not tu-be? Is routine endotracheal intubation necessary for successful bedside reduction and primary closure of gastroschisis?https://pubmed.ncbi.nlm.nih.gov/34304903/

Fraser JD, Deans KJ, Fallat ME, Helmrath MA, Kabre R, Leys CM, Burns RC, Corkum K, Dillon PA, Downard CD, Gadepalli SK, Grabowski JE, Hernandez E, Hirschl RB, Johnson KN, Kohler JE, Landman MP, Landisch RM, Lawrence AE, Mak GZ, Minneci PC, Rymeski B, Sato TT, Scannell M, Slater BJ, Wilkinson KH, Wright TN, St Peter SD; Midwest Pediatric Surgery Consortium. Sutureless vs sutured abdominal wall closure for gastroschisis: Operative characteristics and early outcomes from the Midwest Pediatric Surgery Consortium. https://pubmed.ncbi.nlm.nih.gov/32151403/

Case-Based Journal Review: Gastroschisis in 2022

We’re back with the fourth episode of our image guided surgery video series! In this episode we're discussing different pulmonary cases in hybrid OR with some of our Interventional Radiology and Pediatric Pulmonologist colleagues at Cincinnati Children’s Hospital. Our guests Drs. Chris Towe, Gregory Burg, Erik Hysinger, John Racadio are joined by Nicole Hilvert and Carolyn Wallace.

Hosts: Ellen Encisco, MD, Em Tombash, MD

0:00 Introduction
2:22 First Case
7:02 Second Case
15:36 Summary

With image guided surgery, surgeon uses real-time images of the inside of the body during an operation. These images are generally produced by a combination of X-rays, ultrasound, CT's etc.

Hybrid OR (operating room) at Cincinnati Children’s is a collaboration between Radiology’s Dr. John Racadio and Surgeon-in-Chief Dr. Daniel von Allmen. The hybrid OR offers imaging capabilities in a sterile operating room.

It creates an environment for surgeons and interventional radiologists to combine their individual skills and expertise in order to benefit patient care. The room is equipped with X-ray, fluoroscopy (live X-ray), ultrasound and C-arm Cone Beam computed tomography (CBCT). Surgeons work together in the hybrid OR with interventional radiologists, who specialize in using these imaging technologies.

Imaging can be performed just before the surgery to help plan the procedure, during the surgery to identify important anatomy or disease, and after the surgery to evaluate results in the hybrid OR. Any surgery requiring radiologic imaging including open and minimally invasive surgeries, may take place in the hybrid OR.

The hybrid OR at Cincinnati Children’s opened in 2018 and serves for general surgery, urology, orthopedic surgery, neurosurgery, pulmonology, and many more.

Image Guided Surgery Video Series, Episode 4 - Pulmonary Cases

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StayCurrent: Pediatric Surgery

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