Collection
Intestinal Rehab
Also covers: gastroschisis · necrotizing enterocolitis · intestinal failure · short bowel syndrome · Hirschsprung disease · malrotation · intestinal atresia · omphalocele
Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
Content of this collection
Medical management of NEC includes withholding feeds, orogastric tube decompression, broad-spectrum antibiotics, and serial monitoring (exams, labs, x-rays). — Gail Besner, Stay Current Throwbacks Necrotizing Enterocolitis with Dr. Gail Besner · 11:01
Multidisciplinary Approach: Intestinal Failure Innovations
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Dr. Michael Helmrath leads a discussion amongst the panel including topics of intestinal failure, a team approach to intestinal patients, nutritional administration, complication rates, central line vs. PICC line use for total parenteral nu
video1:37:52 · Jan 2019
Pyloric Stenosis
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Dr. Bhargava Mullapudi, Pediatric Surgeon at Cincinnati Children’s, and Dr. Gillian Goddard, Pediatric Surgery Research Fellow at Cincinnati Children's, joins Dr. Rae Hanke to review the essentials of pyloric stenosis in this videocast.Pylo
video12:30 · May 2020
Intestinal rehabilitation: What is intestinal rehab? - Episode 1
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We’re starting a new series about intestinal rehabilitation and all of its intricacies. We’re joined by Drs. Michael Helmrath and Paul Wales, leaders of the Intestinal Rehabilitation Program at Cincinnati Children’s. Hosted by: Todd Ponsky,
video14:33 · Dec 2021
Intestinal Rehabilitation, Episode 1: What is intestinal rehabilitation?
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We’re starting a new series about intestinal rehabilitation and all of its intricacies. We’re joined by Drs. Michael Helmrath and Paul Wales, leaders of the Intestinal Rehabilitation Program at Cincinnati Children’s. Hosted by: Todd Ponsky,
podcast14:33 · Dec 2021
Omphalocele and Gastroschisis With Dr. Foong-Yen Lim
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Omphalocele and Gastroschisis are abdominal wall defects that develop in-utero and surgically treated post-birth. Join Dr. Foong-Yen Lim, Surgical Director of the Cincinnati Children’s Fetal Care Center, and Dr. Todd Ponsky to discuss the p
podcast9:31 · Feb 2022
Omphalocele & Gastroschisis
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Abdominal wall defects like omphalocele and gastroschisis can lead to potentially complex postnatal care which is why today we are going to discuss some key knowledge points from Dr. Foong-Yen Lim: pediatric surgeon at Cincinnati Children’s
video9:32 · Mar 2022
Stay Current Throwbacks Necrotizing Enterocolitis with Dr. Gail Besner
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Today is #NECday so we went back to a conversation between Dr. Todd Ponsky and Dr. Gail Besner about necrotizing enterocolitis. Enjoy this Stay Current Throwback on NEC. https://pubmed.ncbi.nlm.nih.gov/34506326/
podcast47:54 · May 2022
Malrotation with Dr. Meera Kotagal
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In this podcast, we cover the basics of malrotation including embryology, presentation, differentiation, diagnosis, surgical approach, and post operative management with Dr. Meera Kotagal.
Host: Em Tombash
Animations to understand the
podcast13:25 · May 2023
There is no good data that allows prediction of renal injury at gestational ages of 26 or 28 weeks using the established electrolyte cutoffs. — Mark, Overview of Prenatal Diagnosis: Cincinnati Fetal Center · 27:51
Overview of Prenatal Diagnosis: Cincinnati Fetal Center
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Dr. Mark P. Johnson, research chair in fetal therapy, discusses an overview of prenatal diagnosis of fetal lower urinary tract obstruction. Dr. Johnson describes the most common causes of lower urinary tract obstructions, progressive oligoh
video40:34 · Nov 2018
Prenatal diagnosis of fetal lower urinary tract obstruction: Fetal...
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Dr. Mark P. Johnson, research chair in fetal therapy, discusses an overview of prenatal diagnosis of fetal lower urinary tract obstruction. Dr. Johnson describes the most common causes of lower urinary tract obstructions, progressive oligoh
video40:14 · Jan 2019
The Colorectal Quiz Episode 8: Motility Disorders Part 1
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Motility disorder is a team sport - that's why today, we're talking to our colleagues in Pediatric Gastroenterology, Dr. Anil Darbari from Children's National Hospital and Dr. Kahleb Graham from Cincinnati Children's Hospital. Special guest
podcast14:04 · Mar 2021
Colorectal Collaboration: Neurogastroenterology/Motility Disorders
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Pediatric Colorectal Surgery is a team sport. That's why this episode is about how the pediatric colorectal surgery team, lead by Dr. Jason Frischer, collaborates with the neurogastroenterology department at Cincinnati Children's Hospital M
video14:55 · Jul 2021
Availability, utilization, and barriers to bowel ultrasound for necrotizing enterocolitis...
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Dr. Lizzy Lee from Cincinnati Children's discusses a national multidisciplinary survey on the availability and use of bowel ultrasound (BUS) for diagnosing necrotizing enterocolitis (NEC). The study found that while BUS is available in many
video0:55 · Jul 2026
The downside of Blake tubes is that they cannot be changed over a wire like JP drains with side holes; the ideal tube would be a Blake with a central hole for wire passage. — Michael Helmrath, Intestinal Rehabilitation, Episode 2: Overwhelming intestinal damage, Part 2 · 14:59
Necrotizing Enterocolitis
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Dr. Jose Prince discusses necrotizing enterocolitis. His presentation includes management techniques of peritoneal drainage, exploratory laparotomy, diagnostic laparoscopy, complete enterectomy, silo, bowel decompression, and antibiotics as
video35:06 · Nov 2018
Intestinal Rehabilitation, Episode 2: Overwhelming intestinal damage, Part 1
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We're back with a new episode from the Intestinal Rehabilitation Center at Cincinnati Children's Hospital. This time we're talking about the management of overwhelming intestinal damage in conditions such as necrotizing enterocolitis and vo
podcast13:27 · Feb 2022
Intestinal Rehabilitation, Episode 2: Overwhelming intestinal damage, Part 2
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We're back with the second part of episode 2, management of overwhelming intestinal damage along with Drs. Michael Helmrath and Paul Wales from Intestinal Rehabilitation Center at Cincinnati Children's Hospital. Article for further reading:
podcast17:21 · Feb 2022
The new GERD guidelines (joint North America and Europe) recommend treating with PPI for 2 months then attempting to wean, with goal of weaning twice yearly. — Rachel Rosen, Gastroesophageal Reflux Disease · 43:42
Gastroesophageal Reflux Disease
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This podcast is a multidisciplinary discussion on a controversial topic, management of pediatric Gastroesophageal Reflux Disease, amongst Dr. Todd Ponsky, Dr. Rachel Rosen, and Dr. George "Whit" Holcomb.Dr. Rachel Rosen is Director of the A
podcast1:21:04 · Dec 2020
The current ASPEN guidelines define enteral autonomy as independence from parenteral support for 12 weeks with maintenance of adequate growth and hydration during that time period. — Paul Wales, Intestinal Rehabilitation, Episode 3: Enteral Autonomy, Part 1 · 6:39
Intestinal Failure - Feeding Access and Nutrition
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Dr. Michael Helmrath discusses alternative feeding techniques for intestinal failure, distal feeding, button insertion illustration, anastomosis, dilated bowel segments, small bowel length significance, liver disease, international patient
video1:58:06 · Nov 2018
Practical Approach: Intestinal Failure Innovations
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Dr. Michael Helmrath leads a discussion in alternative feeding techniques for intestinal failure, distal feeding, button insertion, the significant of small bowel length, liver disease, international patient management, breast milk therapy,
video1:56:52 · Jan 2019
Intestinal Rehabilitation, Episode 3: Enteral Autonomy, Part 1
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We're back with a new episode from the Intestinal Rehabilitation Center at Cincinnati Children's Hospital. This time we're talking about enteral autonomy with Drs. Helmrath and Wales. This is the first of two parts on this topic, stay tuned
podcast16:18 · Mar 2022
Intestinal Rehabilitation, Episode 3: Enteral Autonomy, Part 2
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We're back with the second part of episode 3, enteral autonomy along with Drs. Michael Helmrath and Paul Wales from Intestinal Rehabilitation Center at Cincinnati Children's Hospital. Hosts: Ellen Encisco & Rod GerardoRegister for Best of t
podcast13:37 · Mar 2022
Update Course 2022 - UPDATES IN GASTROSCHISIS FEEDING PROTOCOLS - Jason Fraser, Beth Rymeski, and Steven Lee
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In this session we discuss protocols for feeding gastroschisis patients with Drs. Jason Fraser, Beth Rymeski, and Steven Lee.
Articles discussed:
Minimizing Variance in Gastroschisis Management Leads to Earlier Full Feeds in Delayed C
video21:09 · Sep 2022
Intestinal Rehabilitation, Episode 7: Refeeding in a neonatal patient
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We’re back with a new episode from the intestinal rehabilitation center at Cincinnati Children’s Hospital.
This time we’re talking about How to refeed a neonatal patient with a damage bowel, as always with the experts Drs. Helmrath and W
podcast16:09 · Sep 2023
Intestinal Rehabilitation Episode 8: Refeeding of an Older Patient
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We’re back with a new episode from the intestinal rehabilitation center at Cincinnati Children’s Hospital.
This time we’re talking about Refeeding in older patients with Drs. Helmrath and Wales.
If you are looking for refeeding a Neon
podcast12:05 · Oct 2023
Surgical management of gastroschisis focuses on safe viscera reduction, identifying and treating associated defects (atresia, perforation), closure of the defect, early recognition of complications, and nutritional support. — Joyce, Gastroschisis: Advanced Practice Providers · 7:47
Renal transplantation: Cincinnati Fetal Center
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Dr. Maria Alonso, Intestinal Transplant Surgeon, presents on renal transplantations. She discusses general surgical needs, gastrostomy tube, peritoneal dialysis catheter, hemodialysis catheter, extra peritoneal approach, extra vesicle re im
video13:51 · Nov 2018
Malrotation - Volvulus - Meconium Ileus - Solid Organ Injury: Update Course 2015
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Dr. Kenneth Azarow,Surgeon-in-Chief for Doernbecher Children’s Hospital,presents on malrotation-volvulus, meconium ileus, andsolid organ injury. Topics covered by Dr. Azarow include malrotation and heterotaxy, non rotation, right and leftat
video27:04 · Nov 2018
Renal transplantation: Fetal Genitourinary Disease 2015
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Dr. Maria Alonso, Intestinal Transplant Surgeon, presents on renal transplantations. She discusses general surgical needs, gastrostomy tube, peritoneal dialysis catheter, hemodialysis catheter, extra peritoneal approach, extra vesicle re-im
video13:44 · Jan 2019
Sutureless Gastroschisis Repair: Technique
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This video demonstrates the technique of the sutureless plastic closure for gastroschisis. This can be performed at the bedside in the NICU without a trip to the operating room. This was originally described by Bianchi and then modified by
video · Jan 2019
Gastroschisis: Advanced Practice Providers
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Joyce Slusher, MSN, CNP, presents on perioperative management of gastroschisis for advanced practice providers.
video43:21 · Jan 2019
Staged Closure of Gastroschisis with Spring-loaded Silo
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This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pedia
video27:11 · Feb 2020
Sutureless Closure of Gastroschisis - APSA Practice Gaps 2019
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At the 7th Annual Pediatric Surgery Update Course, Dr. Saleem Islam discusses sutureless closure of gastroschisis, one of the 2019 practice gaps identified by the American Pediatric Surgical Association’s Professional Development Committee.
video21:04 · Mar 2020
Umbilical Cord Defects with Dr. Kenneth Azarow
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This podcast discusses the work up and management of umbilical cord defects. Dr. Todd A. Ponsky is an associate professor of surgery and pediatrics and pediatric surgeon at Akron Children's Hospital. Dr. Kenneth S. Azarow is surgeon-in-chie
podcast30:16 · Dec 2020
Duodeno-duodenostomy for Duodenal Atresia
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In this video, duodeno-dudenostomy diamond anastomsis for duodenal atresia is demonstrated. The patient is a 2 day old boy that is presented with greenish vomiting since birth. Exploration revealed complete duodenal atresia type three and m
video7:04 · Jun 2021
Pediatric Vascular Access in Brief: Preoperative, Operative, and Postoperative Considerations
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All surgeons need to know about vascular access. Here we review some preoperative, operative, and postoperative considerations of pediatric vascular access with Dr. Alex Bondoc from Cincinnati Children's Hospital, including indications, con
video13:54 · Sep 2022
Intestinal Rehabilitation, Episode 4: Surgical Management, Part 1
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We're back with a new topic, discussing surgical management with Drs. Michael Helmrath and Paul Wales from Intestinal Rehabilitation Center at Cincinnati Children's Hospital.
Hosts: Ellen Encisco & Em Tombash
Don't forget to like and
video19:07 · Oct 2022
Intestinal Rehabilitation, Episode 4: Surgical Management, Part 1
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We're back with a new topic, discussing surgical management with Drs. Michael Helmrath and Paul Wales from Intestinal Rehabilitation Center at Cincinnati Children's Hospital.
Hosts: Ellen Encisco & Em Tombash
Resources:
Bianchi A.
podcast19:07 · Oct 2022
Malrotation Infant
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Surgical technique video demonstrating laparoscopic Ladd procedure in an infant with malrotation presenting with bilious vomiting. Shows systematic division of Ladd bands, duodenal mobilization, bowel derotation, and appendectomy using 3mm
video9:22 · May 2026
Malrotation and Volvulus with Trinity
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Surgical technique video demonstrating laparoscopic reduction of midgut volvulus with Ladd procedure in a 12-year-old with chronic symptoms and acute obstruction. Shows systematic band division, bowel derotation, mesenteric widening, and ap
video8:02 · May 2026
Cincinnati Children's Hospital institutionally defined cholestasis as conjugated bilirubin greater than 3 mg/dL or 50 micromoles/L sustained for 2 weeks and not associated with a septic event. — Paul Wales, Intestinal Rehabilitation, Episode 6: Cholestasis · 1:09
Intestinal Rehabilitation, Episode 4: Surgical Management, Part 2
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We're back with the second part of discussing surgical management with Drs. Michael Helmrath and Paul Wales from Intestinal Rehabilitation Center at Cincinnati Children's Hospital.
Hosts: Ellen Encisco & Em Tombash
Don't forget to lik
podcast12:24 · Oct 2022
Intestinal Rehabilitation, Episode 6: Cholestasis
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We’re back with a new episode from the intestinal rehabilitation center at Cincinnati Children’s Hospital.
This time we’re talking about Cholestasis with Drs. Helmrath and Wales.
Hosts: Cecilia Gigena & Ellen Encisco.
podcast15:25 · Jun 2023
Current ATLS protocols recommend initial bolus with normal saline or crystalloid solution before moving to blood products in pediatric trauma. — Todd Ponsky, Update Course 2021: TOP PUBLICATIONS IN NON - PED SURG JOURNALS · 19:40
91% Decrease in Mortality with Gastroschisis Bundle!
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By adopting a gastroschisis bundle protocol, a group from Hospital Infantil de México Federico Gomez was able to reduce their mortality from 22% to just 2%! Congratulations to Cristian Zalles-Vidal, Jaime Nieto-Zermeño, and the other author
video3:12 · Dec 2018
Biliary Atresia, Appendicitis, Intestinal Failure, and Anesthetic...
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Audio Journal with Dr. Von Allmen about usingCorticosteroids After Hepatoportoenterostomy for Bile Drainage, Dr. Whit Holcomb aboutsurgical site infections (SSI) are an important source of morbidity and mortality.andfeasibility and safety o
podcast44:19 · Jan 2019
Immediate vs Silo Closure for Gastroschisis
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Dr. Ponsky reviews his takeaways from the JPS article, “Immediate Versus Silo Closure for Gastroschisis: Results of a Large Multicenter Study.”Link to full article: https://gcmd.co/2PItKT3
video0:26 · Dec 2019
7th Annual Pediatric Surgery Update Course 2019 - FULL SHOW
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8:10am - APSA PDC TOP 10 - Review of 2018 Top Ten, Antibiotic stewardship, New concept in small bowel obstruction, Adherence to the Surviving Sepsis campaign guidelines and New APSA Trauma committee solid organ injury protocol10am - APSA PD
video4:45:42 · Jul 2020
Biliary Atresia, Appendicitis, Intestinal Failure, and Anesthetic...
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Audio Journal with Dr. Von Allmen about using Corticosteroids After Hepatoportoenterostomy for Bile Drainage, Dr. Whit Holcomb about surgical site infections (SSI) are an important source of morbidity and mortality. and feasibility and safe
podcast44:19 · Dec 2020
Gastroschisis and sutureless abdominal wall closure
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Dr. Rod Gerardo and Dr. Todd Ponsky talk to Dr. Jason Fraser about the paradigm shift in gastroschisis management that is still in flux. Plus a deep dive into Dr. Fraser's recent publication: "Sutureless vs sutured abdominal wall closure fo
podcast12:17 · Jan 2021
Journal of Pediatric Surgery Article Review: October 2021
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We're back with the October issue of JPS article highlights. This time we're talking to JPS Editor Dr. Paul Tam and authors Dr. Brittany Johnson, Dr. Nigel Hall, Dr. Richard Wood, and Dr. Giacomo Esposito. Hosts: Ellen Encisco & Rod Gerardo
podcast19:10 · Nov 2021
Journal of Pediatric Surgery Article Review: January 2022 APSA Issue
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We're back with the January issue of JPS article highlights. This time we're talking to editor Dr. Cassandra Kelleher and authors Drs. Gail Besner, Shahrazad Joharifard and Sarah Stokes with Dr. Todd Ponsky. Hosts: Ellen Encisco, Em Tombash
podcast13:09 · Feb 2022
Update Course 2021: TOP PUBLICATIONS IN NON - PED SURG JOURNALS
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Dr. Jose Campos and his team, Sociedad Chilena Cirugia Pediatrica curate the best pediatric surgical articles in non-core pediatric surgery journals and in this session, they describe their 5 favorites from the past year. The conversation i
video22:13 · May 2022
Update Course 2021: UPDATE COURSE 2020: REVIEW OF LAST YEAR'S IMPORTANT T OPICS
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General surgery residentRodrigo Gerardo, MD reviews the highlights from the 2020 Update Course including MMP7 for diagnosing biliary atresia, complex gastroschisis, and so much more.
video23:20 · May 2022
CAPS - The use of urine sodium to creatinine ratio as a marker of total body sodium in infants with intestinal failure - Sara Choi
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Listen to Sara Choi gave her presentation of "The use of urine sodium to creatinine ratio as a marker of total body sodium in infants with intestinal failure" at the first ever Best of the Best in Pediatric Surgery event.Controlar el sodio
video8:40 · May 2022
Update Course 2022 - TOP PUBLICATIONS IN NON- PED SURG JOURNALS - Jose Campos
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In this session, Dr. Jose Campos leads us through the top publications that are not in the Journal of Pediatric Surgery.
Articles referenced:
1. IMPPACT (Intravenous Monotherapy for Postoperative Perforated Appendicitis in Children T
video27:50 · Sep 2022
Update Course 2022 - APSA PDC UPDATES - Mary Edwards, Paul Jeziorczak, Craig Lillehei, and Charles Snyder,
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In this session, members of the APSA Professional Development Committee (PDC) discussed the latest top articles and practice updates. We were joined by Drs. Mary Edwards, Paul Jeziorczak, Craig Lillehei, and Charles Snyder.
Topics discus
video1:04:30 · Sep 2022
Journal of Pediatric Surgery Article Review: June 2022, AAP Issue
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Here's the June 2022 issue of JPS article highlights. This time we're talking to Dr. Nicole Chandler and authors Drs. Elizabeth Beierle, Marcus Malek, Biren Modi, Amelia Collings and Katherine Flynn O'Brien.
Hosts: Ellen Encisco, Em Tomb
video15:54 · Sep 2022
Journal of Pediatric Surgery Article Review: June 2022, AAP Issue
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Here's the June 2022 issue of JPS article highlights. This time we're talking to Dr. Nicole Chandler and authors Drs. Elizabeth Beierle, Marcus Malek, Biren Modi, Amelia Collings and Katherine Flynn O'Brien.
Hosts: Ellen Encisco, Em Tomb
podcast15:54 · Sep 2022
Routine contrast enema prior to stoma reversal seems only required following treatment for necrotizing enterocolitis: An evaluation of the diagnostic accuracy of the contrast enema
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New article you should know about by Dr. Cecilia Gigena
"Routine contrast enema prior to stoma reversal seems only required following treatment for necrotizing enterocolitis: An evaluation of the diagnostic accuracy of the contrast enem
video0:56 · Apr 2023
Quick Literature Updates Episode 6
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We’re back with sixth episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review four articles covering the most int
video · May 2023
Quick Literature Updates Episode 7
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We’re back with seventh episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review four articles covering the most i
video · May 2023
Quick Literature Updates Episode 10
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We’re back with tenth episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. This episode, we will review three articles covering the most
video · Jul 2023
Quick Literature Updates Episode 11
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We’re back with eleventh episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. This episode, we will review three articles covering the mo
video · Jul 2023
Disruption of enterohepatic Circulation of Bile acids ameliorates small bowel resection associated hepatic injury
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New article you should know by Cecilia Gigena
"Disruption of enterohepatic Circulation of Bile acids ameliorates small bowel resection associated hepatic injury"
Authors: Maria E. Tecos, Allie E. Steinberger, Jun Guo, Deborah C. Rubi
video0:59 · Aug 2023
Expectant Management or Early Ibuprofen for Patent Ductus Arteriosus
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Another article you should know by Cecilia Gigena
"Expectant Management or Early Ibuprofen for Patent Ductus Arteriosus"
Authors: Tim Hundscheid, M.D., Wes Onland, M.D., Ph.D., Elisabeth M.W. Kooi, M.D., Ph.D., Daniel C. Vijlbrief, M
video1:14 · Aug 2023
Association of Exclusive Breast Milk Intake and Outcomes in Infants With Uncomplicated Gastroschisis: A National Cohort Study
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New article review by Alex Halpern, MD!
Full text: https://www.jpedsurg.org/article/S0022-3468(24)00077-0/fulltext
Background: Enteral feeding is an essential part of the management of infants with gastroschisis. We hypothesized that
video0:56 · Aug 2024
Journal of Pediatric Surgery Article Review: 2nd Quarter (Apr-Jun) 2024
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We are back with another episode of our Journal of Pediatric Surgery article review podcast. This time we have three publications from the second quarter of 2024, April, May, and June issues. This time we're talking to editors Drs. Mary Bri
podcast17:03 · Sep 2024
Journal of Pediatric Surgery Article Review: 3rd Quarter (Jul-Sep) 2024
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We are back with another episode of our Journal of Pediatric Surgery article review podcast. This time we have three publications from the third quarter of 2024, July, August and September issues. This time we're talking to editors Drs. Col
podcast19:28 · Oct 2024
Use of a new vertical traction device for early traction-assisted staged closure of congenital abdominal wall defects: a prospective series of 16 patients
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Anna-Maria Ziegler, Daniel Svoboda, Britta Lüken-Darius, Andreas Heydweiller, Fritz Kahl, Sophie Christine Falk, Udo Rolle, Till-Martin Theilen
Purpose: Abdominal wall closure in patients with giant omphalocele (GOC) and complicated gast
video0:56 · Nov 2024
Management of Gastroschisis: Timing of Delivery, Antibiotic Usage, and Closure Considerations
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Mark B Slidell, Jarod McAteer, Doug Miniati, Stig Sømme, Derek Wakeman, Kristy Rialon, Don Lucas, Alana Beres, Henry Chang, Brian Englum, Akemi Kawaguchi, Katherine Gonzalez, Elizabeth Speck, Gustavo Villalona, Afif Kulaylat, Rebecca Rentea
video0:55 · Jan 2025
Quick Literature Updates Episode 16
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We’re back with sixteenth episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most inte
video4:21 · Jan 2025
Conservative Management of Necrotizing Enterocolitis in Newborns: Incidence and Management of Intestinal Strictures
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Rach Mena, Gabriela Guillén, Sergio Lopez-Fernandez, Marta Martos Rodríguez, César W Ruiz, Alicia Montaner-Ramon, Manuel López, José A Molino
Background: Necrotizing enterocolitis (NEC) is one of the main causes of acute abdomen in neona
video0:50 · Jan 2025
Outcomes of Children With Short Bowel Syndrome: Experiences in a Multidisciplinary Intestinal Rehabilitation Unit Over Two Decades
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Jaime Tsz-wing Tsang, Adrian Chi-heng Fung , Stephen Cheuk-lam Lau,Kenneth Kak-yuen Wong
Background: Short bowel syndrome (SBS) is a rare but serious form of organ failure, and patients with SBS depend on total parenteral nutrition (PN)
video0:45 · Mar 2025
STAT trial: stoma or intestinal anastomosis for necrotizing enterocolitis: a multicentre randomized controlled trial
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Simon Eaton, Niloofar Ganji, Mandela Thyoka, Maher Shahroor, Augusto Zani, Hazel Pleasants-Terashita, Ali El Ghazzaoui, Jayaram Sivaraj, Stavros Loukogeorgakis, Paolo De Coppi, Sandra Montedonico, Sanja Sindjic-Antunovic, Marija Lukac, Jame
video0:57 · Apr 2025
Educational Outcomes in School-Aged Children With a History of Simple and Complex Gastroschisis are Poor Compared to Controls
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Osamuyi Asemota, Gabrielle Derraugh, Matthew Levesque, Anna C Shawyer, Suyin A Lum Min, Richard Keijzer
Background: Research on long-term cognitive outcomes of children with gastroschisis is limited and inconsistent. This study aimed to
video0:53 · Apr 2025
Journal of Pediatric Surgery Article Review: 1st Quarter (Jan-Mar) 2025
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We are back with another episode of our Journal of Pediatric Surgery article review podcast. This time we have three publications from the first quarter of 2025, January, February and March issues. This time we're talking to editors Drs. Ro
podcast16:35 · May 2025
Quick Literature Updates Ep 22
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We’re back with 22nd episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most interesti
video4:23 · Oct 2025
Quick Literature Updates Ep 27
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We’re back with 27th episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most interesti
video4:20 · Feb 2026
Impact of social determinants of health on outcomes in pediatric short bowel syndrome...
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This video discusses a retrospective cohort study from Cincinnati Children's, presented by Lizzy Lee, examining the impact of social determinants of health on outcomes for children with pediatric short bowel syndrome. The study found that f
video0:43 · Aug 2026
Current standard for bilateral Wilms tumor is to start chemotherapy without biopsy, typically 2 cycles, and continue until tumor shrinkage plateaus (defined as less than 50% size reduction) — Tony Sandler, Compiled Sandler Rapid Fire Sessions: Update Course 2015 · 1:32
Abdominal Wall Defects
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Dr. Jacob Langer discusses various abdominal wall defects through case presentation.Topics of discussion include atresia, gastroschisis, fascial defects, staged closure by silo, and ruptured omphalocele.
video37:50 · Nov 2018
Malrotation
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Dr. Soldes discusses the classifications of malrotation through the presentation of case presentations. Discussion topics include Ladd's procedure, volvulus, non-bilious emesis, redundant duodenum, gastroesophageal reflux, and laparoscopy.
video42:31 · Nov 2018
Tricks - Total Colonic Aganglionosis Associated with Malrotation & Multiple...
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Dr. Sahned Jaafar presents a difficult case of total colonic aganglionosis with malrotation and Hirschsprungs disease. The presentation is followed by a comprehensive discussion of surgical approaches to this case.
video15:41 · Nov 2018
Bilateral Wilm's Tumor - Complex Gastroschisis - Complex Ileal Atresia:...
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Dr. Anthony Sandler discusses bilateral Wilm's tumors, complex gastroschisis, and complex ileal atresia.
video29:44 · Nov 2018
Malrotation Rapid Fire Session: Update Course 2015
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During the 3rd Annual Stay Current in Pediatric Surgery Update Course in 2015, Dr. Kenneth Azarow,Dr. Kenneth Azarow, Surgeon-in-Chief for Doernbecher Children’s Hospital, presents on malrotation-volvulus. Topics discussed includemalrotatio
video8:59 · Jan 2019
Compiled Sandler Rapid Fire Sessions: Update Course 2015
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Dr. Anthony Sandler from Children's National Medical Center leads the discussion in a rapid fire format for multiple cases, including management of Wilms tumor, gastroschisis, and complex ileal atresia.
video29:44 · Jan 2019
Abdominal Wall Defects: Update Course 2013
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Dr. Jacob Langer discusses various abdominal wall defects through case presentation.Topics of discussion include atresia, gastroschisis, fascial defects, staged closure by silo, and ruptured omphalocele.
video37:40 · Jan 2019
Total Colonic Hirschsprung Disease with Malrotation: Difficult Cases
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Dr. Sahned Jaafar presents a difficult case of total colonic aganglionosis Hirschsprung disease with malrotation. The presentation is followed by a comprehensive discussion of surgical approaches to this case.
video13:15 · Jan 2019
NEC: Update Course 2013
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Dr. Jose Prince discusses necrotizing enterocolitis. His presentation includes management techniques of peritoneal drainage, exploratory laparotomy, diagnostic laparoscopy, complete enterectomy, silo, bowel decompression, and use of antibio
video34:22 · Jan 2019
Gastroschisis - Clinical Practice Updates
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This clip from the 2020 Pediatric Surgery Update Course features, Miguel Guelfand, MD; Shawn St. Peter, MD; and Saleem Islam, MD; presenting challenging cases for review by our panelists.
Highlighted Topics Include:
- Omphalocele
- Pul
video · Sep 2020
The Colorectal Quiz Episode 9: Motility Disorders Part 2
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Motility disorder is a team sport - that's why today, we're talking to our colleagues in Pediatric Gastroenterology, Dr. Anil Drabari from Children's National Hospital and Dr. Kahleb Graham from Cincinnati Children's Hospital. Special guest
podcast13:52 · Apr 2021
Neonatal Gastric Volvulus with Dr. Jason Frischer
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Gastric volvulus is a rare pathology for the pediatric surgical patient and when it happens, you want to be ready for potential surgical intervention. In this episode, Dr. Jason Frischer discusses the basics of diagnosis and management for
podcast11:17 · Jun 2022
Colorectal Quiz: Episode 42 - HD Constipation
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In this episode of the Colorectal Quiz, Drs. Mark Levitt, Jason Frischer, and Chris Gayer discuss a complex case of persistent constipation in a patient with a history of Hirschsprung’s disease. Despite a successful pull-through surgery in
podcast14:48 · Dec 2024
Patients should be referred to intestinal rehabilitation programs when not making progress, on prolonged TPN, or have significant comorbidities, preferably sooner rather than later. — Stephanie Oliveira, Advancements in Pediatric Intestinal Failure: Innovative Therapies and Improved Outcomes · 4:19
Necrotizing Enterocolitis with Dr. Gail Besner
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Discussion between Dr. Todd Ponsky and Dr. Gail Besner about necrotizing enterocolitis
podcast46:29 · Jan 2019
Intestinal Failure with Dr. Brad Warner
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Dr. Brad Warner discusses intestinal failure management in pediatric patients, covering diagnostic criteria, bowel length thresholds for survival, and long-term outcomes. Key topics include short bowel syndrome following necrotizing enteroc
podcast52:46 · Jan 2019
Abdominal Wall Defects with Dr. Jacob Langer
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Dr Jacob Langer discusses abdominal wall defects with Dr. Todd Ponsky.Edited by Ian C. Glenn, MD and Sophia Abdulhai, MDAn interactive discussion about gastroschisis and omphalocele between Todd Ponsky, MD and Jacob "Jack" Langer, MD. Dr. L
podcast52:45 · Jan 2019
Intestinal Failure with Dr. Brad Warner
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Discussion with Dr. Brad W. Warner about intestinal failureWhat is intestinal failure?An umbrella term for when the small bowel is unable to digest and absorb an adequate amount of nutrients to sustain a patient through enteral means alone.
podcast52:46 · Dec 2020
Necrotizing Enterocolitis with Dr. Gail Besner
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Discussion between Dr. Todd Ponsky and Dr. Gail Besner about necrotizing enterocolitisHistory:Patients will often present with abdominal distention, high gastric residuals and bloody stools.First make sure the problem is in the abdomen.Pat
podcast46:29 · Dec 2020
Hirschsprung Disease Part I with Marc Levitt
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Dr. Marc Levitt and Dr. Todd Ponsky discuss Hirschsprung disease.Dr. Ponsky: Welcome to "Stay Current” in pediatric surgery, I’m Todd Ponsky, a pediatric surgeon at Akron Children’s Hospital and today we’re going to be focusing on Hirschspr
podcast59:20 · Dec 2020
Abdominal Wall Defects with Dr. Jacob Langer
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Dr Jacob Langer discusses abdominal wall defects with Dr. Todd Ponsky.Edited by Ian C. Glenn, MD and Sophia Abdulhai, MDAn interactive discussion about gastroschisis and omphalocele between Todd Ponsky, MD and Jacob "Jack" Langer, MD. Dr. L
podcast52:45 · Dec 2020
Update Course Rewind: 2022 Top Ten Key Takeaways
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The 10th annual Pediatric Surgery Update Course was held as a webinar on August 30, 2022. We had a lot of lively discussion and engaging presentations on the latest updates in pediatric surgery. In this video we are reviewing the top ten ke
video · Jun 2023
Intestinal Rehabilitation Webinar 2023 - Top 5 Key Takeaways
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In November 2023 we held the first Intestinal Rehabilitation webinar with Dr. Paul Wales & Dr. Michael Helmrath, 2 experts from the Intestinal Rehab center at Cincinnati Children's.
These are the top 5 key takeaways from this webinar!!
video12:14 · Jun 2024
Umbilical Disorders with Dr. Rebeccah Brown
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In this podcast, we explore the conditions, and treatment strategies related to umbilical disorders in newborns and young children with Dr. Rebeccah Brown from Cincinnati Children's.
From umbilical coard anatomy and infections like ompha
podcast11:27 · Jan 2025
Update Course Rewind: Omphalocele & Gastroschisis 2020
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Abdominal wall defects like omphalocele and gastroschisis can present in interesting ways. At last year
podcast15:18 · Jun 2026
Update Course Rewind 2025: Updates in NEC Management
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Narrated by Lizzy Lee, PA-C & Maggie Koenig, this podcast, a rewind from the 2025 Pediatric Surgery Update Course, delves into crucial updates in Necrotizing Enterocolitis (NEC) management. Leading pediatric surgeons Drs. Augusto Zani, Simo
video11:03 · Jul 2026
Advancements in Pediatric Intestinal Failure: Innovative Therapies and Improved Outcomes
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This podcast from Cincinnati Children's Hospital Medical Center explores the definition, causes, and management of pediatric intestinal failure, emphasizing advancements in treatment. Dr. Stephanie Bachi de Castro Oliveira and Dr. Paul W. W
video17:45 · Aug 2026
Once released from the cell, extracellular CIRP acts as a DAMP by enhancing the release of cytokines and chemokines and amplifying the inflammatory cascade — Colleen Nofi, Dr. Colleen Nofi - Best of the Best in Pediatric Surgery 2025 · 1:19
Dr. Colleen Nofi - Best of the Best in Pediatric Surgery 2025
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Watch APSA's Dr. Colleen Nofi’s presentation on “Extracellular Cirp Exacerbates Necrotizing Enterocolitis” at the 2025 Best of the Best in Pediatric Surgery event!
Moderators: Drs. Todd Ponsky, Dan von Allmen, and Meera Kotagal
video8:06 · Mar 2025
Remote Ischemic Conditioning (RIC) Decreases the Incidence and Severity of Necrotizing Enterocolitis (NEC) - Validation in a Large Animal Model
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Rahul Gadde, Jason Xia, Sophia Hameedi, Angela Saulsbery, Carly Schafer, Lourenço Sbragia, Oluyinka O Olutoye
Background: Necrotizing enterocolitis (NEC) remains a devastating intestinal disease that affects 5-7% of preterm neonates. Rem
video0:59 · Apr 2025
Reliance on total parenteral nutrition (TPN) and travelling abroad
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Intestinal failure in children: Reliance on total parenteral nutrition (TPN) and travelling abroad - An ERNICA animation for patients and families
Click here to access the tool and find out more information: https://www.ern-ernica.eu/int
video1:42 · Dec 2023
What is Gastroschisis? An ERNICA animation for parents and families
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Animation video [in English]. Target audience: Parents and families. The video could also be used as an explanatory tool by healthcare professionals.
For further details about this condition, possible complications and specialised care,
video2:59 · Dec 2023
Patients who transitioned to adult care showed no obvious differences in medical complexity or disease burden compared to those who remained in pediatric care — Julian Goddard, Care transition from a pediatric intestinal rehabilitation program to adult care and the risk of all-cause mortality: A retrospective cohort study · 0:29
Care transition from a pediatric intestinal rehabilitation program to adult care and the risk of all-cause mortality: A retrospective cohort study
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Gillian R Goddard, Stephanie Oliveira, Crystal Slaughter, Kim Klotz, Marilyn Stoops, Julie Schletker, Jackie Wessel, Michael Helmrath, Samuel Kocoshis, Monique Goldschmidt, Paul W WalesBackground: As patients with intestinal failure reach a
video1:01 · May 2026
Common questions
How is teduglutide dosed and monitored?
Teduglutide is given once daily by subcutaneous injection. It is a GLP-2 analog with a 2-hour half-life. Monitoring guidance is limited: the FDA recommends checking electrolytes and complete blood counts to screen for anemia, though no formal long-term monitoring protocol exists from major organizations. Clinical outcomes tracked include reduction in TPN requirements—approximately 1–2 liters per week in adults, or 40% reduction in fluid and calorie needs over 6 months.
What did Paul Wales say about intestinal failure?
Dr. Wales defined intestinal failure as a functional problem where gut function is insufficient to absorb enough nutrients, fluids, and calories to support survival and, in children, growth. He noted that until recently there was no standardized definition for the condition. Patients presenting to intestinal rehabilitation programs have intestinal failure, which can be divided into three categories of causes. Some patients present with elements of two or all three categories simultaneously.
What did Todd Ponsky say about Intestinal Rehab?
Todd Ponsky hosted the intestinal rehabilitation series at Cincinnati Children's Hospital alongside Rod Gerardo and Ellen Encisco, beginning in 2021. He and Brian Modi noted that children with intestinal failure might be slightly short statured but are not severely undersized compared to the general population, while also observing a high incidence of short stature in chronic intestinal failure.
Where do experts disagree?
Experts disagree on management of atresia in gastroschisis: whether to repair at initial closure, create stomas, or delay repair. Evidence for mucous fistula refeeding is not strong. Additionally, there is disagreement on bowel resection philosophy: some experts advocate resecting all damaged bowel, while intestinal rehabilitation specialists at Cincinnati Children's challenge this, arguing that understanding physiology may allow bowel regeneration and recovery without complete resection.
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Intestinal rehabilitation for pediatric short bowel syndrome centers on maximizing enteral autonomy while minimizing TPN-associated complications. Survival in established intestinal rehab programs now exceeds 90%, with enteral autonomy achieved in approximately 43% of patients. Key prognostic factors include residual bowel length, presence of ileocecal valve, and underlying diagnosis—necrotizing enterocolitis paradoxically predicts better outcomes than other etiologies. Breast milk is superior to formula for promoting adaptation due to growth factors (EGF, IGF) and oligosaccharides. Lipid minimization strategies (1 g/kg/day, 2-3×/week) reduce cholestasis rates below 5%. Surgical lengthening (STEP or Bianchi) is reserved for patients with dilated bowel (>4-5 cm) who plateau enterally despite optimal medical management; timing should avoid the first year when spontaneous bowel growth is maximal. Small bowel diameter ratio ≥2.17 predicts prolonged TPN dependence and increased bloodstream infections. Ethanol locks (70%, 2-6 hour dwell, 3×/week) have reduced catheter-related bloodstream infections from 12 to <2 per 1000 catheter-days. Teduglutide (GLP-2 analog) reduces TPN requirements by 20% in 60-70% of adults but remains unapproved in US pediatrics due to malignancy concerns.
- Enteral autonomy is achieved in 43% of intestinal failure patients; necrotizing enterocolitis diagnosis and ileocecal valve presence predict better outcomes. [e929-c24][e929-c25]
- Breast milk promotes adaptation via growth factors and oligosaccharides; lipid restriction to 1 g/kg/day reduces cholestasis to <5%. [e296-c15][e927-c16][e1036-c22]
- Small bowel diameter ratio ≥2.17 predicts prolonged TPN dependence and increased bloodstream infections independent of bowel length. [e4746-c2][e4746-c8]
- Surgical lengthening (STEP/Bianchi) is indicated for bowel >4-5 cm diameter with enteral plateau; defer until after first year. [e296-c22][e296-c25][e4746-c21]
- Ethanol locks reduced catheter infections from 12 to <2 per 1000 catheter-days; teduglutide reduces adult TPN by 20% in 60-70%. [e1036-c8][e296-c35][e1035-c12]
For patients & families
Intestinal rehabilitation helps children whose bowels cannot absorb enough nutrition to grow. Doctors discussed several key topics families should understand. What causes the problem. The most common reason is short bowel syndrome—when a baby is born with or loses part of their intestine due to conditions like gastroschisis, twisted bowel, or necrotizing enterocolitis [e4741-c4, e4741-c5, e4741-c6]. Some children have all their bowel but it doesn't move food properly (motility problems) or the lining doesn't absorb nutrients (enteropathies) [e4741-c7, e4741-c9]. How teams help. Specialized intestinal rehab programs bring together surgeons, gut doctors, dietitians, and many other experts . These teams have improved survival to over 90% . The key goals are getting nutrition into the gut, supporting the body with IV nutrition when needed, and allowing time for healing . The bowel can adapt. Physicians emphasized that the intestine—especially in the first year—can grow and learn to absorb better [e4746-c21, e4746-c22]. Breast milk helps this process . Sometimes dilated (stretched) bowel needs surgery to work better , but doctors wait to see if the bowel improves on its own first . Pattern recognition over time helps teams know when intervention is needed .
Intestinal rehabilitation helps children whose bowels cannot absorb enough nutrition to grow. Doctors discussed several key topics families should understand. What causes the problem. The most common reason is short bowel syndrome—when a baby is born with or loses part of their intestine due to conditions like gastroschisis, twisted bowel, or necrotizing enterocolitis [e4741-c4, e4741-c5, e4741-c6]. Some children have all their bowel but it doesn't move food properly (motility problems) or the lining doesn't absorb nutrients (enteropathies) [e4741-c7, e4741-c9]. How teams help. Specialized intestinal rehab programs bring together surgeons, gut doctors, dietitians, and many other experts . These teams have improved survival to over 90% . The key goals are getting nutrition into the gut, supporting the body with IV nutrition when needed, and allowing time for healing . The bowel can adapt. Physicians emphasized that the intestine—especially in the first year—can grow and learn to absorb better [e4746-c21, e4746-c22]. Breast milk helps this process . Sometimes dilated (stretched) bowel needs surgery to work better , but doctors wait to see if the bowel improves on its own first . Pattern recognition over time helps teams know when intervention is needed .
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Abdominal Wall Defects with Dr. Jacob Langer
The frequency and incidence of abdominal wall defects appears to be increasing
Host summaryThe host summarizes what Dr. Jack Langer said — not the host's own clinical position0:00 ↗
With gastroschisis, the main issue is that the bowel gets damaged through fetal life
clinicalJack Langer4:36 ↗
Most gastroschisis patients don't have any other associated anomalies, and it's pretty rare to have abnormal chromosomes
clinicalJack Langer4:46 ↗
Early papers showed a benefit to cesarean section in gastroschisis, but cesarean sections were usually done early at 36 or 37 weeks, raising the question of whether timing rather than cesarean section itself gave the benefit
clinicalJack Langer5:46 ↗
Many studies have failed to show an advantage to cesarean section, and most people nowadays would not do routine cesarean section for gastroschisis
clinicalJack Langer6:13 ↗
There has not been any large randomized trial looking specifically at the issue of early delivery in gastroschisis
clinicalJack Langer6:29 ↗
Toronto's approach is to deliver gastroschisis patients at around 37 weeks unless they've already gone into spontaneous labor
clinicalJack Langer6:58 ↗
The mean gestational age of onset of labor is a lot earlier in gastroschisis pregnancies, possibly because of inflammatory mediators produced by the inflamed bowel
clinicalJack Langer7:07 ↗
In gastroschisis pregnancies, labor can usually be successfully induced at 37 weeks, unlike regular pregnancies
clinicalJack Langer7:30 ↗
Most evidence, including from the CapsNet database, suggests that delivery in a perinatal center is beneficial for gastroschisis
clinicalJack Langer8:36 ↗
During transport of gastroschisis patients, it's important for the baby to be nursed on his or her side, usually right side down, to prevent kinking of the mesentery and ischemia of the bowel
clinicalJack Langer10:01 ↗
For gastroschisis, bedside closure is the first choice if the bowel is not too thickened and there's not too much peel
clinicalJack Langer10:57 ↗
Adrian Bianchi first described bedside closure for gastroschisis
clinicalJack Langer11:21 ↗
Using forceps at the bedside to push bowel back in can damage the bowel in a squiggling baby
clinicalJack Langer11:29 ↗
The current approach uses pre-formed silos, slowly pushing on them with fentanyl or morphine sedation in an awake baby, aiming to keep intraabdominal pressure below 20
clinicalJack Langer11:47 ↗
If reduction is successful with good pressure and perfusion, the silo can be removed immediately and the umbilical cord stump used to cover the hole with a Duoderm dressing left for about 5 days
clinicalJack Langer12:27 ↗
The sutureless plastic closure technique was described by Anthony Sandler and doesn't require suturing the umbilical cord
Host summaryTodd Ponsky summarizes what Dr. Jack Langer said — not the host's own clinical position13:15 ↗
A study by Dr. Baird published in JPS showed that patients with flap closure did better in every way than those with sutured fascial closure, including lower rates of umbilical hernia repair
Host summaryTodd Ponsky summarizes what Dr. Jack Langer said — not the host's own clinical position14:19 ↗
Umbilical hernias from plastic closure generally close by age 2 or 3 years, just like any umbilical hernia
clinicalJack Langer14:56 ↗
Some gastroschisis patients become tachypneic with bluish legs after reduction and require intubation by neonatologists an hour or two later
clinicalJack Langer16:12 ↗
The disadvantage of leaving a silo on for 24-48 hours is that the abdominal wall defect gets stretched out and bigger, taking longer to close with plastic closure
clinicalJack Langer17:25 ↗
Spring-loaded silos apply pressure outward as you push down, making the defect larger over time
clinicalTodd Ponsky18:10 ↗
The incidence of intestinal atresia in gastroschisis is between 5 and 10%
epidemiologicalJack Langer18:51 ↗
There are two types of intestinal atresia in gastroschisis: early-onset atresia where bowel gets very dilated but not thick-walled, and late atresia where the abdominal wall defect becomes very small causing ischemia and potentially vanishing gastroschisis
clinicalJack Langer19:01 ↗
The prognosis for short bowel syndrome has improved dramatically over the last 10-15 years because of intestinal failure centers, better TPN that doesn't damage the liver as much, and control of sepsis
clinicalJack Langer20:15 ↗
For atresia in gastroschisis, there are three management choices: repair at time of closure, bring out stomas, or drop everything back in and repair the atresia later
clinicalJack Langer20:54 ↗
There's no good evidence for optimal management of atresia in gastroschisis because it's such a rare occurrence
opinionJack Langer21:15 ↗
If bowel looks good without much peel, primary repair of atresia at initial closure is appropriate; if there's concern, drop it back in and repair later
clinicalJack Langer21:35 ↗
Stomas are brought out only when there's necrotic bowel requiring resection and the bowel is not healthy enough to anastomose
clinicalJack Langer22:01 ↗
The umbilicus is the preferred site for neonatal stomas because it results in a scar that would have been there anyway and is convenient for appliance placement
clinicalJack Langer22:50 ↗
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