Quick Literature Updates Episode 15

The Hirschsprung-associated IBD study was a retrospective study gathering patients from 2000 to 2021 at 17 institutions.

The study gathered 55 Hirschsprung patients, and 50% had long segment disease.

68% of the Hirschsprung patients had Hirschsprung-associated enterocolitis.

10% of the Hirschsprung patients had trisomy 21.

Long segment disease, Hirschsprung-associated enterocolitis, and trisomy 21 can be potential risk factors for IBD-like symptoms in Hirschsprung patients after pull through.

The choledochal cyst study used the nationwide readmissions database and identified 577 children who underwent choledochal cyst resection between 2016 and 2018.

The majority of pediatric choledochal cyst patients underwent open resection.

Patients who underwent open choledochal cyst resection were more likely to have a Roux-en-Y hepaticojejunostomy.

Patients who underwent laparoscopic choledochal cyst resection were more likely to have a hepaticoduodenostomy.

Patients who underwent open choledochal cyst resection were more likely to have a longer length of hospital stay.

Patients who underwent open choledochal cyst resection had more complications than those who underwent laparoscopic resection.

Patients who underwent open choledochal cyst resection had higher total costs than those who underwent laparoscopic resection.

The solid organ injury study was a retrospective study done in South Carolina examining if isolated solid organ injuries after blunt abdominal trauma can be discharged from the ED.

The study gathered 262 patients with isolated solid organ injuries, grades 1 to 3.

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

Of 114 patients with grade 3 solid organ injuries, only 3 patients required an acute intervention.

Isolated solid organ injuries after blunt abdominal trauma, grades 1 or 2, can be discharged from the ED.