Stay Current in Pediatric Surgery

Explore the latest advancements in pediatric intestinal failure, including innovative therapies and improved patient outcomes. Dr. Stephanie Bachi de Castro Oliveira and Dr. Paul W. Wales discuss intestinal rehabilitation, challenges like chronic inflammation and liver disease, and the crucial role of multidisciplinary teams. They also highlight groundbreaking nutritional strategies and novel peptide therapies that are transforming care.

This podcast episode features Dr. Stephanie Bachi de Castro Oliveira and Dr. Paul W. Wales from Cincinnati Children's, discussing advancements in pediatric intestinal failure. They define intestinal failure as a reduction in functional intestinal mass requiring parenteral support for an extended period, primarily caused by short bowel syndrome. The conversation highlights a shift in focus from survival to managing long-term complications like neurocognitive outcomes and caregiver burnout. Intestinal rehabilitation programs are key to optimizing intestinal function and adaptation, with multidisciplinary teams improving survival and reducing transplant rates. They delve into the spectrum of liver disease associated with intestinal failure, risk factors like prematurity and infections, and the critical management of parenteral nutrition. The doctors provide a history of lipid emulsions, explaining how traditional soybean-based lipids can cause liver dysfunction and the benefits of newer omega-3 balanced options. They also discuss innovative central line lock solutions like KiteLock and the transformative impact of GLP-2 analogs such as Teduglutide and Apraglutide on reducing TPN dependence and promoting bowel lengthening. The ultimate goal is to avoid transplantation and lifelong immunosuppression through integrated, specialized care.

Dr. P. Ben Ham III discusses diaphragm pacing as an intervention for children with respiratory failure, aiming to help them wean off mechanical ventilation. The video covers indications such as central hypoventilation, spinal cord injury, ALS, and metabolic disorders like Pompe's disease. It explains the mechanism of phrenic nerve and diaphragm muscle stimulation, and differentiates between various device types.

This video, featuring Dr. Douglas von Allmen from Cincinnati Children's Hospital, explores the differential diagnosis and management of cystic neck masses in pediatric patients, specifically ranulas and lymphatic malformations. It presents a clinical case that highlights diagnostic challenges and discusses various treatment approaches, including surgical excision, sclerotherapy, and emerging medical therapies. The role of genetic testing in guiding treatment for lymphatic malformations is also covered.

Narrated by Lizzy Lee, PA-C & Maggie Koenig, FNP-BC, 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, Simon Eaton, & Dan Ostlie discuss diagnostic challenges, highlighting the superior sensitivity of ultrasound over X-rays for early detection of surgical NEC indicators. The panel also debates various surgical interventions, including primary anastomosis versus ostomy, and examines emerging evidence on optimizing recovery outcomes for neonates with NEC.

This video, featuring experts from Cincinnati Children's, discusses the challenging management of recurrent tracheoesophageal fistula (TEF) years after initial repair. Dr. Douglas von Allmen presents a clinical scenario and highlights the risk of recurrent laryngeal nerve (RLN) injury during re-repair. The episode emphasizes a transtracheal approach to improve surgical exposure and minimize potential harm to the RLN, thereby reducing long-term voice and aspiration issues.