Clinical Challenges in Pediatric Surgery: Common Pediatric Surgery Scenarios

Behind The Knife: The Surgery Podcast

Science, Health & Fitness, Medicine, Education

4.8 • 1.4K Ratings

🗓️ 8 May 2023

⏱️ 27 minutes

🔗️ Recording | iTunes | RSS

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Summary

Please join Drs. Brian Gray, Amanda Jensen and Manisha Bhatia from Indiana University as they discuss the nuances of 3 common pediatric general surgery scenarios.

Journal Article links:
Nguyen HN, Navarro OM, Bloom DA, Feinstein KA, Guillerman RP, Munden MM, et al. Ultrasound for Midgut Malrotation and Midgut Volvulus: AJR Expert Panel Narrative Review. AJR Am J Roentgenol 2022;218(6):931-9.
https://pubmed.ncbi.nlm.nih.gov/35107311/

Plut D, Phillips GS, Johnston PR, Lee EY. Practical Imaging Strategies for Intussusception in Children. AJR Am J Roentgenol 2020;215(6):1449-63.
https://pubmed.ncbi.nlm.nih.gov/33084362/

Markel TA, Scott MR, Stokes SM, Ladd AP. A randomized trial to assess advancement of enteral feedings
following surgery for hypertrophic pyloric stenosis. J Pediatr Surg 2017;52(4):534-9.
https://pubmed.ncbi.nlm.nih.gov/27829521/

St Peter SD, Holcomb GW, 3rd, Calkins CM, Murphy JP, Andrews WS, Sharp RJ, et al. Open versus
laparoscopic pyloromyotomy for pyloric stenosis: a prospective, randomized trial. Ann Surg
2006;244(3):363-70.
https://pubmed.ncbi.nlm.nih.gov/16926562/

Dalton BG, Gonzalez KW, Boda SR, Thomas PG, Sherman AK, St Peter SD. Optimizing fluid resuscitation in
hypertrophic pyloric stenosis. J Pediatr Surg 2016;51(8):1279-82.
https://pubmed.ncbi.nlm.nih.gov/26876090/

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Transcript

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0:00.0	With BT Broadband and TV, you can say goodbye to boredom, and hello to...
0:04.6	Huh?
0:30.0	Behind the Night, the Surgery Podcast, relevant and engaging content designed to help you dominate the day.
0:52.5	Hey there listeners and welcome to Behind the Knife's Pediatric Surgery Case Presentation Podcast.
0:57.8	Today we will discuss the workup and management of three neonatal general surgery cases.
1:02.4	This is Amanda Jensen from Riley Children's in Indianapolis.
1:05.4	I am the current pediatric surgery senior fellow, today I have with me Dr. Brian Gray.
1:09.5	Hey guys, I'm Brian Gray. I'm the pediatric surgery fellowship program director at Riley
1:14.1	Hospital for Children. We want to make sure that you have an excellent toolbox to work up
1:18.4	those patients in the emergency department, get them ready for the OR, and give them safely home.
1:23.2	Aminitia Badiya, who is one of the general surgery residents at Indiana University.
1:27.6	Hi, I'm Aisha. I'm one of the PGY-3s at IU. Our goal today is to get you,
1:32.4	behind the knife listeners, ready to shine on your Pete's Surgery rotation.
1:36.4	We'll go through three case scenarios and make sure we emphasize the wise,
1:40.7	how's of what we do to make sure our patients get to the OR and home as safely as possible.
1:46.1	Okay, let's start it out with a case. You were consulted by the ED for one week old infant who
1:51.5	is persistent vomiting and has not taken a full feed since birth. Amanda, what are you going to do now?
1:57.8	So I'd start by performing a focused history and physical, asking about the duration, frequency
2:02.7	and color of the MSS, and also gather more information about the baby's birth history and ask
2:08.3	if she has gained weight since leaving the hospital. I'd see if she required any additional
2:12.8	stays in the hospital or has undergone an operation previously. Okay, the child was born at 37 weeks
2:19.7	with no pass medical, surgical history. She's had multiple episodes of green
	...

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