Utsav M Patwardhan

Operative Management of Meconium Ileus With Needle Injection of N-Acetylcysteine

Utsav M Patwardhan, Chakshu Soni, Sindhu V. Mannava, Insiyah Campwala et autres

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Western pediatric cervical spine study: an observational prospective Western Pediatric Surgery Research Consortium and Western Trauma Association multicenter study protocol

R Scott Eldredge, Anastasia Morgan Kahan, Benjamin E Padilla, Utsav M Patwardhan et autres

Background: In pediatric patients presenting after blunt trauma, the incidence of clinically significant cervical spine injury (CSI) is approximately 1%. Although multidetector CT (MDCT) is widely accepted for cervical spine clearance in adults, its utility in children remains uncertain. The purpose of …

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Utility of laparoscopy for blunt abdominal trauma management: A National analysis

Casey R. Erwin, Bryan R. Campbell, Andrea Krzyzaniak, Alexandra S. Rooney et autres

Abstract Purpose Although laparoscopy has been adopted by other surgical specialties, laparotomy remains the standard in trauma. We evaluated the use of laparoscopy in patients following blunt abdominal trauma. Methods Stable patients (systolic blood pressure ≥ 100mmHg and Glasgow coma score ≥ …

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Percutaneous pigtail catheter versus chest tube for the treatment of pediatric traumatic hemothorax: An Eastern Association for the Surgery of Trauma multicenter study

Laura F. Goodman, Alice Martino, John Schomberg, Jason D. Sciarretta et autres

BACKGROUND: Small percutaneously placed pigtail catheters (PCs) for traumatic hemothorax (HTX) are safe and effective in adults but have not been evaluated in children. We hypothesized that PC would have similar efficacy and complication rates compared with chest tubes (CTs). METHODS: A …

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Is There a Role for ERCP in the Management of Gallstone Pancreatitis in Children? A Western Pediatric Surgery Research Consortium Study

Utsav M Patwardhan, Gretchen Floan Sachs, Romeo L Ignacio, Benjamin E. Padilla et autres

BACKGROUND: Guidelines for adult gallstone pancreatitis (GP) in adults recommend endoscopic retrograde cholangiopancreatography (ERCP) for ongoing biliary obstruction. Studies in children are limited by small sample sizes. We sought to explore whether factors predictive of choledocholithiasis (CDL) are correlated with ERCP findings …

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Under pressure: Identifying factors for pediatric patients with severe traumatic brain injury who benefit from external ventricular drainage

Utsav M Patwardhan, Richard Y. Calvo, Andrea Krzyzaniak, Michael Krzyżaniak et autres

PURPOSE: The role of external ventricular drainage (EVD) in the management of pediatric traumatic brain injury (TBI) has been evolving with discrepancies between existing guidelines and clinical practice. Recently, EVDs were associated with better discharge disposition than intracranial pressure (ICP) monitoring alone. …

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Statewide Analysis of Pediatric Appendicitis Outcomes by Pediatric Surgeon Availability

Erin E. West, Ben Havko, Alyssa N. Carroll, Utsav M Patwardhan et autres

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Reply to the Letter to the Editor by Reynolds et al Regarding “Comparison of Postoperative Antibiotic Protocols for Pediatric Complicated Appendicitis: A Western Pediatric Surgery Research Consortium Study”

Utsav M Patwardhan, Anastasia M Kahan, R Scott Eldredge, Katie W. Russell et autres

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Endoscopic Retrograde Cholangiopancreatography (ERCP) Findings in Pediatric Patients With Choledocholithiasis Justify a Surgery-First Approach: A Multi-Center Study

Alison Lehane, Jessica L. Rauh, Goeto Dantes, Hanna Alemayehu et autres

BACKGROUND: Pediatric choledocholithiasis is traditionally managed with an endoscopy-first approach, where Endoscopic Retrograde Cholangiopancreatography (ERCP) is performed before laparoscopic cholecystectomy (LC). However, ERCP carries risks such as pancreatitis, bleeding, infection, and perforation, and may even be an unnecessary procedure should stones pass …

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Pediatric Cholecystectomy Case Volume and Complexity Following the COVID-19 Pandemic

Olivia A. Keane, Shadassa Ourshalimian, Romeo C. Ignacio, Shannon N. Acker et autres

BACKGROUND AND OBJECTIVES: Historically, cholecystectomy was infrequently performed in children. Lifestyle changes, delays in health care access, and increases in childhood obesity occurred during the COVID-19 pandemic. The impact of these shifts on need for cholecystectomy are poorly understood. We evaluate trends …

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Predictors of Neurodevelopmental Impairment after Intestinal Resection for Necrotizing Enterocolitis

Utsav M Patwardhan, Alex Gonzalez, Insiyah Campwala, Erin E. West et autres

OBJECTIVE: To evaluate preresection risk factors for neurodevelopmental impairment (NDI) in infants with necrotizing enterocolitis (NEC) that might better inform the timing of intestinal resection. BACKGROUND: Surgical NEC is associated with a 57% risk for NDI. METHODS: A retrospective study of patients …

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Recurrence Following Operative Versus Nonoperative Management of Adhesive Small Bowel Obstruction in Children

Utsav M Patwardhan, Romeo C. Ignacio, Kaci Pickett‐Nairne, Katie W. Russell et autres

OBJECTIVES: Data on the incidence of recurrent adhesive small bowel obstruction (ASBO) following index admission for ASBO in children are limited. We sought to determine if operative management was associated with a lower rate of recurrence compared to nonoperative management (NOM). METHODS: …

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