European Journal of Pediatric Surgery Reports

European Journal of Pediatric Surgery Reports The European Journal of Pediatric Surgery & Reports publish research articles and case reports

13/11/2025

T-Fasteners or Pull Technique — which PEG approach is safer in children?
Our new observational study in the European Journal of Pediatric Surgery provides clear data.

🧩 Comparing T-PEG and P-PEG in 146 pediatric patients, we found:
✅ Similar overall complication rates
🚫 But P-PEG required more sedation for button replacement
⚠️ More major complications (urgent endoscopy, laparotomy, or laparoscopy) occurred after P-PEG

📊 Conclusion: The T-Fastener technique may reduce the need for sedation and severe complications — supporting its use as a safe and efficient standard for pediatric PEG.

📖 Castrillo A, García-Martínez L, Laín A, Giné C, Díaz-Hervás M, López M. Percutaneous Endoscopic Gastrostomy with T-Fasteners versus "Pull Technique": Analysis of Complications. Eur J Pediatr Surg. 2025
https://www.thieme-connect.com/products/ejournals/abstract/10.1055/a-2340-9475

🎉 Welcome our new Member – Prof. Satoshi Ieiri!We are delighted to welcome Professor Satoshi Ieiri, Chairman of the De...
09/11/2025

🎉 Welcome our new Member – Prof. Satoshi Ieiri!
We are delighted to welcome Professor Satoshi Ieiri, Chairman of the Department of at Kagoshima University (Japan), to the Editorial Board of European Journal of Pediatric Surgery Reports.
Prof. Ieiri is an internationally recognized leader in pediatric surgery whose work bridges clinical excellence and surgical innovation. His research encompasses , , , hepatobiliary and congenital lung diseases, as well as molecular physiology focusing on intestinal smooth muscle and calcium signaling.
A pioneer in computer-aided and , Prof. Ieiri has advanced the development of navigation systems, robotic platforms, surgical training tools, and applications that continue to shape the future of .
With over 300 peer-reviewed publications, an h-index of 36, and more than 3,900 citations, Prof. Ieiri’s academic impact is profound. He also serves on the editorial boards of multiple international journals and has delivered over 50 invited lectures worldwide.
Currently, he serves as President of the Japanese Society of PediatricSurgeons (JSPS) and Immediate Past President of the .
We are honored to have Prof. Ieiri join our editorial team and look forward to his valuable contributions to advancing the field of pediatric surgery.

05/11/2025

Is primary closure without osteotomy only safe in newborns?
Our new study says: No.

📌 In European Journal of Pediatric Surgery, we demonstrate that p***c symphysis approximation without osteotomy — performed immediately or delayed — results in no differences in:

✅ Long-term orthopedic function
✅ Pain, mobility, sports activity
✅ Radiologic outcome (CEA, ACA, p***c diastasis)

👉 Meaning: Delayed primary closure remains a safe and valid option — with long-term outcomes comparable to immediate repair.

🧩 Next step: Establishing core outcome sets to strengthen global comparability and guide future standards.

📖 Citation:
Promm M, Hofbauer R, Brandl R, Gossler C, Brandstetter S, Kertai M, Hofmann A, Schnabel MJ, Rösch WH. Long-Term Orthopaedic and Radiological Outcomes of Symphysis Approximation without Osteotomy in Primary Bladder Exstrophy Repair. Eur J Pediatr Surg. 2025 Jun;35(3):195-200.

🔗 https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0044-1791961

📊 Rising in Pediatric AppendicitisA 10-year study examined bacterial trends in children undergoing surgery for betwe...
01/11/2025

📊 Rising in Pediatric Appendicitis
A 10-year study examined bacterial trends in children undergoing surgery for between 2010 and 2020.

🧫 Among over 1,800 intraoperative cultures, more than one-third yielded pathogenic bacteria — nearly half of which were polymicrobial.

🚨 The incidence of multidrug-resistant (MDR) bacteria increased significantly over the decade, with an average annual rise of almost 9%. Younger children and boys were particularly affected.

💊 These findings highlight the urgent need to adapt empirical antibiotic therapies and strengthen programs in both hospital and community settings.

Read the full article here: https://www.thieme-connect.com/products/ejournals/html/10.1055/a-2540-3690

21/10/2025

Call to action !

Reduced movement means increased risk — and we have the data to act.

Body:
This multicenter study confirms that children with esophageal atresia and congenital heart disease are less physically active than peers — particularly girls and adolescents.

Now is the time to:
🌟 Develop structured physical activity programs in follow-up clinics
🌟 Encourage cross-specialty coordination between surgery, cardiology, and sports medicine
🌟 Support research-informed family guidance to foster confidence and participation

Evidence is clear. The next step is implementation.
Frankenbach LM, Holler AS, Oetzmann von Sochaczewski C, Wessel L, Muensterer OJ, Dingemann J, Widenmann A, Helm P, Siaplaouras J, Bauer U, Apitz C, Niessner C, König TT. Physical Activity Levels in Children with Esophageal Atresia and Congenital Heart Disease: A Comparative Multicenter Study. Eur J Pediatr Surg. 2025 Jun;35(3):171-179.

https://www.thieme-connect.com/products/ejournals/abstract/10.1055/a-2420-0202

14/10/2025

💡 How much healthy kidney is “enough” for nephron-sparing surgery in Wilms tumor?

New study in European Journal of Pediatric Surgery provides pathological evidence that could help refine surgical decision-making.

🧠 Researchers analyzed the non-neoplastic renal parenchyma in 42 children with Wilms tumor — focusing on nephrogenic rests and nephron changes.

Key insight:
➡️ When the proportion of non-neoplastic renal parenchyma exceeds 15%, the probability of pathological abnormalities is low — providing support for expanding indications of nephron-sparing surgery (NSS).

Huang M, Shu M, Xu Z, Wang L, Liu L, Liu J, Zhang H, Yang S, Wang C, Gao P. Pathological Insights into Non-Neoplastic Renal Parenchyma in Wilms Tumor: Implications for Nephron-Sparing Surgery. Eur J Pediatr Surg. 2025 Jun;35(3):187-194. doi: 10.1055/s-0044-1791846. Epub 2024 Oct 18. PMID: 39424346.

https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0044-1791846

EUPSA Giant Omphalocele ConsensusHow do pediatric surgeons tackle one of the toughest challenges, the management of gi...
12/10/2025

EUPSA Giant Omphalocele Consensus

How do pediatric surgeons tackle one of the toughest challenges, the management of giant ?

�🧴 Paint & Wait remains key when closure isn’t possible�
🪡 Early closure → biological mesh preferred�
✂️ Delayed closure → native tissue works best�
📊 Prognosis depends on chromosomal/cardiac defects & birth weight

🩵 This EUPSA consensus brings together expert insights, current evidence and unified recommendations to guide your next case.

read the full article here: https://www.thieme-connect.com/products/ejournals/abstract/10.1055/a-2590-5592

09/10/2025

🔬 New in European Journal of Pediatric Surgery:
“Evaluation of 4DryField® as an Adhesion Prophylaxis in Pediatric Patients: A Propensity-Score Matched Study”

Adhesion prevention remains a major challenge in pediatric abdominal surgery. This multicenter study from Leipzig evaluated the use of 4DryField® as an adhesion prophylaxis in children using propensity-score matching.

Key finding:
➡️ 4DryField® did not reduce adhesion formation and was associated with a higher rate of postoperative complications.
The authors highlight the need for further prospective pediatric safety studies before routine use.

Klinke M, Dietze N, Trautmann T, Jank M, Martel R, Elrod J, Boettcher M. Evaluation of 4DryField® as an Adhesion Prophylaxis in Pediatric Patients: A Propensity-Score Matched Study. Eur J Pediatr Surg. 2025 Apr;35(2):159-164. doi: 10.1055/a-2340-9373. Epub 2024 Jun 7. PMID: 38848756.

https://www.thieme-connect.com/products/ejournals/abstract/10.1055/a-2340-9373

23/09/2025

Pleased to highlight an important study just published in the European Journal of Pediatric Surgery:

“Prevalence, Mortality, and Associated Anomalies in Esophageal Atresia: A Retrospective Study of Finnish Population Data (2004–2017)”
👉 Suvi Alikärri, Ilkka Helenius, Susanna Heiskanen, Johanna Syvänen, Teemu Kemppainen, Eliisa Löyttyniemi, Mika Gissler, Arimatias Raitio
📖 Eur J Pediatr Surg. 2025;35(3):180-186

🔍 Key Findings:

337 cases of EA identified (2004–2017)

Prevalence: 4.17/10,000 births – stable over the study period

Survival: Neonatal mortality 5%; 1-year survival 91.5%

Associated anomalies: cardiac (35%), GI (15%), limb (12%); VACTERL in 16.6%

Spitz classification outperformed cardiac anomalies in predicting neonatal mortality

💡 Conclusion:
Despite the frequent presence of associated malformations, survival in Finland remains high. The Spitz classification continues to be a reliable predictor of neonatal outcome.

This study underlines the value of population-based registries in understanding rare congenital anomalies and improving care strategies.

Alikärri S, Helenius I, Heiskanen S, Syvänen J, Kemppainen T, Löyttyniemi E, Gissler M, Raitio A. Prevalence, Mortality, and Associated Anomalies in Esophageal Atresia: A Retrospective Study of Finnish Population Data (2004-2017). Eur J Pediatr Surg. 2025 Jun;35(3):180-186. doi: 10.1055/a-2423-0188. Epub 2024 Sep 26. PMID: 39326446.
https://www.thieme-connect.com/products/ejournals/abstract/10.1055/a-2423-0188

🧬 KRAS mutations linked to bone loss in (AVMs).New research reveals a strong association between activating KRAS varia...
12/09/2025

🧬 KRAS mutations linked to bone loss in (AVMs).
New research reveals a strong association between activating KRAS variants and in patients with AVMs.
🔍 Among 77 patients studied, all 19 with KRAS mutations showed bone destruction next to their AVMs — a finding not seen in patients with other variants (MAP2K1, RASA1, BRAF).
💡 Why it matters:
First study to describe this link. Suggests KRAS testing should prompt early evaluation for bone involvement. Opens the door to targeted therapies that could help prevent osteolysis and improve outcomes.
👉 This work highlights how genetic insights can directly shape diagnosis and treatment in vascular anomalies.
EUPSA European Paediatric Surgeonss Association
Read the full Article here: https://www.thieme-connect.com/products/ejournals/abstract/10.1055/a-2540-3621

🍼🩺 New Study Alert (NEC) remains a leading threat to very infants — but can we better predict its most devastating fo...
01/08/2025

🍼🩺 New Study Alert
(NEC) remains a leading threat to very infants — but can we better predict its most devastating form?

In our multicenter study of 401 infants with NEC, we identified key risk factors for 30-day mortality and NEC totalis (NEC-T):
🔹 Male s*x
🔹 Low birthweight
🔹 Portal venous gas
🔹 support
🔹 Shorter time from diagnosis to surgery

Understanding these predictors may help improve early risk stratification and guide parental counseling before surgery.

🧠

🟢💡 Shedding Light on Tiny Bile Ducts!Can fluorescence improve safety in pediatric hepatobiliary surgery? This prospecti...
12/07/2025

🟢💡 Shedding Light on Tiny Bile Ducts!

Can fluorescence improve safety in pediatric hepatobiliary surgery? This prospective study explores the use of in children with , , and .

🔬 Key Takeaways:
✅ ICG-guided surgery was safe and feasible in all 17 patients
✅ Enabled real-time visualization of key structures
✅ Aided precise dissection during complex procedures
❌ No ICG-related side effects reported

👶 This early evidence suggests ICG-Guided Surgery may improve surgical navigation and reduce risks in pediatric liver and bile duct surgeries. More research is needed—but the future is looking bright (literally)! 💡

Read the whole article here: https://www.thieme-connect.com/products/ejournals/abstract/10.1055/a-2509-4463 Deutsche Gesellschaft Für Kinderchirurgie EUPSA European Paediatric Surgeonss Association

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