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In this special 50th episode of the Colorectal Quiz Podcast, Dr. Marc Levitt and an international panel review key takeaways from the 16th European Pediatric Colorectal Reconstruction Meeting in Stockholm, highlighting emerging ideas, evolving surgical techniques, and global perspectives in the care of children with colorectal conditions. 

Key Highlights:

Early Irrigation Training in Hirschsprung’s Disease:
Some centers are beginning irrigation competency even before ostomy takedown, helping families and patients adapt earlier and potentially reducing post-operative enterocolitis risk.

Advances in Surgical Technology:
Innovations such as robotic-assisted surgery and ICG fluorescence imaging are improving visualization of blood supply during pull-through procedures, helping surgeons reduce complications like leaks and ischemia.

New Diagnostic Concepts:
High-frequency ultrasound may help measure bowel wall muscle thickness to identify aganglionic segments, potentially supporting or supplementing traditional biopsy-based diagnosis.

Understanding Enterocolitis Risk:
Emerging research suggests that reduced mucus protection in proximal bowel segments and mechanical stress on the bowel wall may contribute to microbial imbalance and breakdown of the intestinal barrier.

The Power of Nursing and Multidisciplinary Care:
Dedicated colorectal nursing programs and global case discussions highlighted how long-term outcomes depend not only on surgical technique but also on ongoing bowel management, education, and coordinated care.

Evolving Techniques for Anorectal Malformations:
New procedures such as perineal-preserving PSARP and posterior rectal advancement anoplasty (PRAA) aim to reduce complications while improving functional outcomes.

Transition to Adult Care:
Experts emphasized the need for stronger transition programs and multidisciplinary teams—including gynecology, urology, and sexual health specialists—to support patients with congenital colorectal conditions into adulthood.

This episode offers a global snapshot of how pediatric colorectal care continues to evolve through collaboration, innovation, and shared clinical experience.

Don't forget to like and subscribe to see more entertaining medical educational videos!

See more lectures, articles, and more on the Stay Current app: https://www.globalcastmd.com/stay-current-app-download 24:31

In this special 50th episode of the Colorectal Quiz Podcast, Dr. Marc Levitt and an international panel review key takeaways from the 16th European Pediatric Colorectal Reconstruction Meeting in Stockholm, highlighting emerging ideas, evolving surgical techniques, and global perspectives in the care of children with colorectal conditions.

Key Highlights:

Early Irrigation Training in Hirschsprung’s Disease:
Some centers are beginning irrigation competency even before ostomy takedown, helping families and patients adapt earlier and potentially reducing post-operative enterocolitis risk.

Advances in Surgical Technology:
Innovations such as robotic-assisted surgery and ICG fluorescence imaging are improving visualization of blood supply during pull-through procedures, helping surgeons reduce complications like leaks and ischemia.

New Diagnostic Concepts:
High-frequency ultrasound may help measure bowel wall muscle thickness to identify aganglionic segments, potentially supporting or supplementing traditional biopsy-based diagnosis.

Understanding Enterocolitis Risk:
Emerging research suggests that reduced mucus protection in proximal bowel segments and mechanical stress on the bowel wall may contribute to microbial imbalance and breakdown of the intestinal barrier.

The Power of Nursing and Multidisciplinary Care:
Dedicated colorectal nursing programs and global case discussions highlighted how long-term outcomes depend not only on surgical technique but also on ongoing bowel management, education, and coordinated care.

Evolving Techniques for Anorectal Malformations:
New procedures such as perineal-preserving PSARP and posterior rectal advancement anoplasty (PRAA) aim to reduce complications while improving functional outcomes.

Transition to Adult Care:
Experts emphasized the need for stronger transition programs and multidisciplinary teams—including gynecology, urology, and sexual health specialists—to support patients with congenital colorectal conditions into adulthood.

This episode offers a global snapshot of how pediatric colorectal care continues to evolve through collaboration, innovation, and shared clinical experience.

Don't forget to like and subscribe to see more entertaining medical educational videos!

See more lectures, articles, and more on the Stay Current app: https://www.globalcastmd.com/stay-current-app-download

YouTube Video VVU3dHlrbnEzaGdqV0dWTGdMWHFWMXBBLmtZaWpmd1FSNm5r

Colorectal Quiz Ep. 50 -16th Annual European Pediatric Colorectal & Pelvic Reconstruction Conference

March 10, 2026 1:01 pm

In this segment from Lurie Children’s Hospital, Dr. Justin Ryder breaks down the evolving science and treatment paradigm of pediatric obesity—highlighting why it must be approached as a chronic, biologically driven disease rather than a lifestyle issue.

Key Highlights:

Obesity Is a Disease: Pediatric obesity is multifactorial, shaped by genetics, epigenetics, hormones, environment, stress, and socioeconomic factors. The newest AAP guidelines formally recognize obesity as a disease and recommend active treatment—not watchful waiting.

Shift in Clinical Practice: Treatment should be offered to children above the 85th percentile BMI. The model has shifted from prevention-only efforts to a proactive, continuum-based care strategy.

Continuum of Care: Management includes Intensive Health Behavior and Lifestyle Treatment (26+ contact hours), FDA-approved pharmacotherapy for adolescents, and bariatric surgery for select patients—each playing a role depending on severity and response.

Efficacy & Challenges: GLP-1 medications demonstrate meaningful weight loss, and bariatric surgery shows durable BMI reduction and improvement in comorbidities. However, weight regain remains a significant biological challenge.

MASLD & Long-Term Risk: Obesity is strongly linked to metabolic dysfunction–associated steatotic liver disease (MASLD), affecting millions of youth and placing many at risk for cirrhosis, transplant, or hepatocellular carcinoma.

Equity & Advocacy: Obesity disproportionately impacts children of color and those in under-resourced communities. Access to effective treatment—including medications—is a health equity issue that demands advocacy.

This session reinforces that pediatric obesity requires early, evidence-based intervention, multidisciplinary care, and systemic advocacy to improve lifelong health outcomes.

Don't forget to like and subscribe to see more entertaining medical educational videos!

See more lectures, articles, and more on the Stay Current app: https://www.globalcastmd.com/stay-current-app-download 6:49

In this segment from Lurie Children’s Hospital, Dr. Justin Ryder breaks down the evolving science and treatment paradigm of pediatric obesity—highlighting why it must be approached as a chronic, biologically driven disease rather than a lifestyle issue.

Key Highlights:

Obesity Is a Disease: Pediatric obesity is multifactorial, shaped by genetics, epigenetics, hormones, environment, stress, and socioeconomic factors. The newest AAP guidelines formally recognize obesity as a disease and recommend active treatment—not watchful waiting.

Shift in Clinical Practice: Treatment should be offered to children above the 85th percentile BMI. The model has shifted from prevention-only efforts to a proactive, continuum-based care strategy.

Continuum of Care: Management includes Intensive Health Behavior and Lifestyle Treatment (26+ contact hours), FDA-approved pharmacotherapy for adolescents, and bariatric surgery for select patients—each playing a role depending on severity and response.

Efficacy & Challenges: GLP-1 medications demonstrate meaningful weight loss, and bariatric surgery shows durable BMI reduction and improvement in comorbidities. However, weight regain remains a significant biological challenge.

MASLD & Long-Term Risk: Obesity is strongly linked to metabolic dysfunction–associated steatotic liver disease (MASLD), affecting millions of youth and placing many at risk for cirrhosis, transplant, or hepatocellular carcinoma.

Equity & Advocacy: Obesity disproportionately impacts children of color and those in under-resourced communities. Access to effective treatment—including medications—is a health equity issue that demands advocacy.

This session reinforces that pediatric obesity requires early, evidence-based intervention, multidisciplinary care, and systemic advocacy to improve lifelong health outcomes.

Don't forget to like and subscribe to see more entertaining medical educational videos!

See more lectures, articles, and more on the Stay Current app: https://www.globalcastmd.com/stay-current-app-download

YouTube Video VVU3dHlrbnEzaGdqV0dWTGdMWHFWMXBBLmFfMU5kN0dqZVNz

Pediatric Obesity Is a Disease: Treatment, Medications, Surgery & Equity in Care w/ Dr. Justin Ryder

March 4, 2026 11:00 am

We’re back with 27th episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most interesting and relevant topics in the field.

These articles are either chosen by JPS editors or our collaborators. We present these reviews as short news pieces with a summarization of key points.

Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates".

Host: Em Gootee

https://nih.pulse.ly/kxbon33ocn

van Hal ARL, Aanen IP, Wijnen RMH, Pullens B, Vlot J. The Value of Preoperative Rigid Tracheobronchoscopy for the Diagnosis of Tracheomalacia in Oesophageal Atresia Patients. J Pediatr Surg. 2024 Nov;59(11):161620. doi: 10.1016/j.jpedsurg.2024.07.005. Epub 2024 Jul 14. PMID: 39089893.

https://nih.pulse.ly/nlgjnyojqe

Mena R, Guillén G, Lopez-Fernandez S, Martos Rodríguez M, Ruiz CW, Montaner-Ramon A, López M, Molino JA. Conservative Management of Necrotizing Enterocolitis in Newborns: Incidence and Management of Intestinal Strictures. Eur J Pediatr Surg. 2025 Jun;35(3):224-231. doi: 10.1055/a-2426-9723. Epub 2024 Sep 30. PMID: 39348873.

https://nih.pulse.ly/5qlumeus6h

Hundscheid T, Onland W, Kooi EMW, Vijlbrief DC, de Vries WB, Dijkman KP, van Kaam AH, Villamor E, Kroon AA, Visser R, Mulder-de Tollenaer SM, De Bisschop B, Dijk PH, Avino D, Hocq C, Zecic A, Meeus M, de Baat T, Derriks F, Henriksen TB, Kyng KJ, Donders R, Nuytemans DHGM, Van Overmeire B, Mulder AL, de Boode WP; BeNeDuctus Trial Investigators. Expectant Management or Early Ibuprofen for Patent Ductus Arteriosus. N Engl J Med. 2023 Mar 16;388(11):980-990. doi: 10.1056/NEJMoa2207418. Epub 2022 Dec 6. PMID: 36477458. 1:04

We’re back with 27th episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most interesting and relevant topics in the field.

These articles are either chosen by JPS editors or our collaborators. We present these reviews as short news pieces with a summarization of key points.

Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates".

Host: Em Gootee

https://nih.pulse.ly/kxbon33ocn

van Hal ARL, Aanen IP, Wijnen RMH, Pullens B, Vlot J. The Value of Preoperative Rigid Tracheobronchoscopy for the Diagnosis of Tracheomalacia in Oesophageal Atresia Patients. J Pediatr Surg. 2024 Nov;59(11):161620. doi: 10.1016/j.jpedsurg.2024.07.005. Epub 2024 Jul 14. PMID: 39089893.

https://nih.pulse.ly/nlgjnyojqe

Mena R, Guillén G, Lopez-Fernandez S, Martos Rodríguez M, Ruiz CW, Montaner-Ramon A, López M, Molino JA. Conservative Management of Necrotizing Enterocolitis in Newborns: Incidence and Management of Intestinal Strictures. Eur J Pediatr Surg. 2025 Jun;35(3):224-231. doi: 10.1055/a-2426-9723. Epub 2024 Sep 30. PMID: 39348873.

https://nih.pulse.ly/5qlumeus6h

Hundscheid T, Onland W, Kooi EMW, Vijlbrief DC, de Vries WB, Dijkman KP, van Kaam AH, Villamor E, Kroon AA, Visser R, Mulder-de Tollenaer SM, De Bisschop B, Dijk PH, Avino D, Hocq C, Zecic A, Meeus M, de Baat T, Derriks F, Henriksen TB, Kyng KJ, Donders R, Nuytemans DHGM, Van Overmeire B, Mulder AL, de Boode WP; BeNeDuctus Trial Investigators. Expectant Management or Early Ibuprofen for Patent Ductus Arteriosus. N Engl J Med. 2023 Mar 16;388(11):980-990. doi: 10.1056/NEJMoa2207418. Epub 2022 Dec 6. PMID: 36477458.

YouTube Video VVU3dHlrbnEzaGdqV0dWTGdMWHFWMXBBLjg2Y2dJSUhPZUpj

Quick Literature Updates Ep 27

February 27, 2026 7:01 pm