Publications by authors named "G Gollin"
Background: There are few evidence-based guidelines for perioperative antibiotic management in neonates who undergo enteric operations. We sought to assess antibiotic administration practices in a large population of patients who underwent operations involving enteric anastomoses and evaluate the incidence of postoperative infection and other outcomes based on antibiotic approach.
Methods: The Pediatric Health Information Systems database was queried for patients who underwent repair of esophageal, duodenal or jejuno-ileal atresia in 2021.
Decisions in Diversion: Enterostomy vs. Primary Anastomosis for Colonic Atresia.
J Pediatr Surg
September 2024
Article Synopsis
- Colonic atresia (CA) is often found alongside Hirschsprung disease (HD) in about 10% of cases, leading some surgeons to opt for a diversion during initial surgery.
- In a study using data from the Pediatric Health Information System, it was found that 9.5% of CA patients were diagnosed with HD, with a significant portion undergoing initial diversion.
- Patients who had primary anastomoses experienced fewer operations and needed more parenteral nutrition, but overall outcomes were similar, suggesting that performing primary anastomosis is a safe option in CA cases where intraoperative biopsies are taken.
Introduction: Infants with esophageal atresia and tracheoesophageal fistula (EA/TEF) are at increased risk for respiratory compromise and gastric perforation until fistula ligation. We sought to describe current practice regarding the timing of EA/TEF repair and hypothesized that age at repair is a predictor of adverse outcomes.
Methods: The Pediatric Health Information System (PHIS) database was used to identify patients with EA/TEF who underwent fistula ligation and esophago-esophagostomy at US children's hospitals from July 2016-June 2021.
Background: We sought to evaluate postoperative antibiotic practices in a large population of patients with necrotizing enterocolitis (NEC) and determine whether any regimens were associated with better outcomes.
Methods: The Pediatric Health Information Systems (PHIS) database was queried to identify patients who underwent an intestinal resection for acute NEC between July, 2016 and June, 2021. Data regarding post-resection antibiotic therapy, cutaneous or intraabdominal infection, and fungal or antibiotic-resistant infection were collected.