- Letter to the Editor comment on: Congenital esophageal stenosis related to tracheobronchial remnant: Balloon dilatation versus resection and anastomosis - A systematic review. [Letter]J Pediatr Surg. 2026 Aug 14; :163394. [Online ahead of print]JP
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- Commentary: The Return of Vaccine-Preventable Diseases: Implications for Pediatric Surgical and Perioperative Care. [Journal Article]J Pediatr Surg. 2026 Aug 14; :163386. [Online ahead of print]JP
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- A novel immunocompetent mouse model of neuroblastoma bone marrow metastasis as a therapeutic target for mesenchymal stem cell-based immunotherapy. [Journal Article]J Pediatr Surg. 2026 Aug 13; :163374. [Online ahead of print]JP
- CONCLUSIONS: We established a clinically relevant immunocompetent neuroblastoma BM metastasis model and demonstrated MSC homing to metastatic BM lesions, providing a useful platform for evaluating therapies targeting metastatic neuroblastoma.
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- Disentangling Feeding Practices from Socioeconomic Risk Factors in Pyloric Stenosis Risk. [Journal Article]J Pediatr Surg. 2026 Aug 13; :163379. [Online ahead of print]JP
- CONCLUSIONS: Socioeconomic factors are associated with HPS on unadjusted analysis, however, they are not independent predictors. This is likely mediated by infant feeding practices, where formula feeding continues to be a primary driver of risk.
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- A National survey of pediatric surgical care coverage models to outlying neonatal intensive care units. [Journal Article]J Pediatr Surg. 2026 Aug 13; :163381. [Online ahead of print]JP
- CONCLUSIONS: Half of surveyed pediatric surgery groups provide coverage to one or more outlying NICUs despite low reported case volumes. A clear disconnect exists between pediatric surgeons' views on location for optimal care and sites of current care provision. These findings underscore the need for regionalized strategies to optimize surgical care of these infants.
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- Revisiting the Association of Preoperative Steroids, Severe Neutropenia, and Prophylactic Antibiotics on Pediatric Port Infections. [Journal Article]J Pediatr Surg. 2026 Aug 12; :163382. [Online ahead of print]JP
- CONCLUSIONS: In a large-scale cohort of pediatric port placement, steroids and severe neutropenia increased the odds of port infection while prophylactic antibiotics helped mitigate this risk. These findings demonstrate a potential protective benefit of prophylactic antibiotic use and support consideration of delayed port placement in severely neutropenic children. Prospective studies are warranted to clarify these relationships and inform clinical standard practice recommendations in children.
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- Utility of Large Language Models in Pediatric Trauma Triage: An Age-Stratified Analysis of Prompt Engineering. [Journal Article]J Pediatr Surg. 2026 Aug 12; :163385. [Online ahead of print]JP
- CONCLUSIONS: Structured prompt engineering enables general-domain LLMs to achieve clinician-comparable performance in pediatric trauma triage across age groups. Prompt design, rather than model selection, was the primary determinant of performance. These findings support that structured prompt engineering improves off-the-shelf LLM performance over unstructured prompting across age groups.
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- An Opportunity for Continued Improvement: Evaluating the Use of Angiography for Pediatric Blunt Liver/Spleen Injuries Post 2019 APSA Guidelines. [Journal Article]J Pediatr Surg. 2026 Aug 12; :163384. [Online ahead of print]JP
- CONCLUSIONS: Despite the updated 2019 APSA guidelines, angiography and angioembolization utilization continue to vary across trauma center types. While interventional radiology remains more common in patients with markers of severe injury, a subset of patients underwent angiography without transfusion requirement, suggesting potential continued overutilization and opportunities to further standardize guideline-based care.
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- Decreasing Length of Stay for Pectus Excavatum Repair by Implementing an ERAS Protocol. [Journal Article]J Pediatr Surg. 2026 Aug 12; :163383. [Online ahead of print]JP
- CONCLUSIONS: Implementation of a standardized ERAS protocol for pectus excavatum repair was associated with a significant decrease in LOS and opioid use without an increase in readmissions or bar migrations.
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- Surgical Antibiotic Prophylaxis Use in Pediatric and Adolescent Ovarian Surgery: A NSQIP-Pediatric Analysis. [Journal Article]J Pediatr Surg. 2026 Aug 12; :163380. [Online ahead of print]JP
- CONCLUSIONS: SAP administration in pediatric ovarian procedures is common and variable between specialties. Overall SSI risk is low, suggesting that while SAP administration is statistically significant in this analysis, it is not clinically significant. For patients with BMI >85[th] percentile, SAP may be considered, but others are unlikely to significantly benefit.
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- Parent and Caregiver Awareness of the Dangers of Magnet Ingestion. [Journal Article]J Pediatr Surg. 2026 Aug 11; :163367. [Online ahead of print]JP
- CONCLUSIONS: Gaps exist in caregiver awareness of the risks associated with paediatric magnet ingestion. These findings support the need for targeted public health education, clearer point-of-sale warnings, and strengthened regulation of products containing high-power magnets.
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- Endoscopic techniques in the treatment of vesicoureteral junction obstruction in children with primary obstructive megaureter: a systematic review and meta-analysis. [Journal Article]J Pediatr Surg. 2026 Aug 10; :163368. [Online ahead of print]JP
- CONCLUSIONS: Certain endoscopic techniques appear effective in selected children with POM. However, substantial heterogeneity in outcome definitions, study design, subgroup reporting, and follow-up limits direct comparison between techniques. Development of a core outcome set would improve future comparative research.
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- Angio-Embolization in Pediatric Splenic Trauma. [Journal Article]J Pediatr Surg. 2026 Aug 10; :163360. [Online ahead of print]JP
- CONCLUSIONS: Splenic embolization in the pediatric trauma population has remained a relatively rare but efficacious treatment most frequently utilized for older, less hemodynamically stable patients.
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- Outcomes of Transition Zone Pull-Through in Hirschsprung Disease: A Systematic Review. [Journal Article]J Pediatr Surg. 2026 Aug 10; :163359. [Online ahead of print]JP
- CONCLUSIONS: Outcomes following TZPT are variable and were historically associated with substantial morbidity. More recent studies suggest potentially similar long-term results compared with ganglionic pull-through, including quality of life. Routine redo surgery for TZPT without comprehensive clinical assessment cannot be recommended. Large dataset outcome reporting is required to better define the true long-term impact of TZPT.
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- Congenital segmental overinflation: Beware the hidden congenital pulmonary airway malformation. [Journal Article]J Pediatr Surg. 2026 Aug 04; :163363. [Online ahead of print]JP
- CONCLUSIONS: Although frequently managed conservatively, radiologically diagnosed CSO may develop infection within the overinflated segment. When resected, CPAM histology is commonly found. This information may be helpful when counselling parents of children with CSO, which should align with counselling for CPAM.
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