American Academy of #Pediatrics – Section on #Surgery Five Things Physicians and Patients Should Question

. Avoid the routine use of whole-body computed #tomography (CT) scanning (pan-scanning) in pediatric trauma patients.

. Avoid using computed tomography (CT scan) as the first-line imaging modality in the evaluation of suspected appendicitis in children. Ultrasound should be done first with a CT scan or magnetic resonance imaging (MRI) considered in equivocal cases.

. Avoid performing antireflux operations (fundoplications) during gastrostomy insertion in most children who are otherwise growing and thriving with gastric feedings.

. Avoid referring most children with umbilical hernias to a pediatric surgeon until around age 4-5 years.

. Reduce post-operative opioid requirements in pediatric patients by administering acetaminophen and/or non-steroidal anti-inflammatory medications in the perioperative period.