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

Randomized Trial of Medical versus Surgical Treatment for Refractory #Heartburn

..Heartburn that persists despite proton-pump inhibitor ( #PPI ) treatment is a frequent clinical problem with multiple potential causes. Treatments for PPI-refractory heartburn are of unproven efficacy and focus on controlling gastroesophageal reflux with reflux-reducing medication (e.g., baclofen) or antireflux surgery or on dampening visceral hypersensitivity with neuromodulators (e.g., desipramine). Prerandomization procedures excluded 288 patients: 42 had relief of their heartburn during the 2-week omeprazole … Continue reading Randomized Trial of Medical versus Surgical Treatment for Refractory #Heartburn