Pediatric Gastrointestinal Endoscopy and Surgery: Current Challenges and Future Directions

Special Issue Editors


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Guest Editor
Pediatric Surgery Unit, Sant’Orsola University-Hospital, University of Bologna, 40138 Bologna, Italy
Interests: pediatric surgery; neonatal surgery; minimally invasive and robotic pediatric surgery; augmented reality; pediatric endoscopy; pediatric urology
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Guest Editor
Paediatric Surgery Department, IRCCS Sant’Orsola-Malpighi University Hospital, 40138 Bologna, Italy
Interests: minimally invasive surgery; robotic surgery; endoscopy; laparoscopy; virtual reality; augmented reality

Special Issue Information

Dear Colleagues,

The field of pediatric gastrointestinal (GI) surgery and endoscopy has seen significant advancements in recent years, yet it continues to present unique challenges due to the anatomical, physiological, and developmental differences in children. This Special Issue aims to bring together the latest research and clinical advances in pediatric GI surgery and endoscopy, focusing on innovative techniques, minimally invasive procedures, and their role in improving patient outcomes.

This Special Issue will highlight cutting-edge techniques such as endoscopic and laparoscopic/robotic procedures, enhanced imaging technologies, and the integration of artificial intelligence in diagnosis and treatment planning.

By exploring both current hurdles and future directions, this collection of articles aims to foster a collaborative exchange of knowledge, offering a platform for experts to share their insights and research findings. We invite submissions that provide clinical studies, reviews, and innovative research that advance the understanding and treatment of pediatric GI disorders, with a focus on improving long-term outcomes and quality of care for pediatric patients.

Prof. Dr. Mario Lima
Dr. Marco Di Mitri
Guest Editors

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Keywords

  • pediatric surgery
  • minimally invasive surgery
  • endoscopy
  • robotic surgery
  • laparoscopic surgery
  • augmented reality
  • virtual reality

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Published Papers (1 paper)

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Research

12 pages, 1243 KiB  
Article
The Care of Appendicular Peritonitis in the Era of Antibiotic Resistance: The Role of Surgery and the Appropriate Antibiotic Choice
by Marco Di Mitri, Edoardo Collautti, Eduje Thomas, Annalisa Di Carmine, Giulio Veronesi, Sara Maria Cravano, Simone D’Antonio, Simone Ambretti, Caterina Campoli, Cristian Bisanti, Francesca Ruspi, Ilaria Manghi, Giovanni Parente, Michele Libri, Tommaso Gargano and Mario Lima
Gastrointest. Disord. 2024, 6(4), 964-975; https://doi.org/10.3390/gidisord6040067 - 12 Dec 2024
Viewed by 254
Abstract
Purpose: Acute appendicitis (AA), classified as non-complicated acute appendicitis (NCAA) and complicated acute appendicitis (CAA), is the most common cause of abdominal pain in children requiring surgical treatment. If the first-line treatment for NCAA is to be debated between conservative management and [...] Read more.
Purpose: Acute appendicitis (AA), classified as non-complicated acute appendicitis (NCAA) and complicated acute appendicitis (CAA), is the most common cause of abdominal pain in children requiring surgical treatment. If the first-line treatment for NCAA is to be debated between conservative management and surgery, authors find a consensus in choosing surgery as the first step for CAA in children. In the case of patients with CAA undergoing surgery, a broad-spectrum antibiotic therapy should be administered to reduce the risk of post-operative complications (POC). The rise in antibiotic resistance requires a review of recent data regarding bacterial species involved in AA. The primary aim of our study was to investigate the clinical effectiveness of different antibiotic protocols in patients undergoing surgery for CAA. The secondary aim was to verify the antibiotic’s in vitro effectiveness based on cultural examinations. Methods: A retrospective and prospective study was conducted on all patients operated on at our pediatric surgery department for CAA from January 2017 to January 2023. The following data were collected: age at surgery, sex, surgical technique, duration of the procedure, antibiotic therapy, duration of the hospital stay, cultural examination of peritoneal effusion, and POC. Results: We divided the patients enrolled (n = 182) into three groups of antibiotic protocols; only one group resulted in a statistically significant lower rate of POC. Different pathogens were isolated (Enterobacteriaceae, non-fermentative Gram-negative bacilli, anaerobes, Gram-positive cocci), and the in vitro rate of antimicrobial sensitivity varied from 40% to 94% in the three groups of patients. Conclusions: Based on cultural examinations, our study showed a high rate of inadequacy regarding the therapy with amoxicillin + clavulanic acid despite a low rate of complications. Radical surgery seems to be the best way to reduce complications in children with CAA. Full article
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