Journal of pediatric surgery
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Comparative Study
Gastrostomy tube placement in infants and children: is there a preferred technique?
Advances in percutaneous endoscopic gastrostomy (PEG) and laparoscopic (LAP) techniques, including LAP-assisted PEG, offer alternatives to the standard open gastrostomy technique. This study compares the outcomes of the PEG and LAP techniques. ⋯ Minimally invasive PEG and LAP techniques have supplanted the open technique for most patients. Operative time for PEG placement is shorter than other methods, and patients chosen for the PEG method of placement are older and of greater weight. However, there were significant and more serious postoperative complications requiring a second operation in the PEG group when compared with the LAP group.
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Comparative Study
Perforated appendicitis in children: equal access to care eliminates racial and socioeconomic disparities.
The aim of the study was to determine whether equal access to health care eliminates racial and socioeconomic disparities in appendicitis outcomes. ⋯ Lower socioeconomic background and minority status did not correlate with higher appendiceal perforation rates or a clinically longer LOH in children with equal access to care. The previously reported disparities in pediatric appendicitis outcome are preventable with equal access to care.