ArticleFrontiers in pediatrics2026
Preoperative nutritional risk and adverse perioperative outcomes in children with congenital choledochal cysts: a retrospective cohort study.
Article in Frontiers in pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Congenital choledochal cysts (CCC) are rare biliary anomalies associated with significant morbidity. The impact of preoperative nutritional status on surgical outcomes in pediatric CCC patients remains unclear. This study aimed to investigate this relationship, using a validated nutritional risk screening tool to stratify patients. Methods: We conducted a retrospective cohort study of pediatric patients who underwent CCC excision with Roux-en-Y hepaticojejunostomy at a single center between January 2011 and September 2025. Nutritional risk was assessed within 24 h of admission using the Screening Tool for Risk on Nutritional Status and Growth (STRONG Results: Among 208 included patients, 107 were stratified as HR and 101 as MR before PSM. After PSM, 91 matched pairs were analyzed. The HR group had significantly lower weight-for-age (WAZ), height-for-age (HAZ), and BMI-for-age z-scores (BAZ), along with lower preoperative hemoglobin, albumin, total protein, and higher bilirubin and GGT levels. Postoperatively, the HR group experienced longer abdominal drainage duration, delayed gastrointestinal recovery, higher inflammatory markers (WBC, CRP), worse liver function markers, and lower albumin and lymphocyte counts. The overall complication rate was significantly higher in the HR group, primarily driven by a greater incidence of cholangitis. Conclusion: Preoperative high nutritional risk, identified by the STRONG
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.