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https://www.readbyqxmd.com/read/28302363/new-surgical-technique-for-creation-of-a-continent-appendicostomy-invaginated-appendicostomy
#1
Maria Zornoza, Alejandro Ruiz-Montañez, Guillermo Victoria-Morales, Luis De la Torre-Mondragón
INTRODUCTION: The main complications of appendicostomy are stenosis and stomal fecal leakage. Although many authors report that the appendix is naturally continent, it is recommended to perform a plication of the cecum with the appendix to prevent stomal fecal leakage. We present here the creation of a different continent mechanism. Our technique is advantageous when the anatomy, vascularity, or the length of the appendix does not allow for a standard plication procedure. DESCRIPTION OF OPERATIVE TECHNIQUE: During 2014-2016 we performed four appendicostomies in patients with anorectal malformations with fecal incontinence that requested an "Antegrade Continent Enema" procedure after a successful bowel management program in the Colorectal Center for Children of Mexico...
June 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/28958095/duhamel-and-transanal-endorectal-pull-throughs-for-hirschsprung-disease-a-systematic-review-and-meta-analysis
#2
REVIEW
Shogo Seo, Hiromu Miyake, Alison Hock, Yuhki Koike, Chen Yong, Carol Lee, Bo Li, Agostino Pierro
AIM:  The Duhamel pull-through and transanal endorectal pull-through (TEPT) are commonly used for the treatment of Hirschsprung's disease (HD). To date, there has been no meta-analysis evaluating postoperative outcomes following Duhamel pull-through and TEPT. The purpose of this meta-analysis was to compare patient outcome after Duhamel pull-through and TEPT for HD. MATERIALS AND METHODS:  Original articles published between 1998 and 2016 were identified using the MEDLINE database...
February 2018: European Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29519574/malone-appendicostomy-versus-cecostomy-tube-insertion-for-children-with-intractable-constipation-a-systematic-review-and-meta-analysis
#3
REVIEW
Christine Li, Sara Shanahan, Michael H Livingston, J Mark Walton
PURPOSE: Children with intractable constipation are often treated with antegrade continence enemas. This requires the creation of a Malone appendicostomy in the operating room or insertion of a cecostomy tube using endoscopic, radiologic, or surgical techniques. The purpose of this study was to assess the evidence regarding these procedures. METHODS: We conducted a search of Embase, Medline, CINAHL, and Web of Science up to October 2016. We included comparative studies of children treated with Malone appendicostomy or cecostomy tube insertion...
May 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29426767/full-thickness-rectal-biopsy-in-children-suspicious-for-hirschsprung-s-disease-is-safe-and-yields-a-low-number-of-insufficient-biopsies
#4
Niels Bjørn, Lars Rasmussen, Niels Qvist, Sönke Detlefsen, Mark Bremholm Ellebæk
INTRODUCTION: The diagnosis of Hirschsprung's disease (HD) relies on the histological demonstration of aganglionosis in the bowel wall. Biopsies may be obtained by rectal suction biopsy (RSB) or by transanal full-thickness excision biopsy (FTB). The objective of the present study was to evaluate the frequency of complications and inconclusive biopsies after FTB in children referred with suspicion of HD. The secondary objective was to calculate the frequency of proven aganglionosis. METHODS: A retrospective chart review was performed of all patients under the age of 16years who underwent transanal FTB during the time period of 2008-2014...
October 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29420423/the-american-society-of-colon-and-rectal-surgeons-clinical-practice-guidelines-for-the-management-of-hemorrhoids
#5
Bradley R Davis, Steven A Lee-Kong, John Migaly, Daniel L Feingold, Scott R Steele
No abstract text is available yet for this article.
March 2018: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/29370894/continence-after-posterior-sagittal-anorectoplasty-for-anorectal-malformations-comparison-of-different-scores
#6
COMPARATIVE STUDY
Giulia Brisighelli, Francesco Macchini, Dario Consonni, Antonio Di Cesare, Anna Morandi, Ernesto Leva
PURPOSE: To evaluate bowel function in patients with anorectal malformations (ARM) comparing existing scoring systems. METHODS: Parents of ARM patients treated at our institution were asked to fill in Holschneider, Kricknebeck, and Rintala questionnaires. Scores obtained from the questionnaires were expressed per cent and analyzed depending on the age and type of ARM according to Krickenbeck classification. Patients younger than 3 years of age or with developmental delay were excluded...
September 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29172236/what-is-the-optimal-management-of-an-intra-operative-air-leak-in-a-colorectal-anastomosis
#7
J B Mitchem, C Stafford, T D Francone, P L Roberts, D J Schoetz, P W Marcello, R Ricciardi
AIM: An airtight anastomosis on intra-operative leak testing has been previously demonstrated to be associated with a lower risk of clinically significant postoperative anastomotic leak following left-sided colorectal anastomosis. However, to date, there is no consistently agreed upon method for management of an intra-operative anastomotic leak. Therefore, we powered a noninferiority study to determine whether suture repair alone was an appropriate strategy for the management of an intra-operative air leak...
February 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28797517/gynecologic-anatomic-abnormalities-following-anorectal-malformations-repair
#8
Alejandra Vilanova-Sanchez, Carlos A Reck, Kate A McCracken, Victoria A Lane, Alessandra C Gasior, Richard J Wood, Marc A Levitt, Geri D Hewitt
BACKGROUND/AIM: Patients may present with gynecologic concerns after previous posterior sagittal anorectoplasty (PSARP) for repair of an anorectal malformation (ARM). Common findings include an inadequate or shortened perineal body, as well as introital stenosis, retained vaginal septum, and remnant rectovestibular fistula. An inadequate or shortened perineal body may impact fecal continence, sexual function and recommendations regarding obstetrical mode of delivery. We describe our experience with female patients referred to our center for evaluation of their previously repaired ARM, with a specific focus on perineal body anatomy and concomitant gynecologic abnormalities...
April 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27385111/long-term-results-of-transanal-pull-through-for-hirschsprung-s-disease-a-meta-analysis
#9
REVIEW
J Zimmer, C Tomuschat, P Puri
INTRODUCTION: Several operative techniques have been developed for the treatment of Hirschsprung's disease (HD) in the past decades. Since one-stage transanal pull-through (TAPT) was first performed in 1998, multiple studies have shown favourable short-and midterm results compared to other techniques with shorter operation length, shorter hospital stay and lower complication rates. The aim of this meta-analysis was to determine the longterm results following TAPT for HD. METHODS: A systematic literature search for relevant articles was performed in four databases using the following terms "Hirschsprung/Hirschsprung's disease", "aganglionosis", "transanal", "pullthrough/pull-through", "longterm/long-term" "results", "follow-up" and "outcome"...
August 2016: Pediatric Surgery International
https://www.readbyqxmd.com/read/22526281/contrast-enema-findings-in-patients-presenting-with-poor-functional-outcome-after-primary-repair-for-hirschsprung-disease
#10
Kevin M Garrett, Marc A Levitt, Alberto Peña, Steven J Kraus
BACKGROUND: The radiologic evaluation of Hirschsprung disease is well described in the literature. However, there is a paucity of literature describing the appearance of the neo-rectum and colon after repair, specifically describing findings in patients with poor functional outcome, which would suggest the need for reoperation. OBJECTIVE: We describe findings on contrast enema and correlate them with surgical findings at reoperation in children with poor functional outcome after primary repair for Hirschsprung disease who suffer from bowel dysfunction that can manifest with either soiling or obstructive symptoms such as enterocolitis...
September 2012: Pediatric Radiology
https://www.readbyqxmd.com/read/20307851/evaluation-and-treatment-of-the-patient-with-hirschsprung-disease-who-is-not-doing-well-after-a-pull-through-procedure
#11
Marc A Levitt, Belinda Dickie, Alberto Peña
Ideally, after operative management of Hirschsprung disease, a child should thrive, avoid recurrent episodes of abdominal distention and enterocolitis, and be fecally continent. However, there is a small group of patients that do not do well after their pull-through procedure. The purpose of this article is to describe our algorithm for the work-up and management of the post pull-through patient with Hirschsprung disease who is not doing well. These children can be categorized into 2 distinct groups: (1) those who are soiling, and (2) those who suffer from distention and enterocolitis...
May 2010: Seminars in Pediatric Surgery
https://www.readbyqxmd.com/read/22985840/the-hirschsprungs-patient-who-is-soiling-after-what-was-considered-a-successful-pull-through
#12
REVIEW
Marc A Levitt, Belinda Dickie, Alberto Peña
After surgery for Hirschsprungs disease, most children thrive, have few if any episodes of abdominal distention and enterocolitis, and are fecally continent. However, there exists a small group of patients who do not do well. Either they suffer from persistent distension and enterocolitis or they experience soiling after their pull-through procedure. These patients can be systematically evaluated and successfully treated with a combination of bowel management, dietary changes, and laxatives, and, in certain circumstances, a reoperation...
November 2012: Seminars in Pediatric Surgery
https://www.readbyqxmd.com/read/20307849/cloacal-malformations-lessons-learned-from-490-cases
#13
Marc A Levitt, Alberto Peña
In this review we describe lessons learned from the authors' series of patients born with the most complex of congenital anorectal problems, cloacal malformations, with the hope to convey the improved understanding and surgical treatment of the condition's wide spectrum of complexity learned from patients cared for over the last 25 years. This includes a series of 490 patients, 397 of whom underwent primary operations, and 93 who underwent reoperations after attempted repairs at other institutions. With regard to the newborn, we have learned that the clinician must make an accurate neonatal diagnosis, drain a hydrocolpos when present, and create an adequate, totally diverting colostomy, leaving enough distal colon available for the pull-through, and a vaginal replacement if needed...
May 2010: Seminars in Pediatric Surgery
https://www.readbyqxmd.com/read/27624566/damaged-anal-canal-as-a-cause-of-fecal-incontinence-after-surgical-repair-for-hirschsprung-disease-a-preventable-and-under-reported-complication
#14
Andrea Bischoff, Jason Frischer, Jennifer Leslie Knod, Belinda Dickie, Marc A Levitt, Monica Holder, Lyndsey Jackson, Alberto Peña
INTRODUCTION: Fecal incontinence after the surgical repair of Hirschsprung disease is a potentially preventable complication that carries a negative impact on patient's quality of life. METHODS: Patients that were previously operated for Hirschsprung disease and presented to our bowel management clinic with the complaint of fecal incontinence were retrospectively reviewed. All patients underwent a rectal examination under anesthesia looking for anatomic explanations for their incontinence...
April 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27345453/anorectal-malformation-with-rectobladder-neck-fistula-a-distinct-and-challenging-malformation
#15
Inbal Samuk, Andrea Bischoff, Jennifer Hall, Marc Levitt, Alberto Peña
BACKGROUND: Rectobladder neck fistula is the highest and most complex anorectal malformation in boys and the only one that requires an abdominal approach, open or laparoscopic, for repair. The aim of this study was to describe the unique characteristics of rectobladder neck fistulas that warrant special attention and to describe the associated anatomic variants in the genitourinary tract. METHODS: The database of a tertiary medical center was retrospectively reviewed for all patients treated for rectobladder neck fistula, by our team in 1980-2011...
October 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/28616723/post-operative-strictures-in-anorectal-malformation-trends-over-15-years
#16
Charlotte Holbrook, Devesh Misra, Indre Zaparackaite, Stewart Cleeve
AIM: For decades, paediatric surgeons have employed the standard posterior sagittal anorectoplasty (PSARP) approach to deal with patients with anorectal malformations (ARM). In recent years, we noted an apparent increase in the incidence of anal stricture after surgical repair of ARM following the introduction of laparoscopic pull-through and techniques aiming to preserve the internal sphincter-the internal sphincter sparing approach (ISSA). We decided to analyse our data to find out if these new trends had added to the problem of post-operative strictures...
August 2017: Pediatric Surgery International
https://www.readbyqxmd.com/read/28528714/the-use-of-stomas-in-the-early-management-of-hirschsprung-disease-findings-of-a-national-prospective-cohort-study
#17
T J Bradnock, M Knight, S Kenny, M Nair, G M Walker
BACKGROUND/PURPOSE: Primary pull-through without a stoma has become preferred practice in managing Hirschsprung disease (HD). The aims of this study were to establish stoma rate and identify factors associated with stoma formation in a population-based cohort in the UK and Ireland. METHODS: Live-born infants with HD were prospectively identified in all 28 specialist pediatric surgical units in the UK and Ireland between October 2010 to September 2012. Method of colonic decompression was recorded and multivariable logistic regression was used to identify factors associated with stoma formation...
September 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/28259380/loop-versus-divided-colostomy-for-the-management-of-anorectal-malformations-a-systematic-review-and-meta-analysis
#18
REVIEW
Fouad Youssef, Ghaidaa Arbash, Pramod S Puligandla, Robert J Baird
BACKGROUND: The ideal colostomy type for patients with anorectal malformations (ARM) is undetermined. We performed a systematic review and meta-analysis of short-term complications comparing loop and divided colostomies. METHODS: After review registration (PROSPERO: CRD42016036481), multiple databases were searched for comparative studies without language or date restrictions. Gray literature was sought. Complications investigated included stomal prolapse/hernia/retraction, wound infections, and urinary tract infections (UTIs)...
May 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/28154903/diagnostic-value-of-the-preoperatively-detected-radiological-transition-zone-in-hirschsprung-s-disease
#19
Xuyong Chen, Wu Xiaojuan, Hongyi Zhang, Chunlei Jiao, Kechi Yu, Tianqi Zhu, Jiexiong Feng
BACKGROUND AND OBJECTIVE: The cardinal diagnostic sign of congenital aganglionic megacolon, or Hirschsprung's disease (HD), is an aganglionic segment of the distal colon or rectum. To determine the surgical planning of a radiological transition zone (TZ) in HD, this study investigated the association between a radiological TZ and the bowel resection length. METHODS: A prospective observational study was conducted in children (n = 192) with suspected HD determined by radiological TZ on contrast barium enema, and who underwent pull-through operations...
May 2017: Pediatric Surgery International
https://www.readbyqxmd.com/read/28180937/guidelines-for-the-management-of-postoperative-obstructive-symptoms-in-children-with-hirschsprung-disease
#20
REVIEW
J C Langer, M D Rollins, M Levitt, A Gosain, L de la Torre, R P Kapur, R A Cowles, J Horton, D H Rothstein, A M Goldstein
Although most children with Hirschsprung disease ultimately do well, many experience a variety of ongoing problems after pull-through surgery. The most common include obstructive symptoms, soiling, enterocolitis and failure to thrive. The purpose of this guideline is to present a rational approach to the management of postoperative obstructive symptoms in children with Hirschsprung disease. The American Pediatric Surgical Association Board of Governors established a Hirschsprung Disease Interest Group. Group discussions, literature review and expert consensus were then used to summarize the current state of knowledge regarding causes, methods of diagnosis, and treatment approaches to children with obstructive symptoms following pull-through for Hirschsprung disease...
May 2017: Pediatric Surgery International
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