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Congenital and Pediatric Anorectal Conditions

  • Anne Kim MackowEmail author
Chapter

Abstract

Congenital pediatric anorectal problems include anorectal malformations and Hirschsprung’s disease. Anorectal malformations are diverse, often associated with other anomalies including genitourinary or sacral ones. Repair may be staged and is generally completed with a posterior sagittal anorectoplasty. Hirschsprung’s disease may present gradually with constipation or acutely with enterocolitis, requiring either a pullthrough procedure, or occasionally a colostomy. Among other anorectal anomalies, treatment of fistula-in-ano, anal fissure and rectal prolapse may be nonoperative in pediatric patients, or a procedure similar to that done in adults. Another important consideration is that of sexual abuse, as there are important anal signs of abuse.

Keywords

Anorectal malformations Hirschsprung’s disease Fistula-in-ano Pediatric rectal prolapse 

Abbreviations

HAEC

Hirschsprung’sassociated enterocolitis

LAARP

Laparoscopic-assisted anorectoplasty

PSARP

Posterior sagittal anorectoplasty

RAIR

Recto-anal inhibitory reflex

SRUS

Solitary rectal ulcer syndrome

VACTERL

Vertebral, anorectal, cardiac, tracheoesophageal, renal, limb anomalies

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Division of Pediatric SurgeryRainbow Babies and Children’s Hospital, University Hospitals, Case Medical CenterClevelandUSA

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