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Neonatal Management

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Surgical Treatment of Colorectal Problems in Children

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Abstract

Therapeutic decisions taken during the first 48 h of life in patients with anorectal malformations have very important implications for the baby’s future. This chapter offers key elements to suspect and diagnose specific type of malformations and also to suspect and identify important associated defects that put the baby’s life at risk during the first 48 h of life. The chapter is richly illustrated with pictures that show the most important external anatomic findings that will help the clinician to reach a correct diagnosis and offer the patient an optimal management. Errors in the management of anorectal malformation start at this stage of life. Our eyes only see what our mind suspects, and that is why the authors try to improve the reader’s index of suspicion related to the presence of associated defects and specific types of defects.

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References

  1. Amundsen P (1958) Rupture of the sigmoid colon in a newborn infant with imperforate anus. Br J Radiol 31(361):47–49

    Article  CAS  PubMed  Google Scholar 

  2. Yamada R, Tsunoda A (1974) The diagnosis and the complications of anorectal anomaly in the newborn. Acta Neonatol Jpn 10:50–53

    Google Scholar 

  3. Digray NC, Mengi Y, Goswamy HL, Thappa DR (2001) Colorectal perforations in neonates with anorectal malformations. Pediatr Surg Int 17(1):42–44

    Article  CAS  PubMed  Google Scholar 

  4. Maletha M, Khan TR, Gupta A, Kureel SN (2009) Presentation of high ano-rectal malformation beyond neonatal period. Pediatr Surg Int 25(4):373–375. doi:10.1007/s00383-009-2327-9

    Article  PubMed  Google Scholar 

  5. Turowski C, Dingemann J, Gillick J (2010) Delayed diagnosis of imperforate anus: an unacceptable morbidity. Pediatr Surg Int 26(11):1083–1086. doi:10.1007/s00383-010-2691-5

    Article  PubMed  Google Scholar 

  6. Wilson BE, Etheridge CE, Soundappan SV, Holland AJ (2010) Delayed diagnosis of anorectal malformations: are current guidelines sufficient? J Paediatr Child Health 46(5):268–272. doi:10.1111/j.1440-1754.2009.01683.x

    Article  PubMed  Google Scholar 

  7. Eltayeb AA (2010) Delayed presentation of anorectal malformations: the possible associated morbidity and mortality. Pediatr Surg Int 26(8):801–806. doi:10.1007/s00383-010-2641-2

    Article  PubMed  Google Scholar 

  8. Raveenthiran V (2012) Spontaneous perforation of the colon and rectum complicating anorectal malformations in neonates. J Pediatr Surg 47(4):720–726. doi:10.1016/j.pedurg.2011.07.025

    Article  PubMed  Google Scholar 

  9. Chan KW, Lee KH, Tsui SY, Wong YS, Pang KY, Mou JW, Tam YH (2014) Bowel perforation in newborn with anorectal malformation and no fistula at presentation. J Pediatr Surg 49(3):390–394. doi:10.1016/j.jpedsurg.2013.07.009

    Article  PubMed  Google Scholar 

  10. Peña A (1988) Posterior sagittal anorectoplasty: results in the management of 332 cases of anorectal, malformations. Pediatr Surg Int 3:94–104

    Google Scholar 

  11. Stoll C, Alembik Y, Dott B, Roth MP (2007) Associated malformations in patients with anorectal anomalies. Eur J Med Genet 50(4):281–290

    Article  CAS  PubMed  Google Scholar 

  12. Casaccia G, Catalano OA, Bagolan P (2009) Congenital gastrointestinal anomalies in anorectal malformations: what relationship and management? Congenit Anom (Kyoto) 49(2):93–96. doi:10.1111/j.1741-4520.2009.00230.x

    Article  Google Scholar 

  13. Rich MA, Brock WA, Peña A (1988) Spectrum of genitourinary malformations in patients with imperforate anus. Pediatr Surg Int 3:110–113

    Google Scholar 

  14. Berdon WE, Baker DH, Wigger HJ, Mitsudo SM, Williams H, Kaufmann HJ, Shapiro L (1975) Calcified intraluminal meconium in newborn males with imperforate anus. Enterolithiasis in the newborn. Am J Roentgenol Radium Ther Nucl Med 125(2):449–455

    Article  CAS  PubMed  Google Scholar 

  15. Taccone A, Marzoli A, Martucciello G, Dodero P (1992) Intraabdominal calcifications in the newborn: an unusual case with anorectal malformation and other anomalies. Pediatr Radiol 22(4):309–310

    Article  CAS  PubMed  Google Scholar 

  16. Wangensteen OH, Rice CO (1930) Imperforate anus: a method of determining the surgical approach. Ann Surg 92(1):77–81

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  17. Narasimharao KL, Prasad GR, Katariya S, Yadav K, Mitra SK, Pathak IC (1983) Prone cross-table lateral view: an alternative to the invertogram in imperforate anus. AJR Am J Roentgenol 140(2):227–229

    Article  CAS  PubMed  Google Scholar 

  18. Schuster SR, Teele RL (1979) An analysis of ultrasound scanning as a guide in determination of “high” or “low” imperforate anus. J Pediatr Surg 14(6):798–800

    Article  CAS  PubMed  Google Scholar 

  19. Donaldson JS, Black CT, Reynolds M, Sherman JO, Shkolnik A (1989) Ultrasound of the distal pouch in infants with imperforate anus. J Pediatr Surg 24(5):465–468

    Article  CAS  PubMed  Google Scholar 

  20. Bergami GL, Mario MD (1990) Diagnosi ultrasonografica delle malformazioni ano-rettali. Rass It Chir Ped 32(2):78–80

    Google Scholar 

  21. Tashev P, Chatalbashev N, Kazakov K (1991) Application of ultrasonography in the evaluation of imperforate anus. Folia Med (Plovdiv) 33(3):36–40

    CAS  Google Scholar 

  22. Murugasu JJ (1970) A new method of roentgenological demonstration of anorectal anomalies. Surgery 68(4):706–712

    CAS  PubMed  Google Scholar 

  23. Danis RK, Graviss ER (1978) Imperforate anus: avoiding a colostomy. J Pediatr Surg 13(6D):759–761

    Article  CAS  PubMed  Google Scholar 

  24. Glasier CM, Seibert JJ, Golladay ES (1987) Intermediate imperforate anus: clinical and radiographic implications. J Pediatr Surg 22(4):351–352

    Article  CAS  PubMed  Google Scholar 

  25. Stevenson RJ, Sheldon C, Ildstad ST (1990) Percutaneous transperineal pouch localization in low imperforate anus: a new approach. J Pediatr Surg 25(2):273–275

    Article  CAS  PubMed  Google Scholar 

  26. Krasna IH, Nosher JL, Amorosa J, Rosenfeld D (1988) Localization of the blind rectal pouch in imperforate anus with the CT scanner. J Pediatr Surg 23(11):1081

    Google Scholar 

  27. Pomeranz SJ, Altman N, Sheldona JJ, Tobiasa JA, Soilaa KP, Jalensa LJ, Viamonte M (1985) Magnetic resonance of congenital anorectal malformations. Magn Reson Imaging 4:69–72

    Article  Google Scholar 

  28. Sachs TM, Applebaum H, Touran T, Taber P, Darakjian A, Colleti P (1990) Use of MRI in evaluation of anorectal anomalies. J Pediatr Surg 25(7):817–821

    Article  CAS  PubMed  Google Scholar 

  29. Grebe P, Kreitner KF, Kersjes W, Würfel A, Schild H (1993) MRT for surgical planning in anal atresia. Rofo 159(6):528–532

    Article  CAS  PubMed  Google Scholar 

  30. Aluwihare AP (1989) Imperforate anus in male children: a new operation of primary perineal rectourethroanoplasty. Ann R Coll Surg Engl 71(1):14–19

    PubMed Central  CAS  PubMed  Google Scholar 

  31. Moore TC (1990) Advantages of performing the sagittal anoplasty operation for imperforate anus at birth. J Pediatr Surg 25(2):276–277

    Article  CAS  PubMed  Google Scholar 

  32. Goon HK (1990) Repair of anorectal anomalies in the neonatal period. Pediatr Surg Int 5:246–249

    Article  Google Scholar 

  33. Ariturk E, Aydin G (1958) Neonatal definitive surgery without colostomy for intermediate type of anorectal malformations. Doga-TR J Med Sci 16:424–427

    Google Scholar 

  34. Albanese CT, Jennings RW, Lopoo JB, Bratton BJ, Harrison MR (1999) One-stage correction of high imperforate anus in the male neonate. J Pediatr Surg 34(5):834–836

    Article  CAS  PubMed  Google Scholar 

  35. Liu DC, Hill CB (2001) One-stage posterior sagittal anorectoplasty (Primary PSARP) for the treatment of imperforate anus. Contemp Surg 57(6):291–294

    Google Scholar 

  36. Liu G, Yuan J, Geng J, Wang C, Li T (2004) The treatment of high and intermediate anorectal malformations: one stage or three procedures? J Pediatr Surg 39(10):1466–1471

    Article  PubMed  Google Scholar 

  37. Vick LR, Gosche JR, Boulanger SC et al. (2007) Primary laparoscopic repair of high imperforate anus in neonatal males. J Pediatr Surg 42(11):1877–1881

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Pediatric Surgery, Colorectal Center for Children Cincinnati Children’s Hospital, Cincinnati, OH, USA

    Alberto Peña & Andrea Bischoff

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  1. Alberto Peña
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  2. Andrea Bischoff
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© 2015 Springer International Publishing Switzerland

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Peña, A., Bischoff, A. (2015). Neonatal Management. In: Surgical Treatment of Colorectal Problems in Children. Springer, Cham. https://doi.org/10.1007/978-3-319-14989-9_4

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  • DOI: https://doi.org/10.1007/978-3-319-14989-9_4

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-14988-2

  • Online ISBN: 978-3-319-14989-9

  • eBook Packages: MedicineMedicine (R0)

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