Pediatric Colorectal Disorders

Erin A. Teeple, Kenneth S. Azarow
Pediatric Colorectal Disorders is a topic covered in the ASCRS Textbook of Colon and Rectal Surgery.

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Key Concepts

  • The major principle of operative therapy for Hirschsprung’s disease is to bring ganglionated bowel to within 1 cm of the dentate line.
  • The ideal surgical treatment of a duplication depends on length and location of duplication, age of child, and relationship to surrounding structures with complete excision being the goal, though not always possible.
  • Constipation and fecal incontinence need a full history and physical examination but are managed often successfully by medical management.
  • Anorectal malformations often occur with other congenital defects and a mainstay for surgery is an ano rectoplasty.

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Key Concepts

  • The major principle of operative therapy for Hirschsprung’s disease is to bring ganglionated bowel to within 1 cm of the dentate line.
  • The ideal surgical treatment of a duplication depends on length and location of duplication, age of child, and relationship to surrounding structures with complete excision being the goal, though not always possible.
  • Constipation and fecal incontinence need a full history and physical examination but are managed often successfully by medical management.
  • Anorectal malformations often occur with other congenital defects and a mainstay for surgery is an ano rectoplasty.

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Last updated: January 26, 2022