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The use of augmented-pressure colostography in imperforate anus

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Abstract

Colostomy is recommended in most newborns with imperforate anus (IA), except those with low-type anorectal malformations (ARM). Accurate demonstration of the anatomy of any associated fistula between the rectum and the urogenital tract is essential for optimal surgical management. Augmented-pressure distal colostography is recommended to fulfill this requirement prior to definitive surgical repair of IA. We examined 12 cases of high or intermediate-type ARM using this technique, which clearly demonstrated the distal perineal anatomy. All were confirmed at posterior sagittal angorectoplasty.

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References

  1. deVires P, Pena A (1982) Posterior sagittal anorectoplasty. J Pediatr Surg 17: 638–643

    Google Scholar 

  2. Potts WJ, Riker WL, DeBoer A (1954) Imperforate anus with recto-vesical, -urethral, -vaginal, and -perineal fistula. Ann Surg 140: 381–395

    Google Scholar 

  3. Lernau OZ, Jancu J, Nissan S (1978) Demonstration of rectourinary fistula by pressure gastrograffin enema. J Pediatr Surg 13: 497–498

    Google Scholar 

  4. Gross GW, Wolfson PJ, Pena A (1991) Augmented-pressure colostogram in imperforate anus with fistula. Pediatr Radiol 21: 560–562

    Google Scholar 

  5. Churchill BM, Hardy BE, Stephen CA (1978) Urologic aspect of malformations and common abnormalities of the anus and rectum. Urol Clin North Am 5: 141–154

    Google Scholar 

  6. Cremin BJ (1971) Radiological assessment of anorectal anomalies. Clin Radiol 22: 239–250

    Google Scholar 

  7. Pena A (1988) Surgical management of anorectal malformations: a unified concept. Pediatr Surg Int 3: 82–93

    Google Scholar 

  8. Pena A (1990) Atlas of surgical management of anorectal malformations. Springer, Berlin Heidelberg New York, pp 14–19

    Google Scholar 

  9. Gupta AK, Bhagrava S, Rohtagi M (1986) Anal agenesis with rectobulbar fistula. Pediatr Radiol 6: 222–224

    Google Scholar 

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

    Google Scholar 

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Wang, C.R., Lin, J.N. & Lim, K.E. The use of augmented-pressure colostography in imperforate anus. Pediatr Surg Int 12, 383–385 (1997). https://doi.org/10.1007/BF01076945

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