A study in organogenesis: The arterial supply of the anorectal region in the human embryo and fetus

Bourdelat, D; Labbé, F.; Pillet, J.; Delmas, Patrick; Hidden, G; Hureau, J

doi:10.1007/bf02094069

Cited by 14 publications

(11 citation statements)

References 7 publications

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“…No exact etiology and embryogenesis could be found. We believe in the vascular ischemia theory proposed by Bourdelat et al [10] and Dickinson [11]. In North India, congenital pouch colon comprises 4.38% to 8.3% of all ARMS and 10% to 26% of high ARMs.…”

Section: Discussionmentioning

confidence: 95%

Single-stage management of all pouch colon (anorectal malformation) in newborns

Gangopadhyay

V.S.

Mohan

et al. 2005

Journal of Pediatric Surgery

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Section: Discussionmentioning

confidence: 95%

Single-stage management of all pouch colon (anorectal malformation) in newborns

Gangopadhyay

V.S.

Mohan

et al. 2005

Journal of Pediatric Surgery

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“…High anorectal malformations are caused by failure of the urorectal septum to complete cloacal septation, resulting in a rectourinary fistula in the male or a rectocloacal fistula in the female [17]. Bourdelat et al [18] studied the arterial supply of the anorectal region in human embryos and fetuses and suggested vascular ischemia as a basis for the occurrence of anorectal malformations. Dickinson [19] also proposed that a vascular compromise in the region of the hindgut during early intrauterine development could account for pouch colon malformation.…”

Section: Typementioning

confidence: 99%

Congenital pouch colon with prune belly syndrome and megalourethra

et al. 2005

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Congenital pouch colon (CPC), an unusual high anorectal malformation in which a varying length of colon is replaced by a dilated pouch, has appeared in a number of case reports and series published in the English literature. There is only one case report of its association with prune belly syndrome (also known as triad syndrome, Eagle-Barrett syndrome, and abdominal muscle deficiency syndrome). We report the description and management of this rare association in a male neonate with CPC, prune belly syndrome, and congenital megalourethra.

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“…No exact etiology and embryogenesis could be found. We believe in the vascular ischemia theory proposed by Bourdelat et al and Dickinson et al 9,10 In North India, congenital pouch colon comprises 4.38% to 8.3% of all ARMS and 10% to 26% of high ARMs. In our study, the incidence was much higher at 30.6% and 44.1% of all high-ARM cases whereas in a study by Gangopadhyay et al it was 15.1% and 19.5% respectively.…”

Section: Discussionmentioning

confidence: 70%

“…9 Because of the long follow-up period in SP, the families cannot bear the financial burden in a country like ours, where medical facilities are not available in each nuke and corner to treat colostomy complications, the delay of which results in so many preventable deaths. This is evident as many cases could not come for follow-up and complete the treatment.…”

Section: Discussionmentioning

confidence: 93%

Primary single stage repair of newborn babies with pouch colon (anorectal malformation) in a tertiary setup

Aggarwal

2017

Int Surg J

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Background: The standard procedure in the management of pouch colon is the staged procedure (SP), which has well-known disadvantages. We believe that staged procedure is unnecessary and single-stage procedure (SSP) can be done in the congenital pouch colon cases. Methods: Patients with pouch colon who underwent SSP (90 cases from 2008 to 2013) and SP (100 cases from 2003 to 2008), 65 and 55 of whom, respectively, were in regular follow-up for more than 3 years, were evaluated. Results: In SSP, male/female ratio was 87:3; in SP-94:6. Mean age of patient in SSP was 3.7 days and in SP 15 months. The distribution of cases into types I, II, III, and IV was 7,16,18, and 24 in SSP,and 6,14,15,and 20 in SP, respectively. The ratio of PSSP/SP for partial pouch colon (I and II) was 23:20 and for complete pouch colon (III and IV) was 42:35. The ratio of SSP/SP in terms of continence, mortality, and cost was 81:60, 17:53, and 1:6, respectively. Conclusions: Primary single-stage procedure gives better continence and cosmesis, with low morbidity and mortality at a low cost, and hence is recommended. Aggarwal S et al. Int Surg J. 2017 Apr;4(4):1158-1162 International Surgery Journal | April 2017 | Vol 4 | Issue 4 Page 1159 All the cases of pouch colon diagnosed clinically supported by radiological evidence (babygram, invertogram, cross-table prone lateral view, ultrasonogram) admitted at S.G.R.D. Hospital, Department of Paediatric Surgery, Amritsar, during the period 2003 to 2013 were included in the study. During this period, 100 cases were managed before 2008 with standard SP, and 90 cases were managed with SSP after 1997. Of these, 55 cases of SP and 65 cases of SSP who were in regular follow-up of more than 3 years were studied. All the patients were evaluated for associated congenital anomalies with X-ray abdomen, ultrasonography abdomen, micturating cystourethrogram, and echocardiogram whenever possible. After exploratory laparotomy with left lumbar hockeystick incision, the type of pouch colon was assessed according to the classification of Narasimharao et al, and decision was made accordingly. 1 In the follow-up period, all the cases were evaluated for continence with Kelly's scoring, mortality, and cost of treatment. Keywords METHODSThe SSP includes laparotomy, ligation of the fistula, followed by primary abdominoperineal pull-through/ abdomino-PSARP after pouch excision (partial/total pouch colon). Abdomino PSARP includes initial posterior sagittal approach and placement of tube stent, followed by change of posture for abdominal approach with dissection and division of fistula, followed by anoplasty with the pulled-down colon. The distribution of various operative procedures performed in both groups (SP and SSP) ( Table 1). RESULTSIn our study, pouch colon accounted for 30.64 % of all ARM (total ARM cases during the period 2003 -2013 was 620) and 44.1 % of all high ARMs (high ARM cases were 430). Male predominance was noted in our series (9:1).All the patients with congenital pouch colon had a high vari...

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A study in organogenesis: The arterial supply of the anorectal region in the human embryo and fetus

Cited by 14 publications

References 7 publications

Single-stage management of all pouch colon (anorectal malformation) in newborns

Single-stage management of all pouch colon (anorectal malformation) in newborns

Congenital pouch colon with prune belly syndrome and megalourethra

Primary single stage repair of newborn babies with pouch colon (anorectal malformation) in a tertiary setup

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