Congenital pouch colon: A rare presentation of Anorectal malformation

Mahmood, Salah S.; Zain, Ahmed Z.; Aboalhab, Raghad J.

doi:10.32007/med.1936/jfacmedbagdad.v57i3.3

Cited by 2 publications

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“…[ 8 ] Although some reports suggest better to excise the pouch completely whatever type was because histopathological examination of the pouch revealed abnormal muscle coat with failure to produce propulsive movement but in our experience, it is better to use part of pouch in complete pouch colon for water absorptive and reservoir purpose. [ 9 10 11 ]…”

Section: Introductionmentioning

confidence: 99%

Congenital pouch colon: Our experience with coloplasty

Singh

Rawat

Kumar

2018

Afr J Paediatr Surg

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Background:Congenital pouch colon (CPC) or congenital short colon is an entity found mainly in Indian subcontinent. In CPC, colon is replaced with partially or completely abnormal pouch connected to the genitourinary tract by a fistula (colovesical). Management protocol is different in different institute. In this article, we are sharing our three stage standard management approach; principle and technique of coloplasty in cases in which colon length is not adequate for pull through and their follow-up. This study aims to show the result of coloplasty in complete CPC.Materials and Methods:This is retrospective observational study, of 5 years duration. The medical record of these patients was reviewed for demographic information, clinical features, investigations performed, operative notes, post-operative events and the outcome of surgery.Results:Total of 626 ARM cases were managed in 5 years duration in which 64 were of pouch colon. The age of presentation was 1–15 days. In fifty patients who completed their, all stage in that 34 patients were in which coloplasty were done in rest of 16 cases excision of CPC and colonic pull through done in view of adequate colonic length (type III and IV) for pull through. In 34 patient in which coloplasty were done showed satisfactory cosmetic and functional out came after stoma closer in follow-up.Conclusions:Properly created coloplasty and three stage procedure for complete pouch colon give better result and less complications. Excision of pouch is not requiring in all cases of CPC.

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Section: Introductionmentioning

confidence: 99%

Congenital pouch colon: Our experience with coloplasty

Singh

Rawat

Kumar

2018

Afr J Paediatr Surg

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“…Поздовжній і коловий м'язові шари ПК диференціюються на 12-му тижні, а м'язова пластинка слизової оболонки на 14-му тижні розвитку [3,4]. В цілому ембріогенез товстої кишки (ТК) пов'язаний з розвитком її кровоносних судин та нервових сплетінь і гангліїв за сегментарним принципом, порушення якого в зародків 65,0-112,0 мм ТКД (13-14 тиждень) зумовлює розвиток певної форми атрезії [5,6]. Задня кишка дає початок дистальним відділам кишкової трубки, від дистальної третини поперекової ободової кишки до проксимальної половини відхідника.…”

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Structure of the Perianal Region in Children With Anorectal Malformations

Konoplitsʹkyy¹,

Lukiyanetsʹ²,

Sokolʹnyk³

2018

CAOS

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Objective: To study the morphological factors in the structure of the abdominal part of the colon and perineum in anorectal malformations in children. Material and methods: In 10 patients (1 day-2, 5 years) with anorectal developmental defects, a complex histological study of myo- and neurostructures of abdominal fragments from the rectum was performed, which were removed during surgery, with proctoplasty for the correction of the congenital pathology of the anorectal region. The study group consisted of 2 patients with unsupported forms of vice, 7 patients with fistula in the urinary system and one child with fistula per perineum. Results of the study. The search for the study was focused on revealing the fibers of the transversely striated muscle tissue of the subcutaneous part of the external anal sphincter, as one of the factors of its structure (presence). It was determined that the structural elements of the structure of the perianal region and pelvic floor in children with anorectal defects have certain morphological features, namely: the skin and subcutaneous fat, at the location of the necessary location of the external anus, in 80% of cases did not contain the muscular elements of the surface part of the external anal sphincter; the wall of the apical part of the rectum was characterized by hypoplasia of the mucosa and in most cases of the muscle layer with the fullness of their vessels and the presence of autonomic intermuscular ganglia. Conclusion. The structural elements of perianal area and pelvic bottom anatomy of children with аnorectal development defestes have morphological peculiarities are certain, namely: in the place of needed location of external anal hole the skin and hypodermic-fatty cellular had not contain the muscular elements of superficial part external anal sphincter at 80% cases; the wall of apical part of rectum characterized by the hypoplasia of mucous membrane and the muscular layer with the plethora of their vessels in most cases and presence of vegetative intermuscular neuroganglions.

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Congenital pouch colon: A rare presentation of Anorectal malformation

Cited by 2 publications

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Congenital pouch colon: Our experience with coloplasty

Congenital pouch colon: Our experience with coloplasty

Structure of the Perianal Region in Children With Anorectal Malformations

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