Laparoscopic assisted anorectal pull-through for treatment of congenital pouch colon: Two cases in central China

Frykman, Philip K.; Felder, Seth; Zhai, Shiwei

doi:10.1016/j.epsc.2013.09.005

Cited by 5 publications

(6 citation statements)

References 23 publications

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“…[1351819] In another study, we found that in five patients with Type IV CPC, a distal sigmoid colostogram demonstrated a CVF opening just above the bladder neck [Figure 4]. Cystourethroscopy showed the position of the verumontanum and the CVF to be similar to that in Types I–III CPC.…”

Section: Anomalous Anatomymentioning

confidence: 95%

“…The terminal colovesical fistula (CVF) is thought to enter the urinary bladder (UB) midway between its fundus and base,[241617] its posterior wall,[5151819] or at any of three different sites on the posterior wall of the bladder. [3] However, these assertions are not based on conclusive radiological or endoscopic evidence.…”

Section: Anomalous Anatomymentioning

confidence: 99%

“…[12] Recently, laparoscopic- assisted anorectoplasty (LAARP) for Type III CPC has been described,[1951] the entire procedure being carried out with the patient in the supine-lithotomy position. A similar procedure can be performed with laparotomy, avoiding changes in the patient's position.…”

Section: Managementmentioning

confidence: 99%

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Congenital pouch colon

Chadha

Khan

2017

J Indian Assoc Pediatr Surg

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Congenital pouch colon (CPC) is an unusual abnormality in which a pouch-like dilatation of a shortened colon is associated with an anorectal malformation. It is categorized into four subtypes (Types I–IV) based on the length of normal colon proximal to the colonic pouch. In males, the pouch usually terminates in a colovesical fistula just proximal to the bladder neck. In girls, the terminal fistula opens either into the urethra or in the vestibule, close to the urethral opening. Girls usually have a double vagina with a wide inter-vaginal bridge, a monocornuate uterus on each side, and urinary incontinence due to a widely open bladder neck. Associated major malformations are uncommon with CPC but sometimes, especially in reports from outside India, major abnormalities are present suggesting an early, severe error in embryogenesis. The more severe Types I/II CPC can usually be diagnosed by a large gas shadow or air-fluid level on X-Ray abdomen. For all subtypes of CPC, it is preferable to preserve a segment of the pouch by fashioning a narrow colonic tube for pull-through, the technique known as coloplasty or tubular colorraphy. Girls need additional management of the genitourinary abnormalities. Postoperatively, fecal continence levels are usually poor, especially with Types I/II CPC.

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Section: Anomalous Anatomymentioning

confidence: 95%

Section: Anomalous Anatomymentioning

confidence: 99%

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Congenital pouch colon

Chadha

Khan

2017

J Indian Assoc Pediatr Surg

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“…Colostomy when done is usually part of the primary procedure. The surgery can be done laparoscopically successfully [13,16,17].…”

Section: Discussionmentioning

confidence: 99%

Congenital pouch colon in Duhok, outcome and complications: Case series

Qadir

Mohammed

2019

Annals of Medicine and Surgery

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Background Congenital pouch colon (CPC) is a rare congenital abnormality associated with anorectal malformations with high incidence of complications and mortality. The aim of this study is to describe the various types of congenital colon pouch, their management aspects, complications of surgery, and the best management options. Results The incidence of congenital pouch colon in the present study was 5.3% (18 patients) of all anorectal malformations. Sixteen cases (88.8%) were males and 2 cases (12.5%) were females, (M: F ratio was 8:1). The age of presentation was ranged from 1day to 1year; 17 cases were presented in first week of life. Preoperative diagnosis of congenital pouch colon was done in 7 patients. As an initial procedure tabularization of the pouch with end colostomy was done in 15 cases, window colostomy was done in 2 cases, and excision of the pouch and proximal ileostomy was done in one patient. As a definitive procedure, abdomino-perineal pull-through of the tabularized pouch was done in 15 cases, ileo-anal anastomosis after pouch excision was done in 3 cases. Conclusions Pouch tabularization and end colostomy had better outcome than other types of interventions. Abdomino-perineal pull through of the tabularized pouch was the definitive surgical procedure for treatment of complete pouch colon in our study.

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“…После формирования «толстой кишки» выполняется классическая заднесагиттальная аноректопластика -«золотой стандарт» лечения большинства аноректальных пороков [6,32,33]. Для абдоминального этапа операции может быть использовано лапароскопическое оборудование (видеоассистенция) [1,34]. A Б Рис.…”

Section: лечениеunclassified