Short Colon Malformation With Imperforate Anus

Singh, Ajmer; Singh, Ravinder Pal; Singh, Amarjit

doi:10.1111/j.1651-2227.1977.tb07952.x

Cited by 39 publications

(47 citation statements)

References 2 publications

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“…Interestingly, the sex ratio reported by authors outside India has been almost equal (1.27:1) while in India the reported incidence has been 3-4.3: 1. [11] In the authors series (152 cases, 1992-2005), it was significantly higher in males than in females (7:1)…”

Section: Map Of Indiamentioning

confidence: 99%

“…[10] The condition is defined as an anomaly in which all or part of the colon is replaced by a pouch-like dilatation The first report from India came in 1972 by Singh and that communicates distally with the urogenital tract by a Pathak who in a series of six cases, named this condition A supralevator anorectal anomaly is as "short colon" and attempted to discuss its associated with a colonic pouch of variable size (5-15 cm embryogenesis. [11] Gopal in 1978 called it colonic reservoir in diameter). This condition has now been included in a case with Rectovaginal fistula.…”

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confidence: 99%

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Congenital pouch colon - Then and now

Gupta

Sharma

2007

J Indian Assoc Pediatr Surg

131

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ABSTRACT ABSTRACT ABSTRACTCongenital pouch colon (CPC), a condition associated with anorectal agenesis has been reported mainly from the Indian subcontinent though there have been few case reports from other areas. The pouch differs from a normal colon structurally, histologically and functionally. The management involves a diversion colostomy at birth with or without the excision of pouch followed by pull through. This review article attempts to compile all the available literature on pouch colon along with the authors' experience and discuss the relevant issues for proper diagnosis and management. A changing trend has been seen in the most common type of CPC seen over the years from complete congenital pouch colon that accounted for more than 70% of cases earlier to incomplete pouch colon that is more commonly seen now.

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Section: Map Of Indiamentioning

confidence: 99%

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confidence: 99%

Congenital pouch colon - Then and now

Gupta

Sharma

2007

J Indian Assoc Pediatr Surg

131

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“…The Indian literature is replete with the different surgical techniques. Since CPC was first reported by Professor IC Pathak in 1972 [1] there are large series of CPC with reviews and evaluations of various surgical procedures [11][12][13][14]. [19].…”

Section: Type IImentioning

confidence: 99%

“…Intrauterine vascular accidents, obliteration of inferior mesenteric artery or part of it and factors like pesticides, geographic environment, climate, economic and cultural status, are believed to be factors responsible for ARM. However, recent reports in the literature have shown that the germ line mutations/ deletions of genes encoding the proteins of the signaling pathways responsible for normal colon result in its malformations in experimental studies [1][2][3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Congenital Pouch Colon: Review of Current Clinical and Molecular Studies

Maudar

Varshney

et al. 2016

JPNC

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“…[1][2][3][4][5][6] Management of pouch colon is controversial with very poor final result and outcome. Classical management options include initial management with a) diversion (window colostomy/proximal colostomy/ileostomy) with or without division of fistula, b) excision of the pouch and end colostomy after division of fistula, and c) coloplasty and end colostomy.…”

Section: Introductionmentioning

confidence: 99%

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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Short Colon Malformation With Imperforate Anus

Cited by 39 publications

References 2 publications

Congenital pouch colon - Then and now

Congenital pouch colon - Then and now

Congenital Pouch Colon: Review of Current Clinical and Molecular Studies

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

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