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Outcomes of transanal endorectal pull-through for rectal atresia
Rectal atresia is a rare anorectal malformation, and it has been reported to represent 1%–2% of all anorectal malformations. We report three newborns who were admitted to the neonatal intensive care unit for abdominal distention, bilious vomiting and failure to pass meconium. The external anus and g...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5965804/ https://www.ncbi.nlm.nih.gov/pubmed/29776939 http://dx.doi.org/10.1136/bcr-2017-224080 |
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author | Gieballa, Mutaz AlKharashi, Nawaf Al-Namshan, Mohammed AlJadaan, Saud |
author_facet | Gieballa, Mutaz AlKharashi, Nawaf Al-Namshan, Mohammed AlJadaan, Saud |
author_sort | Gieballa, Mutaz |
collection | PubMed |
description | Rectal atresia is a rare anorectal malformation, and it has been reported to represent 1%–2% of all anorectal malformations. We report three newborns who were admitted to the neonatal intensive care unit for abdominal distention, bilious vomiting and failure to pass meconium. The external anus and genitalia were normal and well formed. Digital rectal examination showed a blind-ending anal canal. All three infants were initially managed with diverting colostomy and then transanal resection of the rectal atresia with primary anastomosis, followed by colostomy closure. All patients eventually developed normal bowel habits and gained complete bowel control at 3–5 years of age, with mild constipation managed with laxatives. Contrast enema in a newborn with distal bowel obstruction is helpful to delineate the anatomy to show the gaps and to facilitate the procedure. In conclusion, transanal endorectal pull-through is a feasible and safe procedure with satisfactory clinical outcomes. |
format | Online Article Text |
id | pubmed-5965804 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-59658042018-05-31 Outcomes of transanal endorectal pull-through for rectal atresia Gieballa, Mutaz AlKharashi, Nawaf Al-Namshan, Mohammed AlJadaan, Saud BMJ Case Rep Rare Disease Rectal atresia is a rare anorectal malformation, and it has been reported to represent 1%–2% of all anorectal malformations. We report three newborns who were admitted to the neonatal intensive care unit for abdominal distention, bilious vomiting and failure to pass meconium. The external anus and genitalia were normal and well formed. Digital rectal examination showed a blind-ending anal canal. All three infants were initially managed with diverting colostomy and then transanal resection of the rectal atresia with primary anastomosis, followed by colostomy closure. All patients eventually developed normal bowel habits and gained complete bowel control at 3–5 years of age, with mild constipation managed with laxatives. Contrast enema in a newborn with distal bowel obstruction is helpful to delineate the anatomy to show the gaps and to facilitate the procedure. In conclusion, transanal endorectal pull-through is a feasible and safe procedure with satisfactory clinical outcomes. BMJ Publishing Group 2018-05-18 /pmc/articles/PMC5965804/ /pubmed/29776939 http://dx.doi.org/10.1136/bcr-2017-224080 Text en © BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Rare Disease Gieballa, Mutaz AlKharashi, Nawaf Al-Namshan, Mohammed AlJadaan, Saud Outcomes of transanal endorectal pull-through for rectal atresia |
title | Outcomes of transanal endorectal pull-through for rectal atresia |
title_full | Outcomes of transanal endorectal pull-through for rectal atresia |
title_fullStr | Outcomes of transanal endorectal pull-through for rectal atresia |
title_full_unstemmed | Outcomes of transanal endorectal pull-through for rectal atresia |
title_short | Outcomes of transanal endorectal pull-through for rectal atresia |
title_sort | outcomes of transanal endorectal pull-through for rectal atresia |
topic | Rare Disease |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5965804/ https://www.ncbi.nlm.nih.gov/pubmed/29776939 http://dx.doi.org/10.1136/bcr-2017-224080 |
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