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Colorectal Quiz: Episode 47 - Megarectosigmoid

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Manage episode 481362906 series 1142674
Content provided by StayCurrent: Pediatric Surgery. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by StayCurrent: Pediatric Surgery or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://staging.podcastplayer.com/legal.

In this episode of the Colorectal Quiz, Drs. Marc Levitt, Jason Frischer, and special guests Dr. Chris Gayer and Dr. Sarah Ulrich tackle the complexities of managing megarectosigmoid in a 13-year-old patient with a history of cloaca. They explore the intricacies of diagnosis, anatomy, and long-term management for a child struggling with soiling despite a well-positioned rectum and no anatomical stricture.

Key Highlights:

  • Case Discussion: A deep dive into a patient with severe rectal dilation despite a perineal repair and normal bladder function.
  • Diagnostic Strategy: The role of MRI, EUA, contrast enema, and sacral assessment to understand anatomy and guide treatment.
  • Treatment Options: From Malone procedures to tapering and resection—what’s the right next step?
  • Surgical Pearls: When to preserve the rectum and when to consider redoing the entire repair.

This episode is packed with expert commentary, clinical pearls, and plenty of humor (including a colorectal-themed joke from a young patient).

  continue reading

401 episodes

Artwork
iconShare
 
Manage episode 481362906 series 1142674
Content provided by StayCurrent: Pediatric Surgery. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by StayCurrent: Pediatric Surgery or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://staging.podcastplayer.com/legal.

In this episode of the Colorectal Quiz, Drs. Marc Levitt, Jason Frischer, and special guests Dr. Chris Gayer and Dr. Sarah Ulrich tackle the complexities of managing megarectosigmoid in a 13-year-old patient with a history of cloaca. They explore the intricacies of diagnosis, anatomy, and long-term management for a child struggling with soiling despite a well-positioned rectum and no anatomical stricture.

Key Highlights:

  • Case Discussion: A deep dive into a patient with severe rectal dilation despite a perineal repair and normal bladder function.
  • Diagnostic Strategy: The role of MRI, EUA, contrast enema, and sacral assessment to understand anatomy and guide treatment.
  • Treatment Options: From Malone procedures to tapering and resection—what’s the right next step?
  • Surgical Pearls: When to preserve the rectum and when to consider redoing the entire repair.

This episode is packed with expert commentary, clinical pearls, and plenty of humor (including a colorectal-themed joke from a young patient).

  continue reading

401 episodes

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