Seminars in Colon & Rectal Surgery
Volume 18, Issue 1 , Pages 33-41 , March 2007

Anorectal Malformations: New Aspects Relevant to Adult Colorectal Surgeons

  • Alberto Peña

      Affiliations

    • Corresponding Author InformationAddress reprint requests to Alberto Peña, MD, Chief. Pediatric Surgery, Schneider Children’s Hospital, 269-01 76th Ave, New Hyde Park, NY 11042.

References 

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  3. Louw JH, Cywes S, Cremin BJ. The management of anorectal agenesis. S Afr J Surg. 1971;9:21–30
  4. Soave F. Surgery of rectal anomalies with presentation of the relationship between the colonic muscular sleeve and the puborectalis muscle. J Pediatr Surg. 1969;4:705–712
  5. Nixon HH, Puri P. The results of treatment of anorectal anomalies: A 13-20 year follow-up. J Pediatr Surg. 1977;12:27–37
  6. DeVries PA, Peña A. Posterior sagittal anorectoplasty. J Pediatr Surg. 1982;5:638–643
  7. Peña A, DeVries PA. Posterior sagittal anorectoplasty: Important technical considerations and new applications. J Pediatr Surg. 1982;6:796–811
  8. Peña A, Bonilla E, Mendez M, et al. The posterior sagittal approach; further pediatric applications. Pediatr Surg Int. 1992;7:274–278
  9. Peña A, Filmer B, Bonilla E, et al. Trans-anorectal approach for the treatment of urogenital sinus; preliminary report. J Pediatr Surg. 1992;27:681–685
  10. Hedlund H, Peña A. Does the rectal distal muscle in anorectal malformations have the functional properties of a sphinter?. J Pediatr Surg. 1990;25:1985–1989
  11. Freckner B, Husberg B. Internal anal sphincter function after correction of imperforate anus. Pediatr Surg Int. 1991;6:202–206
  12. Peña A. Posterior sagittal anorectoplasty: Results in the management of 332 cases of anorectal malformations. Pediatr Surg Int. 1988;3:94–104
  13. Goon HK. Repair of anorectal anomalies in the neonatal period. Pediatr Surg Int. 1990;5:246–249
  14. Moore TC. Advantages of performing the sagittal anoplasty operation for imperforate anus at birth. J Pediatr Surg. 1990;25:276–278
  15. Peña A. In: Ailas of Surgical Management of Anorectal Malformations. New York. NY: Springer-Verlag; 1990;p. 25–89
  16. Stephens FD, Smith ED. Anatomy and function of the normal rectum and anus. In:  Stephens FD,  Smith ED editor. Anorectal Malformation in Children. Chicago, IL: Year Book Medical; 1971;p. 14–21
  17. Peña A. The surgical management of persistent cloaca: results in 54 patients treated with a posterior sagittal approach. J Pediatr Surg. 1989;24:590–598
  18. Peña A, El-Behery M. Megasigmoid as a source of pseudo-incontinence in children with repaired anorectal malformations. J Pediatr Surg. 1993;28:1–5

 Peña A. Anorectal Malformations: New Aspects Relevant to Adult Colorectal Surgeons. Seminars in Colon and Rectal Surgery 5:78-88, 1994

 Posterior sagittal anorectoplasty as the preferred operative repair of high imperforate anus was first performed in 1980 by the author of this article, who is generally regarded as one of the pioneers in the development of this approach to a challenging and relatively infrequent congenital abnormality. Those who have undergone this operation as infants and progressed to adulthood are prone to problems with both incontinence and refractory constipation. This article describes the author’s unique experience with the evaluation and treatment of these vexing problems should they occur in the adult population.

PII: S1043-1489(06)00115-1

doi: 10.1053/j.scrs.2006.12.008

Seminars in Colon & Rectal Surgery
Volume 18, Issue 1 , Pages 33-41 , March 2007

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