Versatility of contrast enhanced colosonography for pre-operative evaluation of anorectal malformation with fistula

jpedsurg.org

Anorectal malformations (ARM) with fistulae require anatomic definition of the fistula and distal extent of the rectum relative to the coccyx prior to posterior sagittal anorectoplasty (PSARP). We previously validated contrast enhanced colosonography (CECS) as a safe and accurate modality to characterize ARM. The purpose of this study is to evaluate the application of CECS in various clinical settings and its reliability in the newborn population.

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Article · Aug 2025 · 1 min read

In brief

This study examines contrast enhanced colosonography (CECS) as a pre-operative imaging tool for anorectal malformations with fistulae in newborns. CECS provides safe, accurate anatomic definition of fistula tracts and rectal positioning relative to the coccyx, essential for planning posterior sagittal anorectoplasty.

CECS safely defines fistula anatomy and rectal position relative to coccyx before PSARP in ARM patients.
CECS is validated as accurate alternative to traditional contrast studies for ARM characterization.
CECS is reliable in newborns, expanding imaging options in this vulnerable population.

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