Anorectal Malformation
Everything in the library about anorectal malformation β built automatically from the recorded discussions that name it
Educational content from recorded physician discussions β not medical advice. Always talk to your child's care team about your child's situation.
Content of this collection
Fundamentals
4 items
Anorectal Malformations: Introduction and Overview for bowel management
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Join our symposia directors Andrea Bischoff, Alberto PeΓ±a and Todd Ponsky for this live video webcast and global discussion covering a wide range of topics related to diagnosis and management of fecal incontinence, constipation and stoma ma
video26:08 Β· Jan 2019
Colorectal Quiz Episode 12: Newborn ARM Part 1
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Surgeons, neonatologists, pediatricians, and anyone who cares for the newborn child needs to understand how to evaluate anorectal malformations. To clear things up, Dr. Marc Levitt and Dr. Jason Frischer explain how to make sense of various
podcast12:01 Β· Jun 2021
Update Course Rewind 2025: Hirschsprung + ARM: Rare but Real
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This video, part of the GlobalCastMD series featuring Cincinnati Children's, recaps key highlights from the 13th Annual Pediatric Surgery Update Course. Dr. Jill Knepprath and Dr. Aaron Garrison discuss important updates in colorectal surge
video1:52 Β· May 2026
Update Course Rewind 2025: Hirschsprung + ARM: Rare but Real
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This video, part of the GlobalCastMD series featuring Cincinnati Children's, recaps key highlights from the 13th Annual Pediatric Surgery Update Course. Dr. Jill Knepprath and Dr. Aaron Garrison discuss important updates in colorectal surge
video1:52 Β· May 2026
Diagnosis & Workup
6 items
Cloaca - Prental Imaging & Diagnosis - Counseling
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Dr. Todd Ponsky introduces the event. Dr. Belinda Hsi Dickie, surgical director of hemangioma and vascular malformations center at Cincinnati Children's Hospital, introduces the panel guests andbegins the event with a discussion on cloaca a
video36:15 Β· Nov 2018
Prenatal Imaging and Counseling: Cloaca and Complex ARMs 2015
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Dr. Belinda Hsi Dickie, surgical director of hemangioma and vascular malformations center at Cincinnati Children's Hospital, introduces the panel guests and begins the event with a discussion on cloaca and other complex malformations. Topic
video31:23 Β· Jan 2019
Panel Discussion and Case Presentation Part I: Pediatric Bowel Management 2013
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During the Pediatric Bowel Management Course in 2013,directors DrsAndrea Bischoff, Alberto PeΓ±a and Todd Ponsky discusscontroversial/hot topics surrounding the management and diagnosis of pediatric bowel conditions.In this session, the pane
video12:27 Β· Jan 2019
Anorectal Malformation Radiology: Pediatric Colorectal Controversies 2014
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Drs Marc Levitt, Rama Jayanthi, Carlo Di Lorenzo, and Karen Diefenbach host a half day symposiumhighlighting new concepts and controversies in pediatric colorectal anomalies, primarily focusing on anorectal malformations.Discussion is based
video61:48 Β· Jan 2019
Colorectal Quiz Episode 13: Newborn ARM Part 2
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Surgeons, neonatologists, pediatricians, and anyone who cares for the newborn child needs to understand how to evaluate anorectal malformations. To clear things up, Dr. Marc Levitt and Dr. Jason Frischer explain how to make sense of various
podcast15:48 Β· Jun 2021
Colorectal Quiz Episode 14: ARM Newborn Part 3
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Surgeons, neonatologists, pediatricians, and anyone who cares for the newborn child needs to understand how to evaluate anorectal malformations. To clear things up, Dr. Marc Levitt and Dr. Jason Frischer explain how to make sense of various
podcast10:03 Β· Jun 2021
Acute Management
1 item
ARMs in Neonates: Pediatric Colorectal Controversies 2014
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Half day symposium, led by worldwide opinion leaders highlighting new concepts and controversies in pediatric colorectal anomalies. This symposium will address common controversies that pediatric surgeons face day to day in the treatment of
video105:12 Β· Jan 2019
Medical Management
1 item
Bowel Management Updates & Innovations with Live Q&A: April 2018
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Cincinnati Children's Colorectal Center presents a one-hour overview on updates and new innovations in colorectal surgery with focus on bowel management through live question and answer session. Topics discussed include multidisciplinary mo
video61:03 Β· Sep 2018
Surgical Management
21 items
Pediatric Colorectal Contraversies Part III: Pediatric Colorectal...
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DirectorsDrs Marc Levitt andAlbertoPena, and Todd Ponsky,along with faculty includingDrs Atsuyuki Yamataka, Paola Midrio, Long Li, Uvi deBlaauw, Sabine Sarnacki, Nguyen Thanh Liem, Luis de la Torre, and Marcela Bailez,discuss pediatric colo
video19:24 Β· Sep 2018
Pediatric Colorectal Contraversies Part II: Pediatric Colorectal...
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DirectorsDrs Marc Levitt andAlbertoPena, and Todd Ponsky,along with faculty includingDrs Atsuyuki Yamataka, Paola Midrio, Long Li, Uvi deBlaauw, Sabine Sarnacki, Nguyen Thanh Liem, Luis de la Torre, and Marcela Bailez,discuss pediatric colo
video31:29 Β· Sep 2018
Laparoscopic Surgery for Male Imperforate Anus and Rectourethral Fistula:...
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During the Pediatric Surgery Tricks of the Trade and Difficult Cases: Innovative Solutions to Common Problems Course in 2013,Dr. Atsuyuki Yamataka discusses laparoscopic surgery for male imperforate anus and rectourethral fistula. Presentat
video25:00 Β· Sep 2018
How I Do It Levitt PSARP
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Dr Marc Levitt from Nationwide Children's Hospital shows how he performs a posterior sagital anorectoplasty (PSARP) for a "no-fistula" anorectal malformation. See more videos like this atΒ http://videolibrary.globalcastmd.com/how-i-do-it-lev
video7:02 Β· Oct 2018
Tricks - Imperforate Anus and Rectourethral Fistula
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Dr. Atsuyuki Yamataka discusses laparoscopic surgery for male imperforate anus and rectourethral fistula. Presentation discussion topics include measuring the residual fistula, thoracoscopic repair, and preoperative gap assessment.
video45:32 Β· Nov 2018
Technique: Laparoscopic-Assisted Pull-through for Imperforate Anus
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Laparoscopic-Assisted Pull-through for high imperforate anus by Dr. Steven Rothenberg.
video15:14 Β· Nov 2018
Technique: Laparoscopic-Assisted Pull-through for Imperforate Anus
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Laparoscopic-Assisted Pull-through for high imperforate anus by Dr. Steven Rothenberg.
video15:14 Β· Nov 2018
Enterocolitis in Hirschsprung Disease: Update Course 2015
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Dr. Jason Frischer, division of Pediatric General and Thoracic Surgery ofCincinnati Children's Hospital Medical Center, presents a case on Hirschsprung disease and recurrent enterocolitis. Topics include stretchedsphincteridentification, an
video5:02 Β· Jan 2019
Imperforate Anus & Rectourethral Fistula Technique & Discussion: Difficult Cases
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Dr. Atsuyuki Yamataka discusses laparoscopic surgery for male imperforate anus and rectourethral fistula.
video25:05 Β· Jan 2019
Anorectal Malformation Management of Female Patients Part I: Pediatric...
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Drs Marc Levitt, Rama Jayanthi, Carlo Di Lorenzo, and Karen Diefenbach host a half day symposium highlighting new concepts and controversies in pediatric colorectal anomalies, primarily focusing on anorectal malformations.
video26:39 Β· Jan 2019
ARMs in Male Patients: Pediatric Colorectal Controversies 2014
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Dr. Marc Levitt from Nationwide Children's Hospital presents on the evaluation and surgical management of anorectal malformations in male patients.
video54:25 Β· Jan 2019
ARMs in Female Patients: Pediatric Colorectal Controversies 2014
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Dr. Marc Levitt from Nationwide Children's Hospital presents on the evaluation and surgical management of anorectal malformations, including cloaca, in female patients.
video55:00 Β· Jan 2019
Descending Colostomy for Anorectal Malformations Dr. Tamer Ashraf Wafa
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In this video, a creation of a descending colostomy is demonstrated in a newborn with ano-rectal malformation.The video shows the surgeon's point of view (POV). And the surgeon is standing on the patientβs left side. This video is intended
video5:09 Β· May 2021
Update Course Rewind: Perineal Body Sparing PSARP 2023
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Our 11th Annual Update Course in Pediatric Surgery was held past August. In this video series, we'll recap the sessions and share the main highlights with you. Today, we'll talk about "Perineal Body Sparing PSARP". Joining the discussion ar
video2:55 Β· Dec 2023
Laparoscopic Assisted Posterior Sagittal Anorectoplasty
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Pediatric Colorectal & Pelvic Reconstruction | Children's National Hospital (childrensnational.org)
video5:49 Β· Jan 2025
Rectal Prolapse Repair Following a Posterior Sagittal Anorectoplasty
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Pediatric Colorectal & Pelvic Reconstruction | Children's National Hospital
video4:55 Β· Jan 2025
Posterior Sagittal Anorectoplasty
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Pediatric Colorectal & Pelvic Reconstruction | Children's National Hospital
video6:24 Β· Mar 2025
Rectal Atresia - a Unique Anorectal Malformation
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Pediatric Colorectal & Pelvic Reconstruction | Children's National Hospital
video4:58 Β· Oct 2025
Turnbull Stoma
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Surgical technique video demonstrating Turnbull loop stoma creation, which functions like an end stoma while preserving distal mesenteric blood supply. The procedure involves broaching the proximal limb while keeping the distal limb flat, p
video4:56 Β· Feb 2026
Posterior Rectal Advancement Anoplasty (PRAA) in a male with an anorectal malformation and rectoperineal fistula
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Pediatric Colorectal & Pelvic Reconstruction | Children's National Hospital
video9:36 Β· Mar 2026
The Perineal Body Preserving PSARP (PPP)
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Children's National Hospital - Division of Colorectal and Pelvic Reconstruction
video11:47 Β· Jun 2026
Complications
12 items
Complications of Anorectal Malformations with Dr. Marc Levitt
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Dr Marc Levitt discusses ARM Complications with Dr Todd Ponsky Edited by Nicholas Bruns, MD and Ian C. Glenn, MD In this episode, Dr. Marc Levitt from Nationwide Childrenβs Hospital discusses complications of anorectal malformations. This e
podcast48:09 Β· Jan 2019
Problematic Anorectal Malformation Cases: Pediatric Colorectal Controversies...
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Drs Marc Levitt, Rama Jayanthi, Carlo Di Lorenzo, and Karen Diefenbach host a half day symposiumhighlighting new concepts and controversies in pediatric colorectal anomalies, primarily focusing on anorectal malformations.This panel session
video13:17 Β· Jan 2019
Posterior Sagittal Anorectaplasty-Female Part I: Pediatric Colorectal...
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Drs Marc Levitt, Rama Jayanthi, Carlo Di Lorenzo, and Karen Diefenbach host a half day symposiumhighlighting new concepts and controversies in pediatric colorectal anomalies, primarily focusing on anorectal malformations. Here is part I of
video28:08 Β· Jan 2019
Error Traps and Culture of Safety in Anorectal Malformations
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This video provides a summary of common error traps in care of patients with anorectal malformations, provided by Dr. Andrea Bischoff, lead author of this Seminars in Pediatric Surgery article. Find the full article at: https://www.scienced
video2:02 Β· Sep 2019
Complications of Anorectal Malformations with Dr. Marc Levitt
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Dr Marc Levitt discusses ARM Complications with Dr Todd Ponsky
Edited by Nicholas Bruns, MD and Ian C. Glenn, MD
In this episode, Dr. Marc Levitt from Nationwide Childrenβs Hospital discusses complications of anorectal malformations. This e
podcast48:09 Β· Dec 2020
The Colorectal Quiz Episode 23: Hirschsprung Disease - The Soiling Patient Part 2 -The Dentate Line and Motility
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In this episode we dive deeper into discussion regarding a patient with Hirschsprung disease who has issues with fecal incontinence. We specifically will discuss the importance of the dentate line and how motility plays a part in management
podcast26:46 Β· Dec 2021
Safety and utility of long-acting steroid injection for management of post-operative stricture...
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This video details a retrospective study from Nationwide Children's Hospital exploring the safety and efficacy of long-acting triamcinolone acetonide (TAC) injections combined with dilation for post-operative strictures. The study focuses o
video1:39 Β· Jun 2026
Colorectal Quiz: Episode 43
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In this episode of the Colorectal Quiz, Drs. Marc Levitt and Jason Frischer are joined by Drs. Jeffrey Avansino and Hira Ahmad to discuss the nuances of the Mal
podcast23:29 Β· Jul 2026
Colorectal Quiz: Episode 43
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In this episode of the Colorectal Quiz, Drs. Marc Levitt and Jason Frischer are joined by Drs. Jeffrey Avansino and Hira Ahmad to discuss the nuances of the Mal
podcast23:29 Β· Jul 2026
Anorectal Malformations Complications
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In this episode, Dr. Marc Levitt from Nationwide ChildrenΓ’ΒΒs Hospital discusses complications of anorectal malformations. This episode is brought to you by the C
podcast48:08 Β· Jul 2026
Anorectal Malformations Complications
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In this episode, Dr. Marc Levitt from Nationwide ChildrenΓ’ΒΒs Hospital discusses complications of anorectal malformations. This episode is brought to you by the C
podcast48:08 Β· Jul 2026
Anorectal Malformations Complications
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Anorectal Malformations Complications | Podcast Episode on RSS.com Sign up free Features Resources Pricing Podcasts Sign up free Sign In Stay Current in Pediatric Surgery... Anorectal Malformations Complicat... Anorectal Malformations Compl
podcast48:08 Β· Jul 2026
Evidence & Research
19 items
Challenging Dogma: Does Colostomy Type Matter?
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Dr. Todd Ponsky reviews the article "loop versus divided colostomy for the management of anorectal malformations: a systematic review and meta-analysis," by Dr. Fouad Youssef, Dr. Baird and colleagues at The Montreal Children's Hospital of
video1:29 Β· Sep 2018
Challenging Dogma: Does Colostomy Type Matter?
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Dr. Todd Ponsky reviews the article "loop versus divided colostomy for the management of anorectal malformations: a systematic review and meta-analysis," by Dr. Fouad Youssef, Dr. Baird and colleagues at The Montreal Children's Hospital of
video1:29 Β· Sep 2018
Update Course Rewind: Pediatric Colorectal Consortium 2021
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Did you miss the Pediatric Colorectal and Pelvic Learning Consortium session from our 2021 Pediatric Surgery Update Course? Donβt worry, in this Update Course Rewind Dr. Rebecca Rentea from Children's Mercy at Kansas City and Dr. Caitlin Sm
podcast14:55 Β· Apr 2022
Update Course 2021: PEDS COLORECTAL CONSORTIUM CONCLUSIONS
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In this session from the 2021 Update Course, Dr. Rebecca Rentea, MD from Children's Mercy at KansasCity and Dr. Caitlin Smith, MD from Seattle Children's reviewed the latest literature including timing of surgery for patients with ARM and t
video36:32 Β· May 2022
Update Course 2023 - Updates in Colorectal Pathology
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This session is on Updates in Colorectal Pathology with Drs. Caitlin SmithΒ & Julia Grabowski.Β
The 11th Annual Pediatric Surgery Update Course was held on August 29, 2023 in Cleveland, Ohio and was livestreamed to a global audience. Th
video27:42 Β· Oct 2023
Quick Literature Updates Episode 14
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Weβre back with fourteenth episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most int
video4:46 Β· Dec 2023
Finnish Pediatric Surgery Hub - From Centralization to Collective Learning and Sharing of Expertise
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Mikko P. Pakarinen, Topi Luoto, Susanna Nuutinen, Arimatias Raitio, Esko Tahkola, Antti Koivusalo
Aim of the study: Continuous surgical developments, growing awareness of patient representatives and limited health-care resources are push
video0:48 Β· Feb 2025
Quick Literature Updates Episode 18
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Weβre back with eighteenth episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most int
video4:21 Β· Mar 2025
Comparing Loop and Divided Colostomy for Anorectal Malformation: A Systematic Review and Meta-Analysis
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Gonca Gerçel, Mustafa Azizoglu, Esra Karakas, Toni Risteski, Maria Escolino, Luis De La Torre
Introduction
The optimal type of colostomy for patients with anorectal malformations (ARM) remains unclear. We conducted a systematic review
video0:43 Β· Apr 2025
Morbidity of Rectal Prolapse Repair After Surgery for Anorectal Malformation
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Megan A.Β Read,Β Liese C.C.Β Pruitt,Β BrennaΒ Rachwal,Β Kristine L.Β Griffina,Β Richard J.Β Wood,Β Alessandra C.Β Gasio
Purpose
Rectal prolapse is a known complication of surgery for anorectal malformations (ARM), however morbidity of prolapse r
video0:39 Β· Sep 2025
Post Operative Anal Dilatations for the Prevention of Anal Strictures in Children With Anorectal Malformation: A Systematic Review
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Jessica Taranto β Isabel C. Hagemanb,d β Misel Trajanovsk β Suzanne Jackson-Fleurus β Fiona Newall β Sebastian K. KingBackground
Routine post operative anal dilatations have been standard practice in the management of anorectal malformation
video0:48 Β· Sep 2025
Quick Literature Updates Ep 23
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Weβre back with 23rd episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most interesti
video4:20 Β· Oct 2025
Patient-reported outcomes of Children with an Anorectal Malformation
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Richard J Wood, Shruthi Srinivas, Misel Trajanovska, Brennan J Collis, Reuben Lim, Molly Fuchs, Daniel Dajusta, Chris Westgarth-Taylor, Ihab Halaweish, Alessandra A Gasior, Marc A Levitt, John M Hutson, Sebastian K KingObjective: We aimed t
video0:59 Β· Jan 2026
Update Course Rewind 2025: Perineal BodyβPreserving PSARP: The New Standard?
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In this Update Course Rewind from the 13th Annual Update Course in Pediatric Surgery, Drs. Nelson Rosen, Annie Le-Nguyen, Elizabeth Speck, Aaron Garrison, and Jamie Harris explore a key surgical debate: classic PSARP vs. the perineal bodyβp
video2:13 Β· Apr 2026
Update Course Rewind 2025: Do We Still Need Routine Anal Dilations After PSARP?
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In this Update Course Rewind from the 13th Annual Update Course in Pediatric Surgery, Drs. Jamie Harris, Elizabeth Speck, Aaron Garrison, Nelson Rosen, and Annie Le-Nguyen revisit a long-standing postoperative practice in colorectal surgery
video2:32 Β· May 2026
Association Between Social Determinants of Health and Choice of Urinary Reconstruction in Children
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Dr. Megan Read Ivaturi from Nationwide Children's Hospital discusses a study on how social determinants of health influence the choice of urinary reconstruction in children. The research, a single-institution retrospective study of 208 pati
video1:22 Β· Jun 2026
Validation of an anorectal malformation trainer - Can a high-fidelity model simulate real life?
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This video discusses the critical challenge of maintaining surgical skills for rare procedures like posterior sagittal anorectoplasties (PSARP) due to low case volumes in pediatric surgery. It introduces a novel high-fidelity, 3D-printed PS
video1:37 Β· Jun 2026
Colorectal Quiz Episode 29: Female ARM
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Join Dr. Kathy van Leeuwen and Dr. Cristine Velazco at Phoenix ChildrenΓ’ΒΒs as they discuss the nuances of post-operative anorectal malformation management follow
podcast25:08 Β· Jul 2026
Colorectal Quiz Episode 29: Female ARM
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Join Dr. Kathy van Leeuwen and Dr. Cristine Velazco at Phoenix ChildrenΓ’ΒΒs as they discuss the nuances of post-operative anorectal malformation management follow
podcast25:08 Β· Jul 2026
Case-Based Learning
17 items
Pediatric Colorectal Contraversies Part I: Pediatric Colorectal Contraversies...
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Directors Drs Marc Levitt and Alberto Pena, and Todd Ponsky,along with faculty including Drs Atsuyuki Yamataka, Paola Midrio, Long Li, Uvi deBlaauw, Sabine Sarnacki, Nguyen Thanh Liem, Luis de la Torre, and Marcela Bailez,discuss pediatric
video25:43 Β· Sep 2018
Collaborative work: Complex Pediatric Anorectal Malformations 2017
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During this session, Drs Michael Helmrath, Jason Frischer, andTodd Ponsky discuss the importance of collaborative work in complex pediatric anorectal malformation.
video23:45 Β· Jan 2019
Imperforate Anus Rapid Fire: Update Course 2015
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Dr. Jason Frischer of Cincinnati Children's Hospital Medical Center, presents on imperforate anus.
video6:54 Β· Jan 2019
The Colorectal Quiz Episode 1: ARM - Low Bulbar Fistula
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Pediatric colorectal surgeons Dr. Marc Levitt and Dr. Jason Frischer discuss a case of a new born with a low anorectal malformation. Listen as they take you through the workup, diagnosis, and treatment of an ARM with an ending that you migh
podcast15:45 Β· Jan 2021
Colorectal Quiz Episode 2: When to redo a PSARP
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In the second installment of the Colorectal quiz, Dr. Jason Frischer and Dr. Marc Levitt discuss a topic of debate - when is the right time to redo an anorectoplasty? Listen as they walk you through their thought process on 2 different case
podcast18:15 Β· Jan 2021
Colorectal Quiz Episode 28: Female ARM Management - Perineal Fistula
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Join Dr. Kathy van Leeuwen and Dr. Christine Velazco at Phoenix Childrenβs as they discuss a specific case of a perineal fistula that leads to further discussion with Dr. Marc Levitt and Dr. Jason Frischer on the different potential finding
podcast19:59 Β· Feb 2022
Colorectal Quiz Episode 29: Female ARM-Post Op Management
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Join Dr. Kathy van Leeuwen and Dr. Cristine Velazco at Phoenix Childrenβs as they discuss the nuances of post-operative anorectal malformation management following the PSARP procedure with Dr. Marc Levitt and Dr. Jason FrischerHosted by Ama
podcast25:09 Β· Mar 2022
Colorectal Quiz Episode 30: Tethered Cord
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In this weekβs Colorectal Quiz, Dr. Marc Levitt welcomes his Childrenβs National collaborative team members from Neurosurgery, Dr. John Myseros, and from Urology, Dr. Christine Ho, to discuss the evaluation and impact of the suspected tethe
podcast21:57 Β· Mar 2022
Colorectal Quiz: Episode 47
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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 man
podcast22:19 Β· Jul 2026
Colorectal Quiz: Episode 47
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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 man
podcast22:19 Β· Jul 2026
Colorectal Quiz: Episode 40
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In this insightful podcast, Drs. Marc Levitt, Jason Frischer, and Chris Westgarth-Taylor discuss the challenging anatomy and surgical strategies for complex fem
podcast18:43 Β· Jul 2026
Colorectal Quiz: Episode 40
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In this insightful podcast, Drs. Marc Levitt, Jason Frischer, and Chris Westgarth-Taylor discuss the challenging anatomy and surgical strategies for complex fem
podcast18:43 Β· Jul 2026
Colorectal Quiz Episode 32: Anorectal Malformations And Cardiac Anomalies
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Podcast Episode ΓΒ· Stay Current in Pediatric Surgery ΓΒ· May 30, 2022 ΓΒ· 17m
podcast16:18 Β· Jul 2026
Colorectal Quiz: Episode 2
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In the second installment of the Colorectal quiz, Dr. Jason Frischer and Dr. Marc Levitt discuss a topic of debate - when is the right time to redo an anorectop
podcast18:15 Β· Jul 2026
Colorectal Quiz: Episode 2
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In the second installment of the Colorectal quiz, Dr. Jason Frischer and Dr. Marc Levitt discuss a topic of debate - when is the right time to redo an anorectop
podcast18:15 Β· Jul 2026
The Colorectal Quiz: Episode 1
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Pediatric colorectal surgeons Dr. Marc Levitt and Dr. Jason Frischer discuss a case of a new born with a low anorectal malformation. Listen as they take you thr
podcast15:45 Β· Jul 2026
The Colorectal Quiz: Episode 1
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Pediatric colorectal surgeons Dr. Marc Levitt and Dr. Jason Frischer discuss a case of a new born with a low anorectal malformation. Listen as they take you thr
podcast15:45 Β· Jul 2026
In-Depth Reviews
4 items
Anorectal Malformations with Dr. Andrea Bischoff
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Discussion with Dr Andrea Bischoff and Dr Todd Ponsky regarding anorectal malformations.
podcast47:46 Β· Jan 2019
Top Themes From The Stay Current App
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This clip from the 2020 Pediatric Surgery Update Course featuresΒ Alejandra Casar Berazaluce, MD;Β Alexander Gibbons, MD;Β Rachel Hanke, MD;Β presenting the most popular posts in the 2020 version of the Stay Current: Pediatric Surgery App.Β
video Β· Sep 2020
Anorectal Malformations with Dr. Andrea Bischoff
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Discussion with Dr Andrea Bischoff and Dr Todd Ponsky regarding anorectal malformations.Evaluation of the male baby with possible anorectal malformationΒ (01:19)Β Dr. Ponsky: Letβs get into it Andrea. I want to give you a case and tell me how
podcast47:46 Β· Dec 2020
2025 Pediatric Surgery Update Course - Updates in Colorectal: Debunking Dogma
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On August 26th, the largest Pediatric Surgery course in the world each year was held, where top hospital experts from around the US will discuss this yearβs changes in practices and innovation. Learn more about the future of pediatric surge
video30:29 Β· Aug 2025
Emerging & Future Directions
2 items
Colorectal Quiz: Episode 49 β Collaborating for Kids: Colorectal & Pelvic Solutions (with a Little Help from AI)
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In this special episode of theΒ Colorectal Quiz, Drs. Marc Levitt and Jason Frischer are joined by Dr. Todd Ponsky and Em Gootee for a behind-the-scenes look at how AI is supporting medical education. The topic of this quiz:Β Collaborating fo
podcast40:41 Β· Jul 2025
Colorectal Quiz: Episode 49 - Collaborating for Kids: Colorectal & Pelvic Solutions (with a Little Help from AI)
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Colorectal Quiz: Episode 49 - Collaborating for Kids: Colorectal & Pelvic Solutions (with a Little Help from AI) | Podcast Episode on RSS.com Sign up free Features Resources Pricing Podcasts Sign up free Sign In Stay Current in Pediatric Su
podcast40:45 Β· Jul 2026
Long-Term Care
5 items
Urologic and Gynecologic Aspects in Anorectal Malformations: Pediatric...
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Drs Marc Levitt, Alberto Pena, and Todd Ponsky, Carlo Di Lorenzo, and Karen Diefenbach host a half day symposiumhighlighting new concepts and controversies in pediatric colorectal anomalies, primarily addressing common day to day controvers
video41:46 Β· Jan 2019
Colorectal Quiz Episode 38: Transitional Care in Colorectal Surgery
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Join our hosts and special international guests Dr. Stuart Hosie and Dr. Mark Malota from Germany. Together they discuss the management of a young adult with anorectal malformation, the collaborative care delivered, followed by opportunitie
video25:39 Β· Mar 2024
Transitional Care in Anorectal Malformation and Hirschsprung's Disease
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New article you should know from th Journal of pediatric Surgery by Dr. Cecilia Gigena
"Transitional Care in Anorectal Malformation and Hirschsprung's Disease:Β A Systematic Review of Challenges and Solutions"
Authors:Β Josip Plascevic,
video1:05 Β· Jul 2024
Cuidado de transiciΓ³n en malformaciΓ³n anorrectal y enfermedad de Hirschsprung
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Nuevo artΓculo que debes conocer de la Revista de CirugΓa PediΓ‘trica de la Dra. Cecilia Gigena
"AtenciΓ³n de transiciΓ³n en malformaciΓ³n anorrectal y enfermedad de Hirschsprung: una revisiΓ³n sistemΓ‘tica de desafΓos y soluciones"
Autores
video1:09 Β· Jul 2024
Transition From Pediatric to Adult Healthcare for Colorectal Conditions: A Systematic Review
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Emma J. Moore, Susan M. Sawyer, Sebastian K. King, Melissa Y. Tiena, Misel Trajanovska
Background:Β Despite surgical advances for complex congenital colorectal conditions, such as anorectalmalformation (ARM) and Hirschsprung disease (HD),
video0:58 Β· Sep 2024
Summaries and takeaways+ Show
The doctors in this collection+ Show
All expert statements+ Show
Every expert statement below comes from the recorded discussions, with its speaker and moment.
Patient-reported outcomes of Children with an Anorectal Malformation
A 2024 survey by Witt et al. at Nationwide Children's was published in the Annals of Surgery examining patients with anorectal malformation
clinicalJill Knepprath0:10 β
The survey looked at over 900 patients with anorectal malformation
epidemiologicalJill Knepprath0:11 β
There was no difference in continence for patients based on sacral ratio alone in regards to quality of life
clinicalJill Knepprath0:21 β
Patients who are incontinent had a 20-point lower quality of life compared to patients who were continent or clean on enemas
clinicalJill Knepprath0:29 β
The sacral ratio may not be as strong a predictor of continence as patients age
opinionJill Knepprath0:38 β
Bowel management may actually matter more than sacral ratio in predicting continence outcomes
opinionJill Knepprath0:38 β
Quality of life is significantly lower for patients with incontinence compared to those clean on enemas
clinicalJill Knepprath0:51 β
Complications of Anorectal Malformations with Dr. Marc Levitt
Anorectal malformations are commonly not properly diagnosed or completely missed in the newborn period.
clinicalMarc Levitt2:57 β
Male babies with perineal fistula may pass meconium and no one notices anything wrong with their anorectal anatomy, typically presenting in the first year of life with severe constipation.
clinicalMarc Levitt3:06 β
A newborn anus should accept a size 12 Hagar dilator and a 1-year-old should accept a size 15.
clinicalMarc Levitt6:13 β
Relocating a perineal fistula into the sphincters improves anatomy but does not completely fix constipation; patients will inherently have some constipation requiring aggressive treatment.
clinicalMarc Levitt4:54 β
If a perineal fistula is not centered in the sphincter, patients with loose stool will soil, and athletic activity will cause soiling because sphincter squeeze cannot completely close the hole.
clinicalMarc Levitt5:38 β
In females, diagnostic criteria for perineal fistula are: hole too close to vagina (inadequate perineal body), inadequate hole size by Hagar dilators, and hole not centered in sphincter.
clinicalMarc Levitt8:02 β
If a female's anal opening is adequate size and centered in the sphincter, even if appearing slightly anterior with short perineal body, no surgery is needed; the perineal body will lengthen with growth.
clinicalMarc Levitt8:47 β
The standard practice of checking temperature on forehead or ear rather than rectally makes it easier to miss anorectal malformations in newborns.
opinionMarc Levitt4:25 β
An anesthesia nerve stimulator costing $150 with appropriate needle probes works as well as commercial $15,000 stimulators for identifying sphincter muscles.
clinicalMarc Levitt11:06 β
The most common colostomy error is opening too distal in the sigmoid, restricting the ultimate pull-through by the location of the colostomy or mucous fistula.
clinicalMarc Levitt17:18 β
Incompletely diverting loop colostomies allow stool to spill across and contaminate the distal segment, leading to urinary tract infections.
clinicalMarc Levitt17:45 β
With transverse colostomy and large rectourethral fistula, the left colon absorbs urine which doesn't exit the mucous fistula, potentially causing acidosis from urine absorption.
clinicalMarc Levitt18:38 β
Prolapse risk depends on colostomy location: mid-transverse allows bilateral prolapse, hepatic flexure allows only distal prolapse, proximal sigmoid allows only distal prolapse because left colon is fixed to retroperitoneum.
clinicalMarc Levitt19:58 β
Marking the sphincter ellipse on skin surface before making any incision prevents confusion from muscle stimulation after dissection is open, avoiding misplaced anoplasty.
clinicalMarc Levitt21:30 β
A distal colostogram showing flattening of the rectum corresponding to the pubococcygeal line indicates insufficient contrast or pressure; more pressure is needed to overcome the sphincters and reveal the true rectal position and fistula.
clinicalMarc Levitt24:26 β
Fistula level is determined by viewing the urethra as a reverse C or elbow: fistula at or below the elbow is bulbar, above the elbow is prostatic, at bladder neck is bladder neck fistula.
clinicalMarc Levitt25:23 β
Bulbous rectum on colostogram may be reachable posterior sagittally and difficult laparoscopically; tapered rectum is better approached laparoscopically.
clinicalMarc Levitt25:55 β
Opening posterior sagittally without knowing exact rectal location risks finding and potentially mobilizing bladder neck instead of rectum.
clinicalMarc Levitt27:00 β
Bulbar and low prostatic fistulas with bulbous rectum are best approached posterior sagittally; high prostatic with tapered rectum and bladder neck fistulas are best approached laparoscopically.
clinicalMarc Levitt30:09 β
Attempting laparoscopy for bulging rectum below peritoneal reflection at low prostatic or bulbar level risks leaving behind a remnant of the original fistula (roof) if the surgeon is timid.
clinicalMarc Levitt30:43 β
Laparoscopy replaces laparotomy, not PSARP; a mini-PSARP during laparoscopy allows safe entry through peritoneal reflection and tacking rectum to posterior muscle complex to prevent prolapse.
opinionMarc Levitt31:48 β
Rectal prolapse occurs in about 3% of cases, particularly in patients without great muscles.
epidemiologicalMarc Levitt33:35 β
Rectal prolapse more than 3 millimeters should be treated because it causes bleeding, mucus, and can inhibit bowel control in patients with good muscle potential.
clinicalMarc Levitt34:14 β
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