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Marc Levitt

Pediatric Surgery · View profile →

Episode 19 - Interview with Dr Marc Levitt, Chief of Colorectal & Pelvic Reconstruction, Children‘s

Video Published 2026-07-29 Updated 2026-07-29

Topic Overview

Interview with internationally recognized pediatric colorectal surgeon Dr. Marc Levitt discussing comprehensive care for anorectal malformation patients. Topics include surgical techniques (PSARP, Malone/ACE), bowel management strategies, and the critical importance of multidisciplinary team approaches from diagnosis through transitional care.

Key Takeaways

  • Anorectal malformation management requires multidisciplinary team approach involving surgery, gastroenterology, and specialized nursing.
  • Bowel management programs using laxatives, enemas, or Malone/ACE procedures are essential for achieving continence in ARM patients.
  • PSARP (posterior sagittal anorectoplasty) remains gold standard surgical approach for most anorectal malformations.
  • Early potty training and structured bowel regimens improve long-term continence outcomes in children with anorectal malformations.
  • Redo surgery may be necessary for complications like strictures or misplaced pull-through; requires experienced colorectal surgeon.

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