Congenital pouch colon associated with anorectal agenesis

Chadha, Ritu

doi:10.1007/s00383-004-1162-2

Cited by 29 publications

(74 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Continence has been assessed in our patients using the Kelly's score and 80% show a good result, 7.5% a fair result and 12.5% a poor result. These figures are actually better than the continence scores of a corresponding set of patients with supralevator anorectal malformation and contrast with the experience of other authors [8,14]. In the absence of colonic dilatation, there is no enterocolitis.…”

Section: Discussioncontrasting

confidence: 44%

“…Window colostomy is associated with a 25% incidence of problems like prolapse, stenosis and pouch eversion with intra-colostomy hernia in our hands, but these have been manageable and have not adversely affected the final outcome. Once window colostomy has been performed, the colo-urinary fistula narrows down to a very small lumen (though the external size of the connection is 1-5 to 2-cm-wide) and we have not seen urinary reflux into the pouch in our patients as reported by other authors [7,8]. In fact when the fistula is divided at surgery it is quite difficult to find the opening in the bladder due to its small size.…”

Section: Discussionsupporting

confidence: 43%

See 1 more Smart Citation

Technique and long-term results of coloplasty for congenital short colon

Wakhlu

2008

Pediatr Surg Int

View full text Add to dashboard Cite

show abstract

Section: Discussioncontrasting

confidence: 44%

Section: Discussionsupporting

confidence: 43%

Technique and long-term results of coloplasty for congenital short colon

Wakhlu

2008

Pediatr Surg Int

View full text Add to dashboard Cite

show abstract

“…The two terms most commonly used to describe this anomaly are congenital short colon and congenital pouch colon. [16][17][18][19][20][21][22][23][24] The anatomy of this malformation was first described in 1977 by Singh et al and subsequently in detail by Wakhlu et al and Chadha et al [25][26][27] An important advancement in the management of this condition was the technique of coloplasty in 1976 by Chiba et al…”

mentioning

confidence: 99%

Congenital pouch colon - Then and now

Gupta

Sharma

2007

J Indian Assoc Pediatr Surg

131

View full text Add to dashboard Cite

ABSTRACT ABSTRACT ABSTRACTCongenital pouch colon (CPC), a condition associated with anorectal agenesis has been reported mainly from the Indian subcontinent though there have been few case reports from other areas. The pouch differs from a normal colon structurally, histologically and functionally. The management involves a diversion colostomy at birth with or without the excision of pouch followed by pull through. This review article attempts to compile all the available literature on pouch colon along with the authors' experience and discuss the relevant issues for proper diagnosis and management. A changing trend has been seen in the most common type of CPC seen over the years from complete congenital pouch colon that accounted for more than 70% of cases earlier to incomplete pouch colon that is more commonly seen now.

show abstract

“…The cases of pouch colon are mostly found in Asian countries especially in India with maximum number of cases reported from Northern India. [4] However, the outcome of the surgery of these conditions often remains unsatisfactory. [5,6] This may partly be due to nonavailability of functional studies in terms of contractility of intestinal smooth muscles because most of the studies so far conducted on these disorders were focused on histology and immunohistochemistry.…”

Section: Introductionmentioning

confidence: 99%

A comparative study of in vitro contractility between gut tissues of Hirschsprung's disease and other gut malformations

Tiwari¹,

Singh²,

Pandey³

et al. 2017

Natl J Physiol Pharm Pharmacol

View full text Add to dashboard Cite

Background: Hirschsprung's disease and other gut malformations commonly present with obstructive features of gut in pediatric age group. Problem of obstruction persists even after resection and anastomosis operation. Aims and Objectives: This in vitro comparative study was performed to assess the gut contractility to chemical mediators such as Acetylcholine and Histamine between Hirschsprung's disease and other gut malformations. Materials and Methods: The longitudinal muscle strips of Hirschsprung's cases and other gut malformations (non-Hirschsprung's cases) were placed in Dales organ bath containing Krebs-Ringer solution, continuously bobbled with 100% O2 at 28°C. Gut contractions were recorded using Power Lab 4/ST system and was analyzed using software CHART-5 for windows. Control contractions were recorded against initial tension of 0.5 g. Subsequently, agonist (acetylcholine, histamine)-induced contractions were recorded before and after appropriate antagonists (atropine, pheniramine). Before values of agonist-induced contractions of Hirschsprung and non-Hirschsprung's cases were compared. Values of agonistinduced contractions obtained after pretreatment with antagonists were also compared between Hirschsprung and nonHirschsprung's cases. Results: Acetylcholine enhanced contractions in non-Hirschsprung's cases and it caused small increase in amplitude of contractions in Hirschsprung's cases. Atropine pretreatment blocked acetylcholine-induced contractions significantly in non-Hirschsprung's cases, whereas it failed to block in the Hirschsprung's cases. Histamine augmented contractions in both Hirschsprung and non-Hirschsprung's cases. H1 antagonist, pheniramine failed to block the contractility in both the cases. Conclusion: Findings of this study suggested that acetylcholine increased gut contractility significantly in non-Hirschsprung's cases involving muscarinic-cholinergic pathways, whereas histamine increased gut contractility in both Hirschsprung's disease and non-Hirschsprung's cases and it is not mediated by H1 receptors.

show abstract

Congenital pouch colon associated with anorectal agenesis

Cited by 29 publications

References 23 publications

Technique and long-term results of coloplasty for congenital short colon

Technique and long-term results of coloplasty for congenital short colon

Congenital pouch colon - Then and now

A comparative study of in vitro contractility between gut tissues of Hirschsprung's disease and other gut malformations

Contact Info

Product

Resources

About