Prone cross-table lateral view: an alternative to the invertogram in imperforate anus

Narasimharao, K. L.; Prasad, G Raghavendra; Katariya, S.; Yadav, Krishna Kumar; Mitra, Souvik; Pathak, I. C.

doi:10.2214/ajr.140.2.227

Cited by 50 publications

(28 citation statements)

References 3 publications

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“…Advantages of the prone cross-table lateral X-ray include easy positioning, better cooperation of the patient, elimination of the effect of gravity, and better delineation of the rectal gas shadow [21]. However, our survey shows that although 60 % of respondents perform cross-table lateral X-rays, the upsidedown inversion X-ray is still routinely performed in 8 % of the participating centers.…”

Section: Discussionmentioning

confidence: 80%

Survey on the management of anorectal malformations (ARM) in European pediatric surgical centers of excellence

et al. 2015

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Section: Discussionmentioning

confidence: 80%

Survey on the management of anorectal malformations (ARM) in European pediatric surgical centers of excellence

et al. 2015

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“…Radiological evaluations do not show the actual anatomy before 24 hours because the rectum is collapsed and it takes time for colonic gas to overcome the muscle tone of the sphincter that surrounds the lower part of rectum. Therefore radiological evaluation done before this time may show very high rectum and yield false diagnosis 11,12 . Few cases in our series referred from other local hospital underwent invertogram before 24 hours showed high ARM.…”

Section: Discussionmentioning

confidence: 99%

Management of Ano-Rectal Malformations in a Tertiary Level Children’s Hospital of Nepal

Thapa

Basnet

Pun

et al. 2013

J. Nepal Paedtr. Soc.

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Introduction: Ano-rectal malformation (ARM) comprises a wide spectrum of diseases that involves the distal anus and rectum as well as the urinary and genital tracts. The factors that need to be considered during treatment are the type of anomaly, associated anomalies and patients general condition. The aim of this study is to analyze the types of anorectal malformations and their management in a tertiary level children's hospital. Materials and Methods: The medical records of patients with the diagnosis of anorectal malformation managed in the hospital during a period of January 2009 to January 2014 were reviewed. Results: There were 187 cases of ARM 126 (67.37%) males and 61 (32.62%) females. High/Intermediate type was 129 (68.98%). Low ARM was 58 (31.01%). In male high type ARM with recto-urethral fistula was seen in 60 (47.61%). ARM with Rectovestibular fistula(RVF) was seen in 40 (65.5%) female. High and intermediate ARMs were managed initially with colostomy and low ARM with primary anoplasty. ARM with rectovestibular fistula in females were managed with Anterior Sagittal Anorectoplasty without colostomy. Common cloaca in female was managed initially with colostomy followed by posterior sagittal ano-recto-vagino-urethroplasty. Colostomy closure was done after adequate size of anus was achieved with anal dilation. Conclusion: The type of ARM in newborn is diagnosed by perineal examination and X-rays. Low type ARM was managed by primary surgery without colostomy. High anomaly and complex defect was treated with stage surgeries.

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“…Although the distance between the rectal blind pouch and the perineum may be roughly estimated by invertogram, lateral pelvic radiograph, or perineal ultrasound examination, the results obtained from the se studies are more or less inaccurate [3][4][5]. These studies provide no direct information about the location of the rectal pouch in relation to pelvic musculature.…”

Section: Discussionmentioning

confidence: 99%

Transanal endoscopic-assisted proctoplasty—a novel surgical approach for individual management of patients with imperforate anus without fistula

Pakarinen¹,

Baillie²,

Koivusalo³

et al. 2006

Journal of Pediatric Surgery

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Prone cross-table lateral view: an alternative to the invertogram in imperforate anus

Cited by 50 publications

References 3 publications

Survey on the management of anorectal malformations (ARM) in European pediatric surgical centers of excellence

Survey on the management of anorectal malformations (ARM) in European pediatric surgical centers of excellence

Management of Ano-Rectal Malformations in a Tertiary Level Children’s Hospital of Nepal

Transanal endoscopic-assisted proctoplasty—a novel surgical approach for individual management of patients with imperforate anus without fistula

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