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Amanda's statements about Anorectal Malformation 6 statements

Open the Anorectal Malformation collection →

Colorectal Quiz Episode 14: ARM Newborn Part 3

▶ Ep 40 · 0:00

quote Hey there listeners, it's Amanda Jensen and Rod Gerardo from Cincinnati Children's. ↗

Colorectal Quiz 25: Perineal Groove

▶ Ep 43 · 5:06

clinical A quality normal anus requires three features: (1) location within the sphincter complex, (2) adequate size, and (3) presence of a perineal body. ↗

▶ Ep 43 · 29:03

clinical Congenital perineal groove is characterized by an exposed wet sulcus with non-keratinized mucous membrane extending from the posterior vaginal fourchette to the anterior ridge of the anal orifice; the anus can be normal. ↗

▶ Ep 43 · 29:28

clinical The majority of congenital perineal grooves are observed over time and left alone; they will usually epithelialize by age 2 without surgical correction. ↗

The Colorectal Quiz Episode 23: Hirschsprung Disease - The Soiling Patient...

▶ Ep 41 · 0:04

quote Hey there listeners, it's Amanda Jensen at Riley Children's. ↗

Colorectal Quiz Episode 29: Female ARM-Post Op Management

▶ Ep 43 · 0:05

quote Hey there listeners, it's Amanda Jensen at Riley Children's. ↗

Amanda's statements about Anorectal Malformations 3 statements

Open the Anorectal Malformations collection →

Colorectal Quiz Episode 14: ARM Newborn Part 3

▶ Ep 12 · 0:00

quote Hey there listeners, it's Amanda Jensen and Rod Gerardo from Cincinnati Children's. ↗

Colorectal Quiz Episode 18: Cloaca Part 2

▶ Ep 14 · 0:09

quote Hey there listeners, it's Amanda Jensen from Cincinnati Children's. ↗

Colorectal Quiz Episode 29: Female ARM-Post Op Management

▶ Ep 16 · 0:05

quote Hey there listeners, it's Amanda Jensen at Riley Children's. ↗

Amanda's statements about Anorectal Malformations & Cloacal Reconstruction 3 statements

Open the Anorectal Malformations & Cloacal Reconstruction collection →

Colorectal Quiz Episode 18: Cloaca Part 2

▶ Ep 19 · 0:00

quote Hey there listeners, it's Amanda Jensen from Cincinnati Children's. ↗

Colorectal Quiz Episode 17: Cloaca Part 1

▶ Ep 20 · 3:10

clinical VACTERL association requires three or more anomalies: vertebral, imperforate anus, cardiovascular, tracheoesophageal fistula, esophageal atresia, renal/radial, and limb defects. ↗

▶ Ep 20 · 11:45

quote This is, if I look at my textbooks behind me, this is not written in the chapters written by people on this podcast of what to do for cloacas and hydrocorpus. So this is huge. ↗

Amanda's statements about Cloaca 4 statements

Open the Cloaca collection →

Colorectal Quiz Episode 18: Cloaca Part 2

▶ Ep 19 · 0:09

quote Hey there listeners, it's Amanda Jensen from Cincinnati Children's. ↗

Colorectal Quiz Episode 18: Cloaca Part 2

▶ Ep 31 · 0:00

quote Hey there listeners, it's Amanda Jensen from Cincinnati Children's. ↗

Colorectal Quiz Episode 17: Cloaca Part 1

▶ Ep 32 · 3:10

clinical VACTERL association requires three or more anomalies: vertebral, imperforate anus, cardiovascular, tracheoesophageal fistula, esophageal atresia, renal/radial, and limb defects. ↗

▶ Ep 32 · 11:45

quote This is, if I look at my textbooks behind me, this is not written in the chapters written by people on this podcast of what to do for cloacas and hydrocorpus. So this is huge. ↗

Amanda's statements about Colorectal / ARM & Hirschsprung 22 statements

Open the Colorectal / ARM & Hirschsprung collection →

Colorectal Quiz Episode 13: Newborn ARM Part 2

▶ Ep 98 · 6:10

clinical Perineal groove can be misdiagnosed as contact dermatitis, trauma, or sexual abuse ↗

▶ Ep 98 · 6:10

clinical Congenital perineal groove usually epithelializes on its own by age two ↗

▶ Ep 98 · 9:11

clinical Three qualities to assess in anal location are: anal size, location (whether surrounded by sphincter), and perineal body size ↗

▶ Ep 98 · 12:22

clinical Urogenital sinus plus normal anus is an endocrine problem, but no anus and urogenital sinus is a cloaca ↗

▶ Ep 98 · 15:03

clinical Female ARM exam requires determining number of perineal orifices: three orifices means perineal or vestibular fistula; two orifices raises question of fistula presence, vaginal atresia, or rectovaginal fistula; one orifice is cloaca ↗

Colorectal Quiz Episode 14: ARM Newborn Part 3

▶ Ep 99 · 0:00

quote Hey there listeners, it's Amanda Jensen and Rod Gerardo from Cincinnati Children's. ↗

Colorectal Quiz Episode 18: Cloaca Part 2

▶ Ep 103 · 0:09

quote Hey there listeners, it's Amanda Jensen from Cincinnati Children's. ↗

Colorectal Quiz Episode 19: Hirschsprung Disease - The Obstructed Patient Part 1

▶ Ep 105 · 0:08

quote Hey there listeners, it's Amanda Jensen from Riley Children's. ↗

The Colorectal Quiz Episode 22: Hirschsprung Disease - the Soiling Patient Part 1

▶ Ep 109 · 0:04

quote Hey there listeners, it's Amanda Jensen from Riley Children's. ↗

▶ Ep 109 · 19:39

quote Until next time, this is Amanda Jensen at Riley Children's. And remember, knowledge should be free. ↗

The Colorectal Quiz Episode 23: Hirschsprung Disease - The Soiling Patient Part 2 -The Dentate Line and Motility

▶ Ep 111 · 2:29

clinical Nocturnal soiling with daytime control can occur if the dentate line is lost (from overstretching) with some preservation of the external sphincter. ↗

Colorectal Quiz 25: Perineal Groove

▶ Ep 114 · 5:06

clinical A quality normal anus requires three features: (1) location within the sphincter complex, (2) adequate size, and (3) presence of a perineal body. ↗

▶ Ep 114 · 29:03

clinical Congenital perineal groove is characterized by an exposed wet sulcus with non-keratinized mucous membrane extending from the posterior vaginal fourchette to the anterior ridge of the anal orifice; the anus can be normal. ↗

▶ Ep 114 · 29:28

clinical The majority of congenital perineal grooves are observed over time and left alone; they will usually epithelialize by age 2 without surgical correction. ↗

The Colorectal Quiz Episode 23: Hirschsprung Disease - The Soiling Patient...

▶ Ep 118 · 0:04

quote Hey there listeners, it's Amanda Jensen at Riley Children's. ↗

Colorectal Quiz Episode 28: Female ARM Management - Perineal Fistula

▶ Ep 119 · 3:02

clinical A normal anus must meet three criteria: appropriate size, centered in the sphincter, and presence of a perineal body. ↗

Colorectal Quiz Episode 29: Female ARM-Post Op Management

▶ Ep 120 · 0:05

quote Hey there listeners, it's Amanda Jensen at Riley Children's. ↗

The Colorectal Quiz Episode 21: The History of Hirschsprung Disease

▶ Ep 226 · 0:00

quote Hey there listeners, it's Amanda Jensen from Riley Children's Hospital. I'm here today with Dr. Mark Levitt from Children's National and Dr. Jason Frischer from Cincinnati Children's. Today we are going to talk about Hirschsprung's disease and the history and where it all started. ↗

▶ Ep 226 · 15:09

quote And that wraps up episode 21, the history of Hirschsprung's disease for our colorectal quiz. This is Amanda Jensen from Riley Children's. Remember knowledge should be free. ↗

Colorectal Quiz Episode 18: Cloaca Part 2

▶ Ep 227 · 0:00

quote Hey there listeners, it's Amanda Jensen from Cincinnati Children's. ↗

Colorectal Quiz Episode 17: Cloaca Part 1

▶ Ep 228 · 3:10

clinical VACTERL association requires three or more anomalies: vertebral, imperforate anus, cardiovascular, tracheoesophageal fistula, esophageal atresia, renal/radial, and limb defects. ↗

▶ Ep 228 · 11:45

quote This is, if I look at my textbooks behind me, this is not written in the chapters written by people on this podcast of what to do for cloacas and hydrocorpus. So this is huge. ↗

Amanda's statements about Crohn's Disease 2 statements

Open the Crohn's Disease collection →

Colorectal Quiz Episode 19: Hirschsprung Disease - The Obstructed Patient Part 1

▶ Ep 1 · 0:08

quote Hey there listeners, it's Amanda Jensen from Riley Children's. ↗

▶ Ep 1 · 0:08

quote Hey there listeners, it's Amanda Jensen from Riley Children's. ↗

Amanda's statements about Enterocolitis 2 statements

Open the Enterocolitis collection →

The Colorectal Quiz Episode 22: Hirschsprung Disease - the Soiling Patient Part 1

▶ Ep 18 · 0:04

quote Hey there listeners, it's Amanda Jensen from Riley Children's. ↗

▶ Ep 18 · 19:39

quote Until next time, this is Amanda Jensen at Riley Children's. And remember, knowledge should be free. ↗

Amanda's statements about Enterocolitis 2 statements

Open the Enterocolitis collection →

The Colorectal Quiz Episode 22: Hirschsprung Disease - the Soiling Patient Part 1

▶ Ep 18 · 0:04

quote Hey there listeners, it's Amanda Jensen from Riley Children's. ↗

▶ Ep 18 · 19:39

quote Until next time, this is Amanda Jensen at Riley Children's. And remember, knowledge should be free. ↗

Amanda's statements about Fecal Incontinence 2 statements

Open the Fecal Incontinence collection →

The Colorectal Quiz Episode 21: The History of Hirschsprung Disease

▶ Ep 6 · 0:00

quote Hey there listeners, it's Amanda Jensen from Riley Children's Hospital. I'm here today with Dr. Mark Levitt from Children's National and Dr. Jason Frischer from Cincinnati Children's. Today we are going to talk about Hirschsprung's disease and the history and where it all started. ↗

▶ Ep 6 · 15:09

quote And that wraps up episode 21, the history of Hirschsprung's disease for our colorectal quiz. This is Amanda Jensen from Riley Children's. Remember knowledge should be free. ↗

Amanda's statements about Hirschsprung disease 6 statements

Open the Hirschsprung disease collection →

The Colorectal Quiz Episode 22: Hirschsprung Disease - the Soiling Patient Part 1

▶ Ep 47 · 0:04

quote Hey there listeners, it's Amanda Jensen from Riley Children's. ↗

▶ Ep 47 · 19:39

quote Until next time, this is Amanda Jensen at Riley Children's. And remember, knowledge should be free. ↗

The Colorectal Quiz Episode 23: Hirschsprung Disease - The Soiling Patient Part 2 -The Dentate Line and Motility

▶ Ep 48 · 2:29

clinical Nocturnal soiling with daytime control can occur if the dentate line is lost (from overstretching) with some preservation of the external sphincter. ↗

The Colorectal Quiz Episode 23: Hirschsprung Disease - The Soiling Patient...

▶ Ep 49 · 0:04

quote Hey there listeners, it's Amanda Jensen at Riley Children's. ↗

The Colorectal Quiz Episode 21: The History of Hirschsprung Disease

▶ Ep 90 · 0:00

quote Hey there listeners, it's Amanda Jensen from Riley Children's Hospital. I'm here today with Dr. Mark Levitt from Children's National and Dr. Jason Frischer from Cincinnati Children's. Today we are going to talk about Hirschsprung's disease and the history and where it all started. ↗

▶ Ep 90 · 15:09

quote And that wraps up episode 21, the history of Hirschsprung's disease for our colorectal quiz. This is Amanda Jensen from Riley Children's. Remember knowledge should be free. ↗

Amanda's statements about Hirschsprung Disease 3 statements

Open the Hirschsprung Disease collection →

Colorectal Quiz Episode 19: Hirschsprung Disease - The Obstructed Patient Part 1

▶ Ep 13 · 0:08

quote Hey there listeners, it's Amanda Jensen from Riley Children's. ↗

The Colorectal Quiz Episode 22: Hirschsprung Disease - the Soiling Patient Part 1

▶ Ep 16 · 0:04

quote Hey there listeners, it's Amanda Jensen from Riley Children's. ↗

▶ Ep 16 · 19:39

quote Until next time, this is Amanda Jensen at Riley Children's. And remember, knowledge should be free. ↗

Amanda's statements about Hirschsprung Disease: Diagnosis to Long-Term Management 2 statements

Open the Hirschsprung Disease: Diagnosis to Long-Term Management collection →

The Colorectal Quiz Episode 21: The History of Hirschsprung Disease

▶ Ep 9 · 0:00

quote Hey there listeners, it's Amanda Jensen from Riley Children's Hospital. I'm here today with Dr. Mark Levitt from Children's National and Dr. Jason Frischer from Cincinnati Children's. Today we are going to talk about Hirschsprung's disease and the history and where it all started. ↗

▶ Ep 9 · 15:09

quote And that wraps up episode 21, the history of Hirschsprung's disease for our colorectal quiz. This is Amanda Jensen from Riley Children's. Remember knowledge should be free. ↗

Amanda's statements about Hirschsprung's-associated Enterocolitis 1 statement

Open the Hirschsprung's-associated Enterocolitis collection →

Colorectal Quiz Episode 19: Hirschsprung Disease - The Obstructed Patient Part 1

▶ Ep 2 · 0:08

quote Hey there listeners, it's Amanda Jensen from Riley Children's. ↗

Amanda's statements about Hydrocolpos 4 statements

Open the Hydrocolpos collection →

Colorectal Quiz Episode 17: Cloaca Part 1

▶ Ep 4 · 3:10

clinical VACTERL association requires three or more anomalies: vertebral, imperforate anus, cardiovascular, tracheoesophageal fistula, esophageal atresia, renal/radial, and limb defects. ↗

▶ Ep 4 · 3:10

clinical VACTERL association requires three or more anomalies: vertebral, imperforate anus, cardiovascular, tracheoesophageal fistula, esophageal atresia, renal/radial, and limb defects. ↗

▶ Ep 4 · 11:45

quote This is, if I look at my textbooks behind me, this is not written in the chapters written by people on this podcast of what to do for cloacas and hydrocorpus. So this is huge. ↗

▶ Ep 4 · 11:45

quote This is, if I look at my textbooks behind me, this is not written in the chapters written by people on this podcast of what to do for cloacas and hydrocorpus. So this is huge. ↗

Amanda's statements about Perineal Fistula 1 statement

Open the Perineal Fistula collection →

Colorectal Quiz Episode 29: Female ARM-Post Op Management

▶ Ep 9 · 0:05

quote Hey there listeners, it's Amanda Jensen at Riley Children's. ↗

Amanda's statements about Ulcerative Colitis 2 statements

Open the Ulcerative Colitis collection →

The Colorectal Quiz Episode 21: The History of Hirschsprung Disease

▶ Ep 10 · 0:00

quote Hey there listeners, it's Amanda Jensen from Riley Children's Hospital. I'm here today with Dr. Mark Levitt from Children's National and Dr. Jason Frischer from Cincinnati Children's. Today we are going to talk about Hirschsprung's disease and the history and where it all started. ↗

▶ Ep 10 · 15:09

quote And that wraps up episode 21, the history of Hirschsprung's disease for our colorectal quiz. This is Amanda Jensen from Riley Children's. Remember knowledge should be free. ↗

Summaries Amanda gave as host · 143 summaries

Recaps of what the experts said, with Amanda as narrator — not Amanda's own clinical position, and never cited in answers.

Summaries Amanda gave as host · Anorectal Malformation 12 summaries

Open the Anorectal Malformation collection →

Colorectal Quiz Episode 13: Newborn ARM Part 2

▶ Ep 39 · 6:10

host summary Amanda Jensen summarizing the discussion: Congenital perineal groove usually epithelializes on its own by age two ↗

▶ Ep 39 · 6:10

host summary Amanda Jensen summarizing the discussion: Perineal groove can be misdiagnosed as contact dermatitis, trauma, or sexual abuse ↗

▶ Ep 39 · 9:11

host summary Amanda Jensen summarizing the discussion: Three qualities to assess in anal location are: anal size, location (whether surrounded by sphincter), and perineal body size ↗

▶ Ep 39 · 12:22

host summary Amanda Jensen summarizing the discussion: Urogenital sinus plus normal anus is an endocrine problem, but no anus and urogenital sinus is a cloaca ↗

▶ Ep 39 · 15:03

host summary Amanda Jensen summarizing the discussion: Female ARM exam requires determining number of perineal orifices: three orifices means perineal or vestibular fistula; two orifices raises question of fistula presence, vaginal atresia, or rectovaginal fistula; one orifice is cloaca ↗

Colorectal Quiz Episode 14: ARM Newborn Part 3

▶ Ep 40 · 4:20

host summary Amanda Jensen summarizing the discussion: VACTERL represents: V for vertebral, A for anorectal, C for cardiac, T and E for tracheoesophageal fistula, R for renal, and L for limb. ↗

▶ Ep 40 · 4:26

host summary Amanda Jensen summarizing the discussion: V is for vertebral, A for anorectal, C for cardiac, T and E for trachoesophageal fistula, R for renal, and L for limb. ↗

The Colorectal Quiz Episode 23: Hirschsprung Disease - The Soiling Patient Part 2 -The Dentate Line and Motility

▶ Ep 41 · 2:29

host summary Amanda Jensen summarizing the discussion: Nocturnal soiling with daytime control can occur if the dentate line is lost (from overstretching) with some preservation of the external sphincter. ↗

Colorectal Quiz 25: Perineal Groove

▶ Ep 43 · 5:06

host summary Amanda Jensen summarizes what Dr. Jonathan Sutcliffe said: A quality normal anus requires three features: (1) location within the sphincter complex, (2) adequate size, and (3) presence of a perineal body. ↗

▶ Ep 43 · 29:03

host summary Amanda Jensen summarizes what Dr. Jonathan Sutcliffe said: Congenital perineal groove is characterized by an exposed wet sulcus with non-keratinized mucous membrane extending from the posterior vaginal fourchette to the anterior ridge of the anal orifice; the anus can be normal. ↗

▶ Ep 43 · 29:28

host summary Amanda Jensen summarizes what Dr. Jonathan Sutcliffe said: The majority of congenital perineal grooves are observed over time and left alone; they will usually epithelialize by age 2 without surgical correction. ↗

Colorectal Quiz Episode 28: Female ARM Management - Perineal Fistula

▶ Ep 42 · 3:02

host summary Amanda Jensen summarizing the discussion: A normal anus must meet three criteria: appropriate size, centered in the sphincter, and presence of a perineal body. ↗

Summaries Amanda gave as host · Anorectal Malformations 9 summaries

Open the Anorectal Malformations collection →

Colorectal Quiz Episode 14: ARM Newborn Part 3

▶ Ep 12 · 4:20

host summary Amanda Jensen summarizing the discussion: VACTERL represents: V for vertebral, A for anorectal, C for cardiac, T and E for tracheoesophageal fistula, R for renal, and L for limb. ↗

▶ Ep 12 · 4:26

host summary Amanda Jensen summarizing the discussion: V is for vertebral, A for anorectal, C for cardiac, T and E for trachoesophageal fistula, R for renal, and L for limb. ↗

Colorectal Quiz Episode 17: Cloaca Part 1

▶ Ep 13 · 2:58

host summary Amanda Jensen summarizing the discussion: Cloaca or anorectal malformation is associated with VACTERL and requires workup as such. ↗

▶ Ep 13 · 3:10

host summary Amanda Jensen summarizing the discussion: VACTERL association comprises: Vertebral anomalies, imperforate Anus, Cardiovascular anomalies, Tracheoesophageal fistula, Esophageal atresia, Renal/radial anomalies, and Limb defects. Three or more anomalies define the association. ↗

▶ Ep 13 · 8:45

host summary Amanda Jensen summarizing the discussion: Initial workup should include NG tube and chest X-ray, cardiac echo, and pelvic and renal ultrasound to assess for TEF, cardiac anomalies, hydrocolpos, and hydronephrosis. ↗

▶ Ep 13 · 9:10

host summary Amanda Jensen summarizing the discussion: Bilateral hydronephrosis with hydrocolpos requires management of the hydrocolpos as part of initial treatment. ↗

▶ Ep 13 · 24:05

host summary Amanda Jensen summarizing the discussion: Single perineal orifice with no anal opening is a cloaca and does not need an endocrine workup. Whereas a perineal opening with a normal anus is a UG sinus and does need an endocrine workup. ↗

Colorectal Quiz Episode 18: Cloaca Part 2

▶ Ep 14 · 6:58

host summary Amanda Jensen summarizing the discussion: The study 'Measure twice and cut once: comparing endoscopy and 3D cloacogram for common channel and urethral measurements in patients with cloacal malformations' was published in the Journal of Pediatric Surgery, October 2019. ↗

Colorectal Quiz Episode 28: Female ARM Management - Perineal Fistula

▶ Ep 15 · 3:02

host summary Amanda Jensen summarizing the discussion: A normal anus must meet three criteria: appropriate size, centered in the sphincter, and presence of a perineal body. ↗

Summaries Amanda gave as host · Anorectal Malformations & Cloacal Reconstruction 8 summaries

Open the Anorectal Malformations & Cloacal Reconstruction collection →

Colorectal Quiz Episode 18: Cloaca Part 2

▶ Ep 19 · 6:26

host summary Amanda Jensen summarizing the discussion: The common channel takes a very significant turn as it gets behind the pubis, which is visible on lateral view imaging ↗

▶ Ep 19 · 6:45

host summary Amanda Jensen summarizing the discussion: What we found when we studied it was that the cystoscopy significantly undermeasures the structures when you scope and you compare the same patient's 3D reconstruction to their scope. ↗

▶ Ep 19 · 6:45

host summary Amanda Jensen summarizing the discussion: Cystoscopy significantly undermeasures anatomical structures compared to 3D reconstruction because the straight scope cannot measure the turn behind the pubis ↗

▶ Ep 19 · 7:20

host summary Amanda Jensen summarizing the discussion: A study comparing endoscopy to 3D cloacogram showed that cystoscopy significantly under-reads the length of the common channel ↗

▶ Ep 19 · 11:57

host summary Amanda Jensen summarizing the discussion: If urethral length is less than 1.5 cm, urogenital separation is advocated because performing TUM would result in the bladder neck sewn near the perineum, potentially rendering the patient incontinent ↗

▶ Ep 19 · 12:10

host summary Amanda Jensen summarizing the discussion: If you were to do a TUM on a patient with a one centimeter urethra, and although these patients aren't common, they do exist, then you will have their bladder neck sewn right near the perineum. And that could render the patient incontinent. ↗

▶ Ep 19 · 12:40

host summary Amanda Jensen summarizing the discussion: The majority of 1-3 cm common channel cloacas have normal length urethra and are amenable to TUM and PSARP ↗

▶ Ep 19 · 13:08

host summary Amanda Jensen summarizing the discussion: If the vagina or vaginas cannot reach the perineum after urogenital separation, the patient may need vaginal replacement to bridge the gap ↗

Summaries Amanda gave as host · Cloaca 14 summaries

Open the Cloaca collection →

Colorectal Quiz Episode 17: Cloaca Part 1

▶ Ep 18 · 2:58

host summary Amanda Jensen summarizing the discussion: Cloaca or anorectal malformation is associated with VACTERL and requires workup as such. ↗

▶ Ep 18 · 3:10

host summary Amanda Jensen summarizing the discussion: VACTERL association comprises: Vertebral anomalies, imperforate Anus, Cardiovascular anomalies, Tracheoesophageal fistula, Esophageal atresia, Renal/radial anomalies, and Limb defects. Three or more anomalies define the association. ↗

▶ Ep 18 · 8:45

host summary Amanda Jensen summarizing the discussion: Initial workup should include NG tube and chest X-ray, cardiac echo, and pelvic and renal ultrasound to assess for TEF, cardiac anomalies, hydrocolpos, and hydronephrosis. ↗

▶ Ep 18 · 9:10

host summary Amanda Jensen summarizing the discussion: Bilateral hydronephrosis with hydrocolpos requires management of the hydrocolpos as part of initial treatment. ↗

▶ Ep 18 · 24:05

host summary Amanda Jensen summarizing the discussion: Single perineal orifice with no anal opening is a cloaca and does not need an endocrine workup. Whereas a perineal opening with a normal anus is a UG sinus and does need an endocrine workup. ↗

Colorectal Quiz Episode 18: Cloaca Part 2

▶ Ep 19 · 6:58

host summary Amanda Jensen summarizing the discussion: The study 'Measure twice and cut once: comparing endoscopy and 3D cloacogram for common channel and urethral measurements in patients with cloacal malformations' was published in the Journal of Pediatric Surgery, October 2019. ↗

Colorectal Quiz Episode 18: Cloaca Part 2

▶ Ep 31 · 6:26

host summary Amanda Jensen summarizing the discussion: The common channel takes a very significant turn as it gets behind the pubis, which is visible on lateral view imaging ↗

▶ Ep 31 · 6:45

host summary Amanda Jensen summarizing the discussion: What we found when we studied it was that the cystoscopy significantly undermeasures the structures when you scope and you compare the same patient's 3D reconstruction to their scope. ↗

▶ Ep 31 · 6:45

host summary Amanda Jensen summarizing the discussion: Cystoscopy significantly undermeasures anatomical structures compared to 3D reconstruction because the straight scope cannot measure the turn behind the pubis ↗

▶ Ep 31 · 7:20

host summary Amanda Jensen summarizing the discussion: A study comparing endoscopy to 3D cloacogram showed that cystoscopy significantly under-reads the length of the common channel ↗

▶ Ep 31 · 11:57

host summary Amanda Jensen summarizing the discussion: If urethral length is less than 1.5 cm, urogenital separation is advocated because performing TUM would result in the bladder neck sewn near the perineum, potentially rendering the patient incontinent ↗

▶ Ep 31 · 12:10

host summary Amanda Jensen summarizing the discussion: If you were to do a TUM on a patient with a one centimeter urethra, and although these patients aren't common, they do exist, then you will have their bladder neck sewn right near the perineum. And that could render the patient incontinent. ↗

▶ Ep 31 · 12:40

host summary Amanda Jensen summarizing the discussion: The majority of 1-3 cm common channel cloacas have normal length urethra and are amenable to TUM and PSARP ↗

▶ Ep 31 · 13:08

host summary Amanda Jensen summarizing the discussion: If the vagina or vaginas cannot reach the perineum after urogenital separation, the patient may need vaginal replacement to bridge the gap ↗

Summaries Amanda gave as host · Colorectal / ARM & Hirschsprung 45 summaries

Open the Colorectal / ARM & Hirschsprung collection →

The Colorectal Quiz Episode 9: Motility Disorders Part 2

▶ Ep 93 · 0:35

host summary Amanda Jensen summarizing the discussion: The case patient is a 10-year-old male with chronic constipation, soiling, poor appetite, and a water-soluble contrast enema showing a tortuous, redundant, dilated colon full of stool. ↗

▶ Ep 93 · 5:17

host summary Amanda Jensen summarizing the discussion: Sitz marker study is not a replacement for colonic manometry. ↗

The Colorectal Quiz Episode 10: Total Colonic Hirschsprung Disease Part 1

▶ Ep 94 · 3:37

host summary Amanda Jensen summarizing the discussion: It sounds like, yeah, duh, but I mean, think about it, this kid has Hirschprung's, so when they got that initial contrast rectal enema, it looks like a meconium plug, but really at that point, was a segment of Hirschprung's. ↗

▶ Ep 94 · 3:53

host summary Amanda Jensen summarizing the discussion: After meconium passage, obtaining another contrast image will show the characteristic appearance of Hirschsprung disease ↗

▶ Ep 94 · 4:19

host summary Amanda Jensen summarizing the discussion: Rare causes of failure to pass meconium include small left colon syndrome, hypothyroidism, opiates in the newborn system, magnesium sulfate from maternal preterm labor treatment, milk protein allergy, and microcolon intestinal hypoperistalsis syndrome ↗

▶ Ep 94 · 8:03

host summary Amanda Jensen summarizing the discussion: Rectal biopsies should be attempted preoperatively before proceeding to the operating room ↗

▶ Ep 94 · 8:53

host summary Amanda Jensen summarizing the discussion: If the patient is not doing well with irrigations, a procedure such as ileostomy or leveling colostomy is necessary to relieve pressure ↗

▶ Ep 94 · 9:04

host summary Amanda Jensen summarizing the discussion: Loop ostomies should be avoided in Hirschsprung disease because stool will likely spill into the non-functional part of the colon ↗

▶ Ep 94 · 9:35

host summary Amanda Jensen summarizing the discussion: A transition zone can often be visualized during surgery (open or laparoscopic), but when it cannot be seen, biopsies should be obtained at multiple levels ↗

▶ Ep 94 · 10:09

host summary Amanda Jensen summarizing the discussion: It is acceptable to not perform a definitive procedure if only frozen section is available and there is uncertainty about the frozen section diagnosis ↗

▶ Ep 94 · 10:21

host summary Amanda Jensen summarizing the discussion: Surgeons can wait for final pathology and return another day to perform the pull-through procedure if needed ↗

The Colorectal Quiz Episode 11: Total Colonic Hirschsprung's Part 2

▶ Ep 95 · 5:57

host summary Amanda Jensen summarizing the discussion: For patients with high ileostomy output and failure to thrive, if urine sodium is less than 20 mmol/L, oral sodium supplementation is needed (GI absorption is better than IV). ↗

▶ Ep 95 · 14:05

host summary Amanda Jensen summarizing the discussion: Both ileoanal and ileoDuhamel are acceptable options for pull-through in total colonic Hirschsprung disease. ↗

▶ Ep 95 · 14:09

host summary Amanda Jensen summarizing the discussion: A post-op skincare protocol should be in place after pull-through; the Villanova et al. article is a reference. ↗

▶ Ep 95 · 14:21

host summary Amanda Jensen summarizing the discussion: Enterocolitis is more common in total colonic Hirschsprung patients; currently there is no good option for preventing it, only directed treatment. ↗

▶ Ep 95 · 14:29

host summary Amanda Jensen summarizing the discussion: Parents should be extremely proficient with irrigations and have a very low threshold to start them if there is concern for enterocolitis post-op. ↗

Colorectal Quiz Episode 13: Newborn ARM Part 2

▶ Ep 98 · 6:10

host summary Amanda Jensen summarizing the discussion: Congenital perineal groove usually epithelializes on its own by age two ↗

▶ Ep 98 · 6:10

host summary Amanda Jensen summarizing the discussion: Perineal groove can be misdiagnosed as contact dermatitis, trauma, or sexual abuse ↗

▶ Ep 98 · 9:11

host summary Amanda Jensen summarizing the discussion: Three qualities to assess in anal location are: anal size, location (whether surrounded by sphincter), and perineal body size ↗

▶ Ep 98 · 12:22

host summary Amanda Jensen summarizing the discussion: Urogenital sinus plus normal anus is an endocrine problem, but no anus and urogenital sinus is a cloaca ↗

▶ Ep 98 · 15:03

host summary Amanda Jensen summarizing the discussion: Female ARM exam requires determining number of perineal orifices: three orifices means perineal or vestibular fistula; two orifices raises question of fistula presence, vaginal atresia, or rectovaginal fistula; one orifice is cloaca ↗

Colorectal Quiz Episode 14: ARM Newborn Part 3

▶ Ep 99 · 4:20

host summary Amanda Jensen summarizing the discussion: VACTERL represents: V for vertebral, A for anorectal, C for cardiac, T and E for tracheoesophageal fistula, R for renal, and L for limb. ↗

▶ Ep 99 · 4:26

host summary Amanda Jensen summarizing the discussion: V is for vertebral, A for anorectal, C for cardiac, T and E for trachoesophageal fistula, R for renal, and L for limb. ↗

Colorectal Quiz Episode 16: Bowel Management in Spinal Patients - Need for a Urologist Part 2

▶ Ep 101 · 12:48

host summary Amanda Jensen summarizing the discussion: In spinal patients with poor pelvic floor muscles, using additional water in the balloon, larger balloon size, or different shapes like a cone helps with enema administration ↗

Colorectal Quiz Episode 17: Cloaca Part 1

▶ Ep 102 · 2:58

host summary Amanda Jensen summarizing the discussion: Cloaca or anorectal malformation is associated with VACTERL and requires workup as such. ↗

▶ Ep 102 · 3:10

host summary Amanda Jensen summarizing the discussion: VACTERL association comprises: Vertebral anomalies, imperforate Anus, Cardiovascular anomalies, Tracheoesophageal fistula, Esophageal atresia, Renal/radial anomalies, and Limb defects. Three or more anomalies define the association. ↗

▶ Ep 102 · 8:45

host summary Amanda Jensen summarizing the discussion: Initial workup should include NG tube and chest X-ray, cardiac echo, and pelvic and renal ultrasound to assess for TEF, cardiac anomalies, hydrocolpos, and hydronephrosis. ↗

▶ Ep 102 · 9:10

host summary Amanda Jensen summarizing the discussion: Bilateral hydronephrosis with hydrocolpos requires management of the hydrocolpos as part of initial treatment. ↗

▶ Ep 102 · 24:05

host summary Amanda Jensen summarizing the discussion: Single perineal orifice with no anal opening is a cloaca and does not need an endocrine workup. Whereas a perineal opening with a normal anus is a UG sinus and does need an endocrine workup. ↗

Colorectal Quiz Episode 18: Cloaca Part 2

▶ Ep 103 · 6:58

host summary Amanda Jensen summarizing the discussion: The study 'Measure twice and cut once: comparing endoscopy and 3D cloacogram for common channel and urethral measurements in patients with cloacal malformations' was published in the Journal of Pediatric Surgery, October 2019. ↗

The Colorectal Quiz Episode 22: Hirschsprung Disease - the Soiling Patient Part 1

▶ Ep 109 · 0:34

host summary Amanda Jensen summarizes what Dr. Jason Frischer said: That was Doctor Jason Fisher from Cincinnati Children's. ↗

▶ Ep 109 · 0:53

host summary Amanda Jensen summarizes what Dr. Marc Levitt said: That was Doctor Mark Levitt from Children's National. ↗

▶ Ep 109 · 11:38

host summary Amanda Jensen summarizes what Dr. Hira Ahmad said: That was Doctor Hira Ahmad from Seattle Children's. ↗

The Colorectal Quiz Episode 23: Hirschsprung Disease - The Soiling Patient Part 2 -The Dentate Line and Motility

▶ Ep 111 · 2:29

host summary Amanda Jensen summarizing the discussion: Nocturnal soiling with daytime control can occur if the dentate line is lost (from overstretching) with some preservation of the external sphincter. ↗

Colorectal Quiz 25: Perineal Groove

▶ Ep 114 · 5:06

host summary Amanda Jensen summarizes what Dr. Jonathan Sutcliffe said: A quality normal anus requires three features: (1) location within the sphincter complex, (2) adequate size, and (3) presence of a perineal body. ↗

▶ Ep 114 · 29:03

host summary Amanda Jensen summarizes what Dr. Jonathan Sutcliffe said: Congenital perineal groove is characterized by an exposed wet sulcus with non-keratinized mucous membrane extending from the posterior vaginal fourchette to the anterior ridge of the anal orifice; the anus can be normal. ↗

▶ Ep 114 · 29:28

host summary Amanda Jensen summarizes what Dr. Jonathan Sutcliffe said: The majority of congenital perineal grooves are observed over time and left alone; they will usually epithelialize by age 2 without surgical correction. ↗

Colorectal Quiz Episode 18: Cloaca Part 2

▶ Ep 227 · 6:26

host summary Amanda Jensen summarizing the discussion: The common channel takes a very significant turn as it gets behind the pubis, which is visible on lateral view imaging ↗

▶ Ep 227 · 6:45

host summary Amanda Jensen summarizing the discussion: Cystoscopy significantly undermeasures anatomical structures compared to 3D reconstruction because the straight scope cannot measure the turn behind the pubis ↗

▶ Ep 227 · 6:45

host summary Amanda Jensen summarizing the discussion: What we found when we studied it was that the cystoscopy significantly undermeasures the structures when you scope and you compare the same patient's 3D reconstruction to their scope. ↗

▶ Ep 227 · 7:20

host summary Amanda Jensen summarizing the discussion: A study comparing endoscopy to 3D cloacogram showed that cystoscopy significantly under-reads the length of the common channel ↗

▶ Ep 227 · 11:57

host summary Amanda Jensen summarizing the discussion: If urethral length is less than 1.5 cm, urogenital separation is advocated because performing TUM would result in the bladder neck sewn near the perineum, potentially rendering the patient incontinent ↗

▶ Ep 227 · 12:10

host summary Amanda Jensen summarizing the discussion: If you were to do a TUM on a patient with a one centimeter urethra, and although these patients aren't common, they do exist, then you will have their bladder neck sewn right near the perineum. And that could render the patient incontinent. ↗

▶ Ep 227 · 12:40

host summary Amanda Jensen summarizing the discussion: The majority of 1-3 cm common channel cloacas have normal length urethra and are amenable to TUM and PSARP ↗

▶ Ep 227 · 13:08

host summary Amanda Jensen summarizing the discussion: If the vagina or vaginas cannot reach the perineum after urogenital separation, the patient may need vaginal replacement to bridge the gap ↗

Summaries Amanda gave as host · Constipation 1 summary

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Colorectal Quiz Episode 16: Bowel Management in Spinal Patients - Need for a Urologist Part 2

▶ Ep 8 · 12:48

host summary Amanda Jensen summarizing the discussion: In spinal patients with poor pelvic floor muscles, using additional water in the balloon, larger balloon size, or different shapes like a cone helps with enema administration ↗

Summaries Amanda gave as host · Enterocolitis 3 summaries

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The Colorectal Quiz Episode 22: Hirschsprung Disease - the Soiling Patient Part 1

▶ Ep 18 · 0:34

host summary Amanda Jensen summarizes what Dr. Jason Frischer said: That was Doctor Jason Fisher from Cincinnati Children's. ↗

▶ Ep 18 · 0:53

host summary Amanda Jensen summarizes what Dr. Marc Levitt said: That was Doctor Mark Levitt from Children's National. ↗

▶ Ep 18 · 11:38

host summary Amanda Jensen summarizes what Dr. Hira Ahmad said: That was Doctor Hira Ahmad from Seattle Children's. ↗

Summaries Amanda gave as host · Enterocolitis 3 summaries

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The Colorectal Quiz Episode 22: Hirschsprung Disease - the Soiling Patient Part 1

▶ Ep 18 · 0:34

host summary Amanda Jensen summarizes what Dr. Jason Frischer said: That was Doctor Jason Fisher from Cincinnati Children's. ↗

▶ Ep 18 · 0:53

host summary Amanda Jensen summarizes what Dr. Marc Levitt said: That was Doctor Mark Levitt from Children's National. ↗

▶ Ep 18 · 11:38

host summary Amanda Jensen summarizes what Dr. Hira Ahmad said: That was Doctor Hira Ahmad from Seattle Children's. ↗

Summaries Amanda gave as host · Hirschsprung disease 14 summaries

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The Colorectal Quiz Episode 9: Motility Disorders Part 2

▶ Ep 41 · 0:35

host summary Amanda Jensen summarizing the discussion: The case patient is a 10-year-old male with chronic constipation, soiling, poor appetite, and a water-soluble contrast enema showing a tortuous, redundant, dilated colon full of stool. ↗

▶ Ep 41 · 5:17

host summary Amanda Jensen summarizing the discussion: Sitz marker study is not a replacement for colonic manometry. ↗

The Colorectal Quiz Episode 10: Total Colonic Hirschsprung Disease Part 1

▶ Ep 42 · 3:37

host summary Amanda Jensen summarizing the discussion: It sounds like, yeah, duh, but I mean, think about it, this kid has Hirschprung's, so when they got that initial contrast rectal enema, it looks like a meconium plug, but really at that point, was a segment of Hirschprung's. ↗

▶ Ep 42 · 3:53

host summary Amanda Jensen summarizing the discussion: After meconium passage, obtaining another contrast image will show the characteristic appearance of Hirschsprung disease ↗

▶ Ep 42 · 4:19

host summary Amanda Jensen summarizing the discussion: Rare causes of failure to pass meconium include small left colon syndrome, hypothyroidism, opiates in the newborn system, magnesium sulfate from maternal preterm labor treatment, milk protein allergy, and microcolon intestinal hypoperistalsis syndrome ↗

▶ Ep 42 · 8:03

host summary Amanda Jensen summarizing the discussion: Rectal biopsies should be attempted preoperatively before proceeding to the operating room ↗

▶ Ep 42 · 8:53

host summary Amanda Jensen summarizing the discussion: If the patient is not doing well with irrigations, a procedure such as ileostomy or leveling colostomy is necessary to relieve pressure ↗

▶ Ep 42 · 9:04

host summary Amanda Jensen summarizing the discussion: Loop ostomies should be avoided in Hirschsprung disease because stool will likely spill into the non-functional part of the colon ↗

▶ Ep 42 · 9:35

host summary Amanda Jensen summarizing the discussion: A transition zone can often be visualized during surgery (open or laparoscopic), but when it cannot be seen, biopsies should be obtained at multiple levels ↗

▶ Ep 42 · 10:09

host summary Amanda Jensen summarizing the discussion: It is acceptable to not perform a definitive procedure if only frozen section is available and there is uncertainty about the frozen section diagnosis ↗

▶ Ep 42 · 10:21

host summary Amanda Jensen summarizing the discussion: Surgeons can wait for final pathology and return another day to perform the pull-through procedure if needed ↗

The Colorectal Quiz Episode 22: Hirschsprung Disease - the Soiling Patient Part 1

▶ Ep 47 · 0:34

host summary Amanda Jensen summarizes what Dr. Jason Frischer said: That was Doctor Jason Fisher from Cincinnati Children's. ↗

▶ Ep 47 · 0:53

host summary Amanda Jensen summarizes what Dr. Marc Levitt said: That was Doctor Mark Levitt from Children's National. ↗

▶ Ep 47 · 11:38

host summary Amanda Jensen summarizes what Dr. Hira Ahmad said: That was Doctor Hira Ahmad from Seattle Children's. ↗

Summaries Amanda gave as host · Hirschsprung Disease 13 summaries

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The Colorectal Quiz Episode 10: Total Colonic Hirschsprung Disease Part 1

▶ Ep 11 · 3:37

host summary Amanda Jensen summarizing the discussion: It sounds like, yeah, duh, but I mean, think about it, this kid has Hirschprung's, so when they got that initial contrast rectal enema, it looks like a meconium plug, but really at that point, was a segment of Hirschprung's. ↗

▶ Ep 11 · 3:53

host summary Amanda Jensen summarizing the discussion: After meconium passage, obtaining another contrast image will show the characteristic appearance of Hirschsprung disease ↗

▶ Ep 11 · 4:19

host summary Amanda Jensen summarizing the discussion: Rare causes of failure to pass meconium include small left colon syndrome, hypothyroidism, opiates in the newborn system, magnesium sulfate from maternal preterm labor treatment, milk protein allergy, and microcolon intestinal hypoperistalsis syndrome ↗

▶ Ep 11 · 8:03

host summary Amanda Jensen summarizing the discussion: Rectal biopsies should be attempted preoperatively before proceeding to the operating room ↗

▶ Ep 11 · 8:53

host summary Amanda Jensen summarizing the discussion: If the patient is not doing well with irrigations, a procedure such as ileostomy or leveling colostomy is necessary to relieve pressure ↗

▶ Ep 11 · 9:04

host summary Amanda Jensen summarizing the discussion: Loop ostomies should be avoided in Hirschsprung disease because stool will likely spill into the non-functional part of the colon ↗

▶ Ep 11 · 9:35

host summary Amanda Jensen summarizing the discussion: A transition zone can often be visualized during surgery (open or laparoscopic), but when it cannot be seen, biopsies should be obtained at multiple levels ↗

▶ Ep 11 · 10:09

host summary Amanda Jensen summarizing the discussion: It is acceptable to not perform a definitive procedure if only frozen section is available and there is uncertainty about the frozen section diagnosis ↗

▶ Ep 11 · 10:21

host summary Amanda Jensen summarizing the discussion: Surgeons can wait for final pathology and return another day to perform the pull-through procedure if needed ↗

The Colorectal Quiz Episode 22: Hirschsprung Disease - the Soiling Patient Part 1

▶ Ep 16 · 0:34

host summary Amanda Jensen summarizes what Dr. Jason Frischer said: That was Doctor Jason Fisher from Cincinnati Children's. ↗

▶ Ep 16 · 0:53

host summary Amanda Jensen summarizes what Dr. Marc Levitt said: That was Doctor Mark Levitt from Children's National. ↗

▶ Ep 16 · 11:38

host summary Amanda Jensen summarizes what Dr. Hira Ahmad said: That was Doctor Hira Ahmad from Seattle Children's. ↗

The Colorectal Quiz Episode 23: Hirschsprung Disease - The Soiling Patient Part 2 -The Dentate Line and Motility

▶ Ep 17 · 2:29

host summary Amanda Jensen summarizing the discussion: Nocturnal soiling with daytime control can occur if the dentate line is lost (from overstretching) with some preservation of the external sphincter. ↗

Summaries Amanda gave as host · Intestinal Rehab 2 summaries

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The Colorectal Quiz Episode 9: Motility Disorders Part 2

▶ Ep 41 · 0:35

host summary Amanda Jensen summarizing the discussion: The case patient is a 10-year-old male with chronic constipation, soiling, poor appetite, and a water-soluble contrast enema showing a tortuous, redundant, dilated colon full of stool. ↗

▶ Ep 41 · 5:17

host summary Amanda Jensen summarizing the discussion: Sitz marker study is not a replacement for colonic manometry. ↗

Summaries Amanda gave as host · Motility / Pseudo-obstruction 2 summaries

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The Colorectal Quiz Episode 9: Motility Disorders Part 2

▶ Ep 3 · 0:35

host summary Amanda Jensen summarizing the discussion: The case patient is a 10-year-old male with chronic constipation, soiling, poor appetite, and a water-soluble contrast enema showing a tortuous, redundant, dilated colon full of stool. ↗

▶ Ep 3 · 5:17

host summary Amanda Jensen summarizing the discussion: Sitz marker study is not a replacement for colonic manometry. ↗

Summaries Amanda gave as host · Pediatric Colorectal and Pelvic Reconstruction 1 summary

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Colorectal Quiz Episode 16: Bowel Management in Spinal Patients - Need for a Urologist Part 2

▶ Ep 3 · 12:48

host summary Amanda Jensen summarizing the discussion: In spinal patients with poor pelvic floor muscles, using additional water in the balloon, larger balloon size, or different shapes like a cone helps with enema administration ↗

Summaries Amanda gave as host · Perineal Fistula 6 summaries

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Colorectal Quiz Episode 13: Newborn ARM Part 2

▶ Ep 7 · 6:10

host summary Amanda Jensen summarizing the discussion: Perineal groove can be misdiagnosed as contact dermatitis, trauma, or sexual abuse ↗

▶ Ep 7 · 6:10

host summary Amanda Jensen summarizing the discussion: Congenital perineal groove usually epithelializes on its own by age two ↗

▶ Ep 7 · 9:11

host summary Amanda Jensen summarizing the discussion: Three qualities to assess in anal location are: anal size, location (whether surrounded by sphincter), and perineal body size ↗

▶ Ep 7 · 12:22

host summary Amanda Jensen summarizing the discussion: Urogenital sinus plus normal anus is an endocrine problem, but no anus and urogenital sinus is a cloaca ↗

▶ Ep 7 · 15:03

host summary Amanda Jensen summarizing the discussion: Female ARM exam requires determining number of perineal orifices: three orifices means perineal or vestibular fistula; two orifices raises question of fistula presence, vaginal atresia, or rectovaginal fistula; one orifice is cloaca ↗

Colorectal Quiz Episode 28: Female ARM Management - Perineal Fistula

▶ Ep 8 · 3:02

host summary Amanda Jensen summarizing the discussion: A normal anus must meet three criteria: appropriate size, centered in the sphincter, and presence of a perineal body. ↗

Summaries Amanda gave as host · Spina Bifida 1 summary

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Colorectal Quiz Episode 16: Bowel Management in Spinal Patients - Need for a Urologist Part 2

▶ Ep 5 · 12:48

host summary Amanda Jensen summarizing the discussion: In spinal patients with poor pelvic floor muscles, using additional water in the balloon, larger balloon size, or different shapes like a cone helps with enema administration ↗

Summaries Amanda gave as host · Total Colonic Aganglionosis 9 summaries

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The Colorectal Quiz Episode 10: Total Colonic Hirschsprung Disease Part 1

▶ Ep 8 · 3:37

host summary Amanda Jensen summarizing the discussion: It sounds like, yeah, duh, but I mean, think about it, this kid has Hirschprung's, so when they got that initial contrast rectal enema, it looks like a meconium plug, but really at that point, was a segment of Hirschprung's. ↗

▶ Ep 8 · 3:53

host summary Amanda Jensen summarizing the discussion: After meconium passage, obtaining another contrast image will show the characteristic appearance of Hirschsprung disease ↗

▶ Ep 8 · 4:19

host summary Amanda Jensen summarizing the discussion: Rare causes of failure to pass meconium include small left colon syndrome, hypothyroidism, opiates in the newborn system, magnesium sulfate from maternal preterm labor treatment, milk protein allergy, and microcolon intestinal hypoperistalsis syndrome ↗

▶ Ep 8 · 8:03

host summary Amanda Jensen summarizing the discussion: Rectal biopsies should be attempted preoperatively before proceeding to the operating room ↗

▶ Ep 8 · 8:53

host summary Amanda Jensen summarizing the discussion: If the patient is not doing well with irrigations, a procedure such as ileostomy or leveling colostomy is necessary to relieve pressure ↗

▶ Ep 8 · 9:04

host summary Amanda Jensen summarizing the discussion: Loop ostomies should be avoided in Hirschsprung disease because stool will likely spill into the non-functional part of the colon ↗

▶ Ep 8 · 9:35

host summary Amanda Jensen summarizing the discussion: A transition zone can often be visualized during surgery (open or laparoscopic), but when it cannot be seen, biopsies should be obtained at multiple levels ↗

▶ Ep 8 · 10:09

host summary Amanda Jensen summarizing the discussion: It is acceptable to not perform a definitive procedure if only frozen section is available and there is uncertainty about the frozen section diagnosis ↗

▶ Ep 8 · 10:21

host summary Amanda Jensen summarizing the discussion: Surgeons can wait for final pathology and return another day to perform the pull-through procedure if needed ↗