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Children
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Recent Advances in Pediatric Colorectal Surgery
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Recent Advances in Pediatric Colorectal Surgery

A special issue of Children (ISSN 2227-9067). This special issue belongs to the section "Pediatric Surgery".

Deadline for manuscript submissions: closed (20 March 2024) | Viewed by 1326

Special Issue Editors

Dr. Irene Isabel P. Lim-Beutel

E-Mail Website
Guest Editor
Associate Director, Comprehensive Colorectal Center, Children’s Mercy Hospital, Kansas City, MO, USA
Interests: Hirschsprung’s disease; anorectal malformations; long-term outcomes and quality of life; inflammatory bowel disease; global surgery
Dr. Cristine S. Velazco

E-Mail Website
Guest Editor
Director of Colorectal Surgery, Department of Pediatric Surgery, Arnold Palmer Hospital for Children, Orlando Health, Orlando, FL, USA
Interests: Hirschsprung disease; anorectal malformations; inflammatory bowel disease; congenital intestinal conditions; surgeon wellness

Special Issue Information

Dear Colleagues,

The field of pediatric colorectal surgery is rapidly expanding. Minimally invasive techniques are employed for procedures that were historically not routine. Cloacal anomalies, for example, have been repaired with laparoscopic surgery in some institutions. Improvements in the care of infants born with complex malformations have now led to an increase in older children with colorectal needs that require unique approaches. The increasing incidence of early-onset inflammatory bowel disease in children requires the development of protocols for proper management. We invite you to submit article(s) that highlight these and other challenges within the field of pediatric colorectal surgery that will advance the discussion, and ultimately the care, of these complex patients.

Dr. Irene Isabel P. Lim-Beutel
Dr. Cristine S. Velazco
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Children is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2400 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • Hirschsprung’s disease
  • anorectal malformation
  • long-term outcomes
  • inflammatory bowel disease
  • Crohn’s disease
  • ulcerative colitis

Published Papers (2 papers)

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Research

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10 pages, 1182 KiB  
Article
Development of a Standardized Algorithm for Management of Newly Diagnosed Anorectal Malformations
by Shruthi Srinivas, Alessandra Gasior, Sarah Driesbach, Natalie DeBacco, Liese C. C. Pruitt, Casey Trimble, Pooja Zahora, Claudia M. Mueller and Richard J. Wood
Children 2024, 11(4), 494; https://doi.org/10.3390/children11040494 - 20 Apr 2024
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Abstract
Neonates with a new diagnosis of anorectal malformation (ARM) present a unique challenge to the clinical team. ARM is strongly associated with additional midline malformations, such as those observed in the VACTERL sequence, including vertebral, cardiac, and renal malformations. Timely assessment is necessary [...] Read more.
Neonates with a new diagnosis of anorectal malformation (ARM) present a unique challenge to the clinical team. ARM is strongly associated with additional midline malformations, such as those observed in the VACTERL sequence, including vertebral, cardiac, and renal malformations. Timely assessment is necessary to identify anomalies requiring intervention and to prevent undue stress and delayed treatment. We utilized a multidisciplinary team to develop an algorithm guiding the midline workup of patients newly diagnosed with ARM. Patients were included if born in or transferred to our neonatal intensive care unit (NICU), or if seen in clinic within one month of life. Complete imaging was defined as an echocardiogram, renal ultrasound, and spinal magnetic resonance imaging or ultrasound within the first month of life. We compared three periods: prior to implementation (2010–2014), adoption period (2015), and delayed implementation (2022); p ≤ 0.05 was considered significant. Rates of complete imaging significantly improved from pre-implementation to delayed implementation (65.2% vs. 50.0% vs. 97.0%, p = 0.0003); the most growth was observed in spinal imaging (71.0% vs. 90.0% vs. 100.0%, p = 0.001). While there were no differences in the rates of identified anomalies, there were fewer missed diagnoses with the algorithm (10.0% vs. 47.6%, p = 0.05). We demonstrate that the implementation of a standardized algorithm can significantly increase appropriate screening for anomalies associated with a new diagnosis of ARM and can decrease delayed diagnosis. Further qualitative studies will help to refine and optimize the algorithm moving forward. Full article
(This article belongs to the Special Issue Recent Advances in Pediatric Colorectal Surgery)
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Review

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16 pages, 1436 KiB  
Review
Updates on the Care of Cloacal Exstrophy
by Claire A. Ostertag-Hill, Patrick T. Delaplain, Ted Lee and Belinda H. Dickie
Children 2024, 11(5), 544; https://doi.org/10.3390/children11050544 - 2 May 2024
Viewed by 449
Abstract
Cloacal exstrophy is the most severe congenital anomaly of the exstrophy–epispadias complex and is characterized by gastrointestinal, genitourinary, neurospinal, and musculoskeletal malformations. Individualized surgical reconstruction by a multidisciplinary team is required for these complex patients. Not infrequently, patients need staged surgical procedures throughout [...] Read more.
Cloacal exstrophy is the most severe congenital anomaly of the exstrophy–epispadias complex and is characterized by gastrointestinal, genitourinary, neurospinal, and musculoskeletal malformations. Individualized surgical reconstruction by a multidisciplinary team is required for these complex patients. Not infrequently, patients need staged surgical procedures throughout childhood and adolescence. Following significant improvements in medical care and surgical reconstructive techniques, nearly all patients with cloacal exstrophy now survive, leading to an increased emphasis on quality of life. Increased attention is given to gender identity and the implications of reconstructive decisions. Long-term sequelae of cloacal exstrophy, including functional continence and sexual dysfunction, are recognized, and many patients require ongoing complex care into adulthood. Full article
(This article belongs to the Special Issue Recent Advances in Pediatric Colorectal Surgery)
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