Outcomes of transanal endorectal pull-through for rectal atresia

Rectal atresia is a rare anorectal malformation, and it has been reported to represent 1%–2% of all anorectal malformations. We report three newborns who were admitted to the neonatal intensive care unit for abdominal distention, bilious vomiting and failure to pass meconium. The external anus and g...

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Bibliographic Details
Published in:BMJ case reports 2018-05, Vol.2018, p.bcr-2017-224080
Main Authors: Gieballa, Mutaz, AlKharashi, Nawaf, Al-Namshan, Mohammed, AlJadaan, Saud
Format: Article
Language:English
Subjects:
Abdomen
Age
Anal Canal - surgery
Anastomosis, Surgical - methods
Antibiotics
Bladder
Case reports
Colostomy - methods
Congenital diseases
Constipation
Endoscopy, Digestive System - methods
Feasibility Studies
Fistula
Humans
Infant, Newborn
Intestinal Obstruction - congenital
Intestinal Obstruction - surgery
Laxatives
Male
Newborn babies
Ostomy
Patients
Pediatrics
Radiography
Rare Disease
Rectum - abnormalities
Rectum - surgery
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Summary:Rectal atresia is a rare anorectal malformation, and it has been reported to represent 1%–2% of all anorectal malformations. We report three newborns who were admitted to the neonatal intensive care unit for abdominal distention, bilious vomiting and failure to pass meconium. The external anus and genitalia were normal and well formed. Digital rectal examination showed a blind-ending anal canal. All three infants were initially managed with diverting colostomy and then transanal resection of the rectal atresia with primary anastomosis, followed by colostomy closure. All patients eventually developed normal bowel habits and gained complete bowel control at 3–5 years of age, with mild constipation managed with laxatives. Contrast enema in a newborn with distal bowel obstruction is helpful to delineate the anatomy to show the gaps and to facilitate the procedure. In conclusion, transanal endorectal pull-through is a feasible and safe procedure with satisfactory clinical outcomes.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2017-224080