Amanda Jensen

214 timestamped statements across 15 collections — auto-found in recorded discussions, each timestamp jumps to the exact moment.

Colorectal / ARM & Hirschsprung · series host Intestinal Rehab · guest expert Motility / Pseudo-obstruction · guest expert

Featured diaries

▶ Ep 236 · 0:00
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.
quote · Colorectal / ARM & Hirschsprung
▶ Ep 236 · 0:00
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.
quote · Colorectal / ARM & Hirschsprung
▶ Ep 6 · 0:00
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.
quote · Fecal Incontinence
▶ Ep 93 · 0:00
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.
quote · Hirschsprung disease
▶ Ep 4 · 0:00
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.
quote · Ulcerative Colitis
▶ Ep 23 · 12:10
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.
quote · Cloaca

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Anorectal Malformation 18 entries

Colorectal Quiz Episode 13: Newborn ARM Part 2

▶ Ep 38 · 6:10
host_summary Congenital perineal groove usually epithelializes on its own by age two ↗
▶ Ep 38 · 6:10
host_summary Perineal groove can be misdiagnosed as contact dermatitis, trauma, or sexual abuse ↗
▶ Ep 38 · 9:11
host_summary Three qualities to assess in anal location are: anal size, location (whether surrounded by sphincter), and perineal body size ↗
▶ Ep 38 · 12:22
host_summary Urogenital sinus plus normal anus is an endocrine problem, but no anus and urogenital sinus is a cloaca ↗
▶ Ep 38 · 15:03
host_summary 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 39 · 0:00
quote Hey there listeners, it's Amanda Jensen and Rod Gerardo from Cincinnati Children's. ↗
▶ Ep 39 · 4:20
host_summary 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 39 · 4:26
quote 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 40 · 2:29
host_summary 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
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 · 5:06
host_summary 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 · 29:03
host_summary 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 The majority of congenital perineal grooves are observed over time and left alone; they will usually epithelialize by age 2 without surgical correction. ↗
▶ 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 28: Female ARM Management - Perineal Fistula

▶ Ep 41 · 3:02
host_summary 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 42 · 0:05
quote Hey there listeners, it's Amanda Jensen at Riley Children's. ↗
Cloaca 18 entries

Colorectal Quiz Episode 17: Cloaca Part 1

▶ Ep 12 · 2:58
host_summary Cloaca or anorectal malformation is associated with VACTERL and requires workup as such. ↗
▶ Ep 12 · 3:10
host_summary 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 12 · 8:45
host_summary 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 12 · 9:10
host_summary Bilateral hydronephrosis with hydrocolpos requires management of the hydrocolpos as part of initial treatment. ↗
▶ Ep 12 · 24:05
quote 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 13 · 0:09
quote Hey there listeners, it's Amanda Jensen from Cincinnati Children's. ↗
▶ Ep 13 · 6:58
host_summary 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 23 · 0:00
quote Hey there listeners, it's Amanda Jensen from Cincinnati Children's. ↗
▶ Ep 23 · 6:26
host_summary The common channel takes a very significant turn as it gets behind the pubis, which is visible on lateral view imaging ↗
▶ Ep 23 · 6:45
host_summary Cystoscopy significantly undermeasures anatomical structures compared to 3D reconstruction because the straight scope cannot measure the turn behind the pubis ↗
▶ Ep 23 · 6:45
quote 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 23 · 7:20
host_summary A study comparing endoscopy to 3D cloacogram showed that cystoscopy significantly under-reads the length of the common channel ↗
▶ Ep 23 · 11:57
host_summary 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 23 · 12:10
quote 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 23 · 12:40
host_summary The majority of 1-3 cm common channel cloacas have normal length urethra and are amenable to TUM and PSARP ↗
▶ Ep 23 · 13:08
host_summary If the vagina or vaginas cannot reach the perineum after urogenital separation, the patient may need vaginal replacement to bridge the gap ↗

Colorectal Quiz Episode 17: Cloaca Part 1

▶ Ep 24 · 3:10
clinical VACTERL association requires three or more anomalies: vertebral, imperforate anus, cardiovascular, tracheoesophageal fistula, esophageal atresia, renal/radial, and limb defects. ↗
▶ Ep 24 · 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. ↗
Colorectal / ARM & Hirschsprung 111 entries

The Colorectal Quiz Episode 9: Motility Disorders Part 2

▶ Ep 93 · 0:35
host_summary 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 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
quote 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 · 3:37
quote 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 After meconium passage, obtaining another contrast image will show the characteristic appearance of Hirschsprung disease ↗
▶ Ep 94 · 3:53
clinical After meconium passage, obtaining another contrast image will show the characteristic appearance of Hirschsprung disease ↗
▶ Ep 94 · 4:19
clinical 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 · 4:19
host_summary 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 Rectal biopsies should be attempted preoperatively before proceeding to the operating room ↗
▶ Ep 94 · 8:03
clinical Rectal biopsies should be attempted preoperatively before proceeding to the operating room ↗
▶ Ep 94 · 8:53
clinical If the patient is not doing well with irrigations, a procedure such as ileostomy or leveling colostomy is necessary to relieve pressure ↗
▶ Ep 94 · 8:53
host_summary 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 Loop ostomies should be avoided in Hirschsprung disease because stool will likely spill into the non-functional part of the colon ↗
▶ Ep 94 · 9:04
clinical 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
clinical 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 · 9:35
host_summary 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
clinical 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 · 10:09
host_summary 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
clinical Surgeons can wait for final pathology and return another day to perform the pull-through procedure if needed ↗
▶ Ep 94 · 10:21
host_summary 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
clinical 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 · 5:57
host_summary 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 Both ileoanal and ileoDuhamel are acceptable options for pull-through in total colonic Hirschsprung disease. ↗
▶ Ep 95 · 14:05
clinical Both ileoanal and ileoDuhamel are acceptable options for pull-through in total colonic Hirschsprung disease. ↗
▶ Ep 95 · 14:09
guideline A post-op skincare protocol should be in place after pull-through; the Villanova et al. article is a reference. ↗
▶ Ep 95 · 14:09
host_summary 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 Enterocolitis is more common in total colonic Hirschsprung patients; currently there is no good option for preventing it, only directed treatment. ↗
▶ Ep 95 · 14:21
clinical 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 Parents should be extremely proficient with irrigations and have a very low threshold to start them if there is concern for enterocolitis post-op. ↗
▶ Ep 95 · 14:29
clinical 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
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 · 6:10
host_summary Congenital perineal groove usually epithelializes on its own by age two ↗
▶ Ep 98 · 6:10
host_summary Perineal groove can be misdiagnosed as contact dermatitis, trauma, or sexual abuse ↗
▶ Ep 98 · 9:11
host_summary Three qualities to assess in anal location are: anal size, location (whether surrounded by sphincter), and perineal body size ↗
▶ 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
host_summary Urogenital sinus plus normal anus is an endocrine problem, but no anus and urogenital sinus is a cloaca ↗
▶ 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
host_summary 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 ↗
▶ 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. ↗
▶ Ep 99 · 0:00
quote Hey there listeners, it's Amanda Jensen and Rod Gerardo from Cincinnati Children's. ↗
▶ Ep 99 · 4:20
clinical 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 · 4:20
host_summary 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
quote V is for vertebral, A for anorectal, C for cardiac, T and E for trachoesophageal fistula, R for renal, and L for limb. ↗
▶ Ep 99 · 4:26
quote 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 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 ↗
▶ Ep 101 · 12:48
clinical 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
guideline Cloaca or anorectal malformation is associated with VACTERL and requires workup as such. ↗
▶ Ep 102 · 2:58
host_summary Cloaca or anorectal malformation is associated with VACTERL and requires workup as such. ↗
▶ Ep 102 · 3:10
host_summary 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 · 3:10
clinical 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
guideline 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 · 8:45
host_summary 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
guideline Bilateral hydronephrosis with hydrocolpos requires management of the hydrocolpos as part of initial treatment. ↗
▶ Ep 102 · 9:10
host_summary Bilateral hydronephrosis with hydrocolpos requires management of the hydrocolpos as part of initial treatment. ↗
▶ Ep 102 · 24:05
quote 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. ↗
▶ Ep 102 · 24:05
quote 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 · 0:09
quote Hey there listeners, it's Amanda Jensen from Cincinnati Children's. ↗
▶ Ep 103 · 0:09
quote Hey there listeners, it's Amanda Jensen from Cincinnati Children's. ↗
▶ Ep 103 · 6:58
clinical 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. ↗
▶ Ep 103 · 6:58
host_summary 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 19: Hirschsprung Disease - The Obstructed Patient Part 1

▶ Ep 105 · 0:08
quote Hey there listeners, it's Amanda Jensen from Riley Children's. ↗
▶ 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 · 0:04
quote Hey there listeners, it's Amanda Jensen from Riley Children's. ↗
▶ Ep 109 · 0:34
quote That was Doctor Jason Fisher from Cincinnati Children's. ↗
▶ Ep 109 · 0:34
quote That was Doctor Jason Fisher from Cincinnati Children's. ↗
▶ Ep 109 · 0:53
quote That was Doctor Mark Levitt from Children's National. ↗
▶ Ep 109 · 0:53
quote That was Doctor Mark Levitt from Children's National. ↗
▶ Ep 109 · 11:38
quote That was Doctor Hira Ahmad from Seattle Children's. ↗
▶ Ep 109 · 11:38
quote That was Doctor Hira Ahmad from Seattle Children's. ↗
▶ Ep 109 · 19:39
quote Until next time, this is Amanda Jensen at Riley Children's. And remember, knowledge should be free. ↗
▶ 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
host_summary Nocturnal soiling with daytime control can occur if the dentate line is lost (from overstretching) with some preservation of the external sphincter. ↗
▶ 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 · 5:06
host_summary 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 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 · 29:03
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. ↗
▶ Ep 114 · 29:28
host_summary 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 236 · 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 236 · 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 236 · 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. ↗
▶ Ep 236 · 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 237 · 0:00
quote Hey there listeners, it's Amanda Jensen from Cincinnati Children's. ↗
▶ Ep 237 · 0:00
quote Hey there listeners, it's Amanda Jensen from Cincinnati Children's. ↗
▶ Ep 237 · 6:26
host_summary The common channel takes a very significant turn as it gets behind the pubis, which is visible on lateral view imaging ↗
▶ Ep 237 · 6:26
clinical The common channel takes a very significant turn as it gets behind the pubis, which is visible on lateral view imaging ↗
▶ Ep 237 · 6:45
quote 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 237 · 6:45
clinical Cystoscopy significantly undermeasures anatomical structures compared to 3D reconstruction because the straight scope cannot measure the turn behind the pubis ↗
▶ Ep 237 · 6:45
host_summary Cystoscopy significantly undermeasures anatomical structures compared to 3D reconstruction because the straight scope cannot measure the turn behind the pubis ↗
▶ Ep 237 · 6:45
quote 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 237 · 7:20
host_summary A study comparing endoscopy to 3D cloacogram showed that cystoscopy significantly under-reads the length of the common channel ↗
▶ Ep 237 · 7:20
clinical A study comparing endoscopy to 3D cloacogram showed that cystoscopy significantly under-reads the length of the common channel ↗
▶ Ep 237 · 11:57
clinical 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 237 · 11:57
host_summary 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 237 · 12:10
quote 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 237 · 12:10
quote 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 237 · 12:40
host_summary The majority of 1-3 cm common channel cloacas have normal length urethra and are amenable to TUM and PSARP ↗
▶ Ep 237 · 12:40
clinical The majority of 1-3 cm common channel cloacas have normal length urethra and are amenable to TUM and PSARP ↗
▶ Ep 237 · 13:08
clinical If the vagina or vaginas cannot reach the perineum after urogenital separation, the patient may need vaginal replacement to bridge the gap ↗
▶ Ep 237 · 13:08
host_summary If the vagina or vaginas cannot reach the perineum after urogenital separation, the patient may need vaginal replacement to bridge the gap ↗

Colorectal Quiz Episode 17: Cloaca Part 1

▶ Ep 238 · 3:10
clinical VACTERL association requires three or more anomalies: vertebral, imperforate anus, cardiovascular, tracheoesophageal fistula, esophageal atresia, renal/radial, and limb defects. ↗
▶ Ep 238 · 3:10
clinical VACTERL association requires three or more anomalies: vertebral, imperforate anus, cardiovascular, tracheoesophageal fistula, esophageal atresia, renal/radial, and limb defects. ↗
▶ Ep 238 · 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 238 · 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. ↗
Constipation 1 entry

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

▶ Ep 5 · 12:48
host_summary 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 ↗
Enterocolitis 5 entries

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 · 0:34
quote That was Doctor Jason Fisher from Cincinnati Children's. ↗
▶ Ep 18 · 0:53
quote That was Doctor Mark Levitt from Children's National. ↗
▶ Ep 18 · 11:38
quote That was Doctor Hira Ahmad from Seattle Children's. ↗
▶ Ep 18 · 19:39
quote Until next time, this is Amanda Jensen at Riley Children's. And remember, knowledge should be free. ↗
Fecal Incontinence 2 entries

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. ↗
Hirschsprung disease 29 entries

The Colorectal Quiz Episode 9: Motility Disorders Part 2

▶ Ep 41 · 0:35
host_summary 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 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
quote 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 · 3:37
quote 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 After meconium passage, obtaining another contrast image will show the characteristic appearance of Hirschsprung disease ↗
▶ Ep 42 · 3:53
clinical After meconium passage, obtaining another contrast image will show the characteristic appearance of Hirschsprung disease ↗
▶ Ep 42 · 4:19
host_summary 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 · 4:19
clinical 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
clinical Rectal biopsies should be attempted preoperatively before proceeding to the operating room ↗
▶ Ep 42 · 8:03
host_summary Rectal biopsies should be attempted preoperatively before proceeding to the operating room ↗
▶ Ep 42 · 8:53
clinical If the patient is not doing well with irrigations, a procedure such as ileostomy or leveling colostomy is necessary to relieve pressure ↗
▶ Ep 42 · 8:53
host_summary 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 Loop ostomies should be avoided in Hirschsprung disease because stool will likely spill into the non-functional part of the colon ↗
▶ Ep 42 · 9:04
clinical 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
clinical 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 · 9:35
host_summary 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 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 · 10:09
clinical 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
clinical Surgeons can wait for final pathology and return another day to perform the pull-through procedure if needed ↗
▶ Ep 42 · 10:21
host_summary 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 · 0:04
quote Hey there listeners, it's Amanda Jensen from Riley Children's. ↗
▶ Ep 47 · 0:34
quote That was Doctor Jason Fisher from Cincinnati Children's. ↗
▶ Ep 47 · 0:53
quote That was Doctor Mark Levitt from Children's National. ↗
▶ Ep 47 · 11:38
quote That was Doctor Hira Ahmad from Seattle 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 93 · 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 93 · 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. ↗
Hirschsprung's-associated Enterocolitis 1 entry

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. ↗
Hydrocolpos 4 entries

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. ↗
Intestinal Rehab 4 entries

The Colorectal Quiz Episode 9: Motility Disorders Part 2

▶ Ep 42 · 0:35
host_summary 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 42 · 0:35
host_summary 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 42 · 5:17
host_summary Sitz marker study is not a replacement for colonic manometry. ↗
▶ Ep 42 · 5:17
host_summary Sitz marker study is not a replacement for colonic manometry. ↗
Motility / Pseudo-obstruction 2 entries

The Colorectal Quiz Episode 9: Motility Disorders Part 2

▶ Ep 3 · 0:35
host_summary 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 Sitz marker study is not a replacement for colonic manometry. ↗
Perineal Fistula 7 entries

Colorectal Quiz Episode 13: Newborn ARM Part 2

▶ Ep 7 · 6:10
host_summary Congenital perineal groove usually epithelializes on its own by age two ↗
▶ Ep 7 · 6:10
host_summary Perineal groove can be misdiagnosed as contact dermatitis, trauma, or sexual abuse ↗
▶ Ep 7 · 9:11
host_summary 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 Urogenital sinus plus normal anus is an endocrine problem, but no anus and urogenital sinus is a cloaca ↗
▶ Ep 7 · 15:03
host_summary 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 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 9 · 0:05
quote Hey there listeners, it's Amanda Jensen at Riley Children's. ↗
Spina Bifida 1 entry

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

▶ Ep 4 · 12:48
host_summary 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 ↗
Total Colonic Aganglionosis 9 entries

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

▶ Ep 8 · 3:37
quote 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 After meconium passage, obtaining another contrast image will show the characteristic appearance of Hirschsprung disease ↗
▶ Ep 8 · 4:19
host_summary 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 Rectal biopsies should be attempted preoperatively before proceeding to the operating room ↗
▶ Ep 8 · 8:53
host_summary 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 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 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 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 Surgeons can wait for final pathology and return another day to perform the pull-through procedure if needed ↗
Ulcerative Colitis 2 entries

The Colorectal Quiz Episode 21: The History of Hirschsprung Disease

▶ Ep 4 · 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 4 · 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. ↗