Rebecca Rentea

117 statements · 8 topics · summaries given as host listed separately

Featured statements

I think there's still a question about children that are just sent home with dilations through their fistula and That is something that really is difficult to get away from completely because even not doing a dilation for a day at the neonates bedside for a child that could potentially be sent home and have a delayed posterior sagittal anal ectoplasty, that fistula can close up.

quote · Anorectal Malformation

I would say though that the HM anoplasty, there's, um, a really big stress in that paper that long strictures that go through the sphincter complex are likely not to be done well through an HM anoplasty, which should really take place at the skin level.

quote · Anorectal Malformation

2 to 3 months is nice because you're just keeping the fistula open. You're not trying to increase the size. You're not trying to quote-unquote, go anywhere to like get to a 12. You're just wanting the stool to be able to come out.

quote · Colorectal / ARM & Hirschsprung

Basically, a delayed pull-through with irrigation, sending the family home if there is a support system, and that is my editorialization, if there's a support system, is a safe alternative to an operation in the neonatal period.

quote · Colorectal / ARM & Hirschsprung

I think if you wait way too long to do a pull through a special of total colonic, they will have horrible anal sphincter spasm and potentially horrible pelvic disease that makes keeping a pull through really challenging.

quote · Hirschsprung disease

So there is a really good case here to abandon doing dilations postoperatively for children with anorectal malformations.

quote · Hirschsprung disease

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Rebecca's statements about Anorectal Malformation 21 statements

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Update Course Rewind: Pediatric Colorectal Consortium 2021

Quotation And so our first hot topic is anal dilations following posterior sagittal anorectoplasty or the PSA. Open

Quotation So there is a really good case here to abandon doing dilations postoperatively for children with anorectal malformations. Open

Statement Dr. Rentia currently sizes the anus at 2 weeks and 1 month in practice to understand the diameter of the anoplasty so that stooling is not obstructed by an unrecognized strictured anoplasty. Open

Statement Dr. Rentia would only consider initiating full dilations for slightly older children where dilations are more traumatic and if concerned about needing general anesthesia, given that HM anoplasty is an option. Open

Statement About 5 to 8% of patients require a strictureplasty at the two-month period. Open

Statement Dr. Rentia is a fan of doing dilations in the neonatal period for low malformations and having the family discharged as soon as possible to home. Open

Statement Dr. Rentia performs pull-through when the child is toilet trained for urine, typically at age 4, because waiting too long can result in horrible anal sphincter spasm and pelvic disease that makes keeping a pull-through challenging. Open

Update Course 2021: PEDS COLORECTAL CONSORTIUM CONCLUSIONS

Quotation So there is a really good case here to abandon doing dilations postoperatively for children with anorectal malformations. Open

Quotation I think there's still a question about children that are just sent home with dilations through their fistula and That is something that really is difficult to get away from completely because even not doing a dilation for a day at the neonates bedside for a child that could potentially be sent home and have a delayed posterior sagittal anal ectoplasty, that fistula can close up. Open

Statement The Heineke-Mikulicz anoplasty should be performed at the skin level; long strictures extending through the sphincter complex are not suitable for this technique. Open

Quotation I would say though that the HM anoplasty, there's, um, a really big stress in that paper that long strictures that go through the sphincter complex are likely not to be done well through an HM anoplasty, which should really take place at the skin level. Open

Statement Current practice shows approximately 5-8% of patients require strictureplasty at the two-month follow-up period when dilations are not routinely performed. Open

Statement The Pediatric Colorectal and Pelvic Learning Consortium (PCPLC) is a multi-institutional consortium across the United States comprised of 17 institutions including free-standing children's hospitals. Open

Statement The optimal timing for repair of low anorectal malformations is around 2-3 months, balancing the goal of keeping the fistula open without trying to increase size, while managing constipation with MiraLax to keep stool soft. Open

Quotation 2 to 3 months is nice because you're just keeping the fistula open. You're not trying to increase the size. You're not trying to quote-unquote, go anywhere to like get to a 12. You're just wanting the stool to be able to come out. Open

Quotation I think that there is a role with all the techniques that we have now in terms of using water-soluble fiber to thicken stool, Imodium to slow stool down, to be able to titrate the ileostomy effluent before the child has a pull-through. Open

Statement Water-soluble fiber and Imodium can be used to thicken and slow ileostomy effluent before pull-through in total colonic Hirschsprung patients. Open

Statement Delaying pull-through too long in total colonic Hirschsprung can result in horrible anal sphincter spasm and pelvic disease that makes maintaining a pull-through challenging. Open

Quotation I think if you wait way too long to do a pull through a special of total colonic, they will have horrible anal sphincter spasm and potentially horrible pelvic disease that makes keeping a pull through really challenging. Open

Quotation Basically, a delayed pull-through with irrigation, sending the family home if there is a support system, and that is my editorialization, if there's a support system, is a safe alternative to an operation in the neonatal period. Open

Statement Delayed pull-through with rectal irrigations and sending the family home is a safe alternative to neonatal operation for Hirschsprung disease when there is adequate family support. Open

Rebecca's statements about Colorectal / ARM & Hirschsprung 32 statements

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Colorectal Quiz Episode 15: Bowel Management in Spinal Patients - Need for a UrologistPart 1

Statement A Malone appendicostomy provides tube-free access for antegrade enemas via daily catheterization of the channel. Open

Statement Children with spinal differences may need bladder access later in life, and the appendix is the preferred conduit for a Mitrofanoff urinary channel. Open

Quotation children with spinal differences may need an access to the bladder later in life, and that the beau a beautiful channel with that would actually be from the appendix. Open

Statement A cecostomy tube (placed laparoscopically or by interventional radiology) provides direct access to the cecum for antegrade enemas and preserves the appendix for future reconstruction. Open

Quotation I call it the G tube of the colon or G tube of the cecum. Open

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

Statement In a very ill child, a contrast study would not be the best initial option; resuscitation and stabilization should come first. Open

Quotation Irrigation is CPR of the colon is how I compare it to family. Open

Statement On contrast enema, if the catheter is inserted too high or the balloon is under too much pressure, distal pathology cannot be easily ascertained. Open

The Colorectal Quiz Episode 20: Hirschsprung Disease Obstruction Part 2

Statement Lone Star retractor should be used to obtain a circumferential view of the anastomotic area during exam under anesthesia Open

Quotation You really wanna make Make sure that you get a circumferential view of the area. It's, it, a lot of these things sound like you could just kind of do it or get a little bit of a look or take a speculum or something, but you really wanna set up so that you can look at all these things carefully. Open

Quotation So the big reveal here, uh, Doctor Levitt described it perfectly earlier. This was a transition zone from where we did a really, uh, nice generous full thickness rectal biopsy. So, no ganglion cells and nerves up to 80 microns on average. Open

Update Course Rewind: Pediatric Colorectal Consortium 2021

Quotation And so our first hot topic is anal dilations following posterior sagittal anorectoplasty or the PSA. Open

Quotation So there is a really good case here to abandon doing dilations postoperatively for children with anorectal malformations. Open

Statement About 5 to 8% of patients require a strictureplasty at the two-month period. Open

Statement Dr. Rentia is a fan of doing dilations in the neonatal period for low malformations and having the family discharged as soon as possible to home. Open

Update Course 2021: PEDS COLORECTAL CONSORTIUM CONCLUSIONS

Quotation So there is a really good case here to abandon doing dilations postoperatively for children with anorectal malformations. Open

Statement The Heineke-Mikulicz anoplasty should be performed at the skin level; long strictures extending through the sphincter complex are not suitable for this technique. Open

Statement Current practice shows approximately 5-8% of patients require strictureplasty at the two-month follow-up period when dilations are not routinely performed. Open

Statement Water-soluble fiber and Imodium can be used to thicken and slow ileostomy effluent before pull-through in total colonic Hirschsprung patients. Open

Statement Delaying pull-through too long in total colonic Hirschsprung can result in horrible anal sphincter spasm and pelvic disease that makes maintaining a pull-through challenging. Open

Statement Delayed pull-through with rectal irrigations and sending the family home is a safe alternative to neonatal operation for Hirschsprung disease when there is adequate family support. Open

Rebecca's statements about Crohn's Disease 3 statements

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

Statement In a very ill child, a contrast study would not be the best initial option; resuscitation and stabilization should come first. Open

Quotation Irrigation is CPR of the colon is how I compare it to family. Open

Statement On contrast enema, if the catheter is inserted too high or the balloon is under too much pressure, distal pathology cannot be easily ascertained. Open

Rebecca's statements about Hirschsprung disease 24 statements

Open the Hirschsprung disease collection →

The Colorectal Quiz Episode 20: Hirschsprung Disease Obstruction Part 2

Statement Lone Star retractor should be used to obtain a circumferential view of the anastomotic area during exam under anesthesia Open

Update Course Rewind: Pediatric Colorectal Consortium 2021

Quotation And so our first hot topic is anal dilations following posterior sagittal anorectoplasty or the PSA. Open

Quotation So there is a really good case here to abandon doing dilations postoperatively for children with anorectal malformations. Open

Statement About 5 to 8% of patients require a strictureplasty at the two-month period. Open

Statement Dr. Rentia is a fan of doing dilations in the neonatal period for low malformations and having the family discharged as soon as possible to home. Open

Update Course 2021: PEDS COLORECTAL CONSORTIUM CONCLUSIONS

Quotation So there is a really good case here to abandon doing dilations postoperatively for children with anorectal malformations. Open

Statement The Heineke-Mikulicz anoplasty should be performed at the skin level; long strictures extending through the sphincter complex are not suitable for this technique. Open

Statement Current practice shows approximately 5-8% of patients require strictureplasty at the two-month follow-up period when dilations are not routinely performed. Open

Statement Water-soluble fiber and Imodium can be used to thicken and slow ileostomy effluent before pull-through in total colonic Hirschsprung patients. Open

Statement Delaying pull-through too long in total colonic Hirschsprung can result in horrible anal sphincter spasm and pelvic disease that makes maintaining a pull-through challenging. Open

Statement Delayed pull-through with rectal irrigations and sending the family home is a safe alternative to neonatal operation for Hirschsprung disease when there is adequate family support. Open

Rebecca's statements about Hirschsprung's-associated Enterocolitis 6 statements

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

Statement In a very ill child, a contrast study would not be the best initial option; resuscitation and stabilization should come first. Open

Quotation Irrigation is CPR of the colon is how I compare it to family. Open

Statement On contrast enema, if the catheter is inserted too high or the balloon is under too much pressure, distal pathology cannot be easily ascertained. Open

The Colorectal Quiz Episode 20: Hirschsprung Disease Obstruction Part 2

Statement Lone Star retractor should be used to obtain a circumferential view of the anastomotic area during exam under anesthesia Open

Rebecca's statements about Myelomeningocele 5 statements

Open the Myelomeningocele collection →

Colorectal Quiz Episode 15: Bowel Management in Spinal Patients - Need for a UrologistPart 1

Statement A Malone appendicostomy provides tube-free access for antegrade enemas via daily catheterization of the channel. Open

Statement Children with spinal differences may need bladder access later in life, and the appendix is the preferred conduit for a Mitrofanoff urinary channel. Open

Quotation children with spinal differences may need an access to the bladder later in life, and that the beau a beautiful channel with that would actually be from the appendix. Open

Statement A cecostomy tube (placed laparoscopically or by interventional radiology) provides direct access to the cecum for antegrade enemas and preserves the appendix for future reconstruction. Open

Quotation I call it the G tube of the colon or G tube of the cecum. Open

Rebecca's statements about Rectal Bladder Neck Fistula 21 statements

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Update Course Rewind: Pediatric Colorectal Consortium 2021

Quotation And so our first hot topic is anal dilations following posterior sagittal anorectoplasty or the PSA. Open

Quotation So there is a really good case here to abandon doing dilations postoperatively for children with anorectal malformations. Open

Statement About 5 to 8% of patients require a strictureplasty at the two-month period. Open

Statement Dr. Rentia is a fan of doing dilations in the neonatal period for low malformations and having the family discharged as soon as possible to home. Open

Update Course 2021: PEDS COLORECTAL CONSORTIUM CONCLUSIONS

Quotation So there is a really good case here to abandon doing dilations postoperatively for children with anorectal malformations. Open

Statement The Heineke-Mikulicz anoplasty should be performed at the skin level; long strictures extending through the sphincter complex are not suitable for this technique. Open

Statement Current practice shows approximately 5-8% of patients require strictureplasty at the two-month follow-up period when dilations are not routinely performed. Open

Statement Water-soluble fiber and Imodium can be used to thicken and slow ileostomy effluent before pull-through in total colonic Hirschsprung patients. Open

Statement Delaying pull-through too long in total colonic Hirschsprung can result in horrible anal sphincter spasm and pelvic disease that makes maintaining a pull-through challenging. Open

Statement Delayed pull-through with rectal irrigations and sending the family home is a safe alternative to neonatal operation for Hirschsprung disease when there is adequate family support. Open

Rebecca's statements about Spina Bifida 5 statements

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Colorectal Quiz Episode 15: Bowel Management in Spinal Patients - Need for a UrologistPart 1

Statement A Malone appendicostomy provides tube-free access for antegrade enemas via daily catheterization of the channel. Open

Statement Children with spinal differences may need bladder access later in life, and the appendix is the preferred conduit for a Mitrofanoff urinary channel. Open

Quotation children with spinal differences may need an access to the bladder later in life, and that the beau a beautiful channel with that would actually be from the appendix. Open

Statement A cecostomy tube (placed laparoscopically or by interventional radiology) provides direct access to the cecum for antegrade enemas and preserves the appendix for future reconstruction. Open

Quotation I call it the G tube of the colon or G tube of the cecum. Open

Summaries Rebecca gave as host · 142 summaries

Recaps of other experts' statements, not Rebecca's own clinical position.

Summaries Rebecca gave as host · Anorectal Malformation 34 summaries

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Update Course Rewind: Pediatric Colorectal Consortium 2021

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: A single institution prospective randomized controlled trial found that anal dilations after PSARP may not be needed. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: In the dilation study, length of follow-up was 12 months, PSARP had to be performed in a child under 24 months of age, it was primary surgery, and excluded cloaca as a diagnosis. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: The average PSARP was performed at 5 months in the study. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: A stricture was defined as a Hagar dilator size of less than 10. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: Strictures were non-significant between both groups (dilation vs no dilation), and a Heineke-Mikulicz anoplasty (longitudinal incision closed transversely to widen diameter) was able to be performed for stricture management. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: Long segment Hirschsprung disease is defined as any disease proximal to the rectosigmoid colon for the majority of reviewed articles. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: A contrast study itself is very inaccurate for Hirschsprung disease, and colonic mapping needs to be performed to determine the level of the transition zone. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: There was no superior or more common operation for long segment Hirschsprung, although Duhamel and Swenson-Soave were the top operations. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: There are no new novel surgical techniques for Hirschsprung disease over the past several years, though there is potential for stem cell therapy which is still in its infancy. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: A hypermotility and skin rash protocol for total colonic Hirschsprung disease outlines why an early operation (around 5 months old) is possible. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: If a child with an ileostomy is adequately prepared and the family can learn to thicken stool, they can have a pull-through that does not result in complete perineal skin breakdown and learn techniques helpful for this difficult-to-toilet-train group. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: A study on timing of pull-through for Hirschsprung disease required all infants to be diagnosed under 1 month of age, with primary pull-throughs performed either less than or greater than 31 days. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: Preoperative enterocolitis was the same between both timing groups (before and after 31 days), postoperative enterocolitis was the same, and transition zone was the marker if a child needed treatment for constipation. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: Urethral length of about 2.5 centimeters has been measured in VCUGs of normal females, and about 1.5 centimeters is needed for cloacal reconstruction. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: If a urethra that is too short is pulled past the bladder neck, there is a risk for incontinence. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: A short vagina, even in an otherwise shorter common channel operation, may require a vaginal replacement. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: Rotational fluoroscopy and 3D reconstructions are key to being able to make reliable measurements for cloacal anatomy. Open

Update Course 2021: PEDS COLORECTAL CONSORTIUM CONCLUSIONS

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: Are routine anal dilations needed following a PSARP? And what this study found in a single institution prospective randomized controlled trial. Is that They may not be needed. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: A single-institution prospective randomized controlled trial from Nationwide compared routine anal dilations versus no dilations following PSARP, with 25 patients in each arm and 12-month follow-up. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: Literature documents a component of psychological dissociation in children who undergo routine anal dilations, measured on later testing. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: Stricture was defined as a Hagar dilator size of less than 10, which is 2 standard deviations below the newborn standard of Hagar size 12. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: In the dilation versus non-dilation arms, strictures occurred in 3 versus 8 patients (non-significant difference), and the number of Heineke-Mikulicz anoplasties needed was equivalent between groups. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: The number of re-operative surgeries was equivalent between dilation and non-dilation groups (about 2 in each group). Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: Long-segment Hirschsprung disease is defined as any disease proximal to the rectosigmoid colon in the majority of reviewed articles. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: Contrast studies are very inaccurate for determining the transition zone in Hirschsprung disease; colonic mapping with biopsies is needed. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: For long-segment Hirschsprung disease, no superior operation was identified, though Duhamel and Swenson-Soave were the most commonly performed procedures. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: A European study demonstrated that early operation for total colonic Hirschsprung (around 5 months) is possible if the child with an ileostomy is adequately prepared and the family learns to thicken stool, preventing complete perineal skin breakdown. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: A PCPLC study comparing early (under 31 days) versus late (over 31 days) endorectal pull-through for Hirschsprung diagnosed under 1 month found preoperative enterocolitis rates were equivalent (about 2 in each group). Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: Post-operative enterocolitis rates were equivalent between early and late pull-through groups (40-50% experiencing at least one episode in both groups). Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: Constipation and incontinence outcomes tracked to 3.5 years were equivalent between early and late pull-through groups for Hirschsprung disease. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: Transition zone level, rather than timing of pull-through, was the primary marker determining whether a Hirschsprung patient needed treatment for constipation. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: The urethral length in normal females has been measured at about 2.5 centimeters, and approximately 1.5 centimeters is needed to avoid incontinence; pulling a urethra that is too short past the bladder neck creates risk for incontinence. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: A short vagina may require vaginal replacement even in an otherwise short common channel cloaca operation. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: Rotational fluoroscopy and 3D reconstructions are key to making reliable anatomic measurements for cloacal reconstruction planning. Open

Summaries Rebecca gave as host · Colorectal / ARM & Hirschsprung 36 summaries

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Colorectal Quiz Episode 15: Bowel Management in Spinal Patients - Need for a UrologistPart 1

Host summary Rebecca Rentea summarizing the discussion: About 5% of colorectal work is surgical and the rest is bowel management. Open

Host summary Rebecca Rentea summarizes what Dr. Marc Levitt said: Doctor Levitt, you've always talked about how about 5% of what we do is surgical and the rest is bowel management. Open

Update Course Rewind: Pediatric Colorectal Consortium 2021

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: A single institution prospective randomized controlled trial found that anal dilations after PSARP may not be needed. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: The average PSARP was performed at 5 months in the study. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: A stricture was defined as a Hagar dilator size of less than 10. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: If a urethra that is too short is pulled past the bladder neck, there is a risk for incontinence. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: A short vagina, even in an otherwise shorter common channel operation, may require a vaginal replacement. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: Rotational fluoroscopy and 3D reconstructions are key to being able to make reliable measurements for cloacal anatomy. Open

Update Course 2021: PEDS COLORECTAL CONSORTIUM CONCLUSIONS

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: The number of re-operative surgeries was equivalent between dilation and non-dilation groups (about 2 in each group). Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: A short vagina may require vaginal replacement even in an otherwise short common channel cloaca operation. Open

Summaries Rebecca gave as host · Hirschsprung disease 34 summaries

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Update Course Rewind: Pediatric Colorectal Consortium 2021

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: A single institution prospective randomized controlled trial found that anal dilations after PSARP may not be needed. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: The average PSARP was performed at 5 months in the study. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: A stricture was defined as a Hagar dilator size of less than 10. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: If a urethra that is too short is pulled past the bladder neck, there is a risk for incontinence. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: A short vagina, even in an otherwise shorter common channel operation, may require a vaginal replacement. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: Rotational fluoroscopy and 3D reconstructions are key to being able to make reliable measurements for cloacal anatomy. Open

Update Course 2021: PEDS COLORECTAL CONSORTIUM CONCLUSIONS

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: The number of re-operative surgeries was equivalent between dilation and non-dilation groups (about 2 in each group). Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: A short vagina may require vaginal replacement even in an otherwise short common channel cloaca operation. Open

Summaries Rebecca gave as host · Myelomeningocele 2 summaries

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Colorectal Quiz Episode 15: Bowel Management in Spinal Patients - Need for a UrologistPart 1

Host summary Rebecca Rentea summarizes what Dr. Marc Levitt said: Doctor Levitt, you've always talked about how about 5% of what we do is surgical and the rest is bowel management. Open

Host summary Rebecca Rentea summarizing the discussion: About 5% of colorectal work is surgical and the rest is bowel management. Open

Summaries Rebecca gave as host · Rectal Bladder Neck Fistula 34 summaries

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Update Course Rewind: Pediatric Colorectal Consortium 2021

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: A single institution prospective randomized controlled trial found that anal dilations after PSARP may not be needed. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: The average PSARP was performed at 5 months in the study. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: A stricture was defined as a Hagar dilator size of less than 10. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: If a urethra that is too short is pulled past the bladder neck, there is a risk for incontinence. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: A short vagina, even in an otherwise shorter common channel operation, may require a vaginal replacement. Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: Rotational fluoroscopy and 3D reconstructions are key to being able to make reliable measurements for cloacal anatomy. Open

Update Course 2021: PEDS COLORECTAL CONSORTIUM CONCLUSIONS

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: The number of re-operative surgeries was equivalent between dilation and non-dilation groups (about 2 in each group). Open

Host summary Rebecca Rentea summarizes what Dr. Caitlin Smith said: A short vagina may require vaginal replacement even in an otherwise short common channel cloaca operation. Open

Summaries Rebecca gave as host · Spina Bifida 2 summaries

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Colorectal Quiz Episode 15: Bowel Management in Spinal Patients - Need for a UrologistPart 1

Host summary Rebecca Rentea summarizing the discussion: About 5% of colorectal work is surgical and the rest is bowel management. Open

Host summary Rebecca Rentea summarizes what Dr. Marc Levitt said: Doctor Levitt, you've always talked about how about 5% of what we do is surgical and the rest is bowel management. Open