Pediatric colorectal disease definitions have evolved over the last several decades.
Unifying language has been proposed, however, variability in descriptive terminology
remains amongst individual experts in their description of anorectal malformation
and Hirschsprung disease subtypes [
[1]
,
[2]
]. The definitions of complications and treatment options surrounding the surgical
management of these conditions are often debated [
[1]
,
[2]
]. The difficulty in understanding best practice for these diagnoses is compounded
by the rare nature of these conditions and low numbers of cases being treated by individual
surgeons and centers [
[3]
]. There have been several global attempts at creating consensus. In 2005 a group
of experts in pediatric colorectal care gathered at Krickenbeck Castle in Germany
with the goal of developing standards for an international classification of anorectal
malformations [
[1]
]. Additionally, efforts have been made to define the subtypes of Hirschsprung disease
[
[2]
,
[4]
]. Despite this work, the language surrounding these diagnoses remains varied in practice.To read this article in full you will need to make a payment
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References
- Subir Chatterjee, Arnold Coran et al. Preliminary report on the international conference for the development of standards for the treatment of anorectal malformations.J Pediatr Surg. 2005 Oct; 40: 1521-1526https://doi.org/10.1016/j.jpedsurg.2005.08.002
- Management and outcomes for long-segment Hirschsprung disease: a systematic review from the apsa outcomes and evidence based practice committee.J Pediatr Surg. 2021 Sep; 56: 1513-1523https://doi.org/10.1016/j.jpedsurg.2021.03.046
- Operative volume of newborn surgery in German university hospitals: high volume versus low volume centers.Eur J Pediatr Surg. 2022 Oct; 32 (Epub 2022 Jan 13): 391-398https://doi.org/10.1055/s-0041-1740479
- Guidelines for synoptic reporting of surgery and pathology in Hirschsprung disease.J Pediatr Surg. 2019; : 1-7https://doi.org/10.1016/j.jpedsurg.2019.03.010
- A call to ARMs: accurate identification of the anatomy of the rectourethral fistula in anorectal malformations.J Pediatr Surg. 2019 Aug; 54 (Epub 2019 Apr 26): 1708-1710https://doi.org/10.1016/j.jpedsurg.2019.04.010
- Are routine post-operative dilations necessary after primary posterior sagittal anorectoplasty? A randomized controlled trial.J Pediatr Surg. 2021 Aug; 56 (Epub 2021 Apr 30): 1449-1453https://doi.org/10.1016/j.jpedsurg.2021.04.022
Article info
Publication history
Published online: January 04, 2023
Accepted:
December 29,
2022
Received:
December 27,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2023 Elsevier Inc. All rights reserved.
