A Report of 27 Cases of Congenital Short Colon with an Imperforate Anus: So-Called ‘Pouch Colon Syndrome’

1997 ◽  
Vol 27 (4) ◽  
pp. 217-220 ◽  
Author(s):  
S Budhiraja ◽  
S K Pandit ◽  
K N Rattan
Keyword(s):  
Retrospective Study ◽  
Imperforate Anus ◽  
Radiological Feature ◽  
Colonic Pouch ◽  
Risk Patients ◽  
Short Colon ◽  
Pouch Colon ◽  
Congenital Short Colon ◽  
Almost All ◽  
Good Risk

This is a retrospective study of 27 cases of congenital short colon with anorectal malformation (pouch colon syndrome) treated during the last 5 years (from January 1991 to December 1995). The radiological feature of enormously dilated colonic pouch occupying more than half the width of abdomen was diagnostic in almost all cases. Excision of pouch and end enterostomy was associated with maximum survival (92.3%) in good risk patients. Proximal diverting enterostomy with decompression and irrigation of pouch is a preferable alternative to pouch colostomy in poor risk patients. Tapering coloplasty and colostomy should be reserved only for types I and II cases of pouch colon.

Imperforate anus with congenital short colon (pouch colon syndrome)

1990 ◽  
Vol 5 (2) ◽  
Author(s):  
Harsh Wardhan ◽  
A.N. Gangopadhyay ◽  
G.D. Singhal ◽  
S.C. Gopal
Keyword(s):  
Imperforate Anus ◽  
Short Colon ◽  
Pouch Colon ◽  
Congenital Short Colon ◽  
Colon Pouch

Congenital short colon with imperforate anus (pouch colon)

2000 ◽  
Vol 30 (4) ◽  
pp. 243-246 ◽  
Author(s):  
T. E. Herman ◽  
D. Coplen ◽  
M. Skinner
Keyword(s):  
Imperforate Anus ◽  
Short Colon ◽  
Pouch Colon ◽  
Congenital Short Colon

Congenital short colon with imperforate anus: A definitive surgical cure

1982 ◽  
Vol 17 (2) ◽  
pp. 198-200 ◽  
Author(s):  
K. Vaezzadeh ◽  
S. Gerami ◽  
P. Kalani ◽  
W.K. Sieber
Keyword(s):  
Imperforate Anus ◽  
Short Colon ◽  
Surgical Cure ◽  
Congenital Short Colon

scholarly journals The effects of a preoperative multidisciplinary conference on outcomes for high-risk patients with challenging surgical treatment options: a retrospective study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Masayoshi Koike ◽  
Mie Yoshimura ◽  
Yasushi Mio ◽  
Shoichi Uezono
Keyword(s):  
Patient Safety ◽  
Retrospective Study ◽  
High Risk ◽  
Treatment Plan ◽  
Treatment Options ◽  
High Risk Patients ◽  
Appropriate Treatment ◽  
Risk Patients ◽  
Treatment Plans ◽  
Multidisciplinary Conference

Abstract Background Surgical options for patients vary with age and comorbidities, advances in medical technology and patients’ wishes. This complexity can make it difficult for surgeons to determine appropriate treatment plans independently. At our institution, final decisions regarding treatment for patients are made at multidisciplinary meetings, termed High-Risk Conferences, led by the Patient Safety Committee. Methods In this retrospective study, we assessed the reasons for convening High-Risk Conferences, the final decisions made and treatment outcomes using conference records and patient medical records for conferences conducted at our institution from April 2010 to March 2018. Results A total of 410 High-Risk Conferences were conducted for 406 patients during the study period. The department with the most conferences was cardiovascular surgery (24%), and the reasons for convening conferences included the presence of severe comorbidities (51%), highly difficult surgeries (41%) and nonmedical/personal issues (8%). Treatment changes were made for 49 patients (12%), including surgical modifications for 20 patients and surgery cancellation for 29. The most common surgical modification was procedure reduction (16 patients); 4 deaths were reported. Follow-up was available for 21 patients for whom surgery was cancelled, with 11 deaths reported. Conclusions Given that some change to the treatment plan was made for 12% of the patients discussed at the High-Risk Conferences, we conclude that participants of these conferences did not always agree with the original surgical plan and that the multidisciplinary decision-making process of the conferences served to allow for modifications. Many of the modifications involved reductions in procedures to reflect a more conservative approach, which might have decreased perioperative mortality and the incidence of complications as well as unnecessary surgeries. High-risk patients have complex issues, and it is difficult to verify statistically whether outcomes are associated with changes in course of treatment. Nevertheless, these conferences might be useful from a patient safety perspective and minimize the potential for legal disputes.

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