41. Imperforate Anus imperforate anus. imperforate anus is an abnormality of the anus (theopening through which feces pass out of the body). The anus http://www.lebanonhealth.com/condi/91041.htm

Imperforate Anus Imperforate anus is an abnormality of the anus (the opening through which feces pass out of the body). The anus may not properly connect with the bowel (large intestine), or it may be located in an abnormal position. Some babies with imperforate anus also have an abnormal connection (called a fistula) that allows feces to flow from the bowel to the bladder, urethra or vagina, or to leave the body through an opening near the scrotum. Depending on the location of the defect, an imperforate anus may be classified as a "high lesion" or a "low lesion." A high lesion is more likely to be associated with a fistula. If there is no way for feces to be expelled from the intestine, then the baby is said to have an intestinal obstruction. This can cause serious and even life-threatening complications. As feces build up within the bowel, the intestine may be severely stretched, sometimes so much that it develops a weakened area in the wall, and then a hole (intestinal perforation). Such a perforation allows stool to leak out into the abdomen, which can cause a severe infection Imperforate anus is a relatively common birth defect, occurring in about one out of every 5,000 newborns. It is more common in boys than in girls. Babies with imperforate anus also have a high likelihood of other associated birth defects, often of the esophagus, duodenum (first section of the intestine), kidneys, heart or central nervous system (brain and spinal cord). Children with

42. Imperforate Anus imperforate anus Causes, incidence, and risk factors imperforate anus is amalformation of the anorectal region that may occur in several forms. http://w3.uokhsc.edu/pediatricsurgery/imperforateanus.htm

HomePage About Us Surgeries Contact Us ... Residency Imperforate Anus Alternative names : anorectal malformations; anal atresia Definition : A congenital obstruction of the anal opening. Causes, incidence, and risk factors : Imperforate anus is a malformation of the anorectal region that may occur in several forms. The rectum may end in a blind pouch that does not connect with the colon, or it may have openings to the urethra, bladder, or vagina. A condition of stenosis, or narrowing of the anus, or absence of the anus may be present. The malformations are caused by abnormal development of the fetus, and many are associated with other congenital defects. Imperforate anus is a relatively common congenital malformation that occurs in about 1 out of 5,000 infants. Symptoms absence of anal opening misplaced anal opening anal opening very near the vaginal opening in the female no passage of first stool within 24 to 48 hours after birth stool passed by way of vagina or urethra abdominal distention vomiting if infant is fed Signs and tests A physical examination with check for anal patency in the newborn will show the malformation.

43. Health Content Encyclopedia Article Imperforate Anus Repair Surgery to correct one of several birth defects involving malformationof the rectum and anus (imperforate anus). imperforate anus repair http://www.baptisteast.com/adamcontent/ency/article/002926.asp

44. Health Content Encyclopedia Article Imperforate Anus imperforate anus opening. Causes and Risk. imperforate anus is a malformationof the anorectal region that may occur in several forms. http://www.baptisteast.com/adamcontent/ency/article/001147.asp

45. Image:"Covered" Anus (low Imperforate Anus) Click here to return to the Pediatric Surgery at Brown Home Page. Key words anorectal,imperforate anus, covered anus, buckethandle, meconium, VATER, fistula. http://bms.brown.edu/pedisurg/Brown/IBImages/GI/coveredanus.html

Click here to return to the Pediatric Surgery at Brown Home Page Key words: anorectal, imperforate anus, covered anus, buckethandle, meconium, VATER, fistula

46. NORD - National Organization For Rare Disorders, Inc. imperforate anus. To purchase fulltext report ($7.50) Copyright 1989, 1999Synonyms of imperforate anus Anal Atresia; Anal Membrane; Anal Stenosis; http://www.rarediseases.org/search/rdbdetail_abstract.html?disname=Imperforate A

47. Personal Experiences & Notes On on the care of a child with imperforate anus http://members.tripod.com/jim_pendergraft/project.htm

the Care of a Child with Imperforate Anus NOTICE The relevance of any information contained in this document to a particular person should be discussed by the family with their own physicians. I am not a doctor and can not guarantee the accuracy of the information provided here. Updated: October 10, 2001 kpendergraft@nc.rr.com Introduction - How to Make the Best Use of This General Information Health Resume Medical Records ... Appendix A - Detailed Outline Introduction - How to Make the Best Use of This This document came into being from a combination of factors. First, the pullthrough list archives prior to Jan. 2000 are no longer accessible. I had saved many notes on various topics relating to Stephen’s problems that I thought could help other parents. Second, there are parents who have no computer access who could benefit from the information on the PTL list serv and on the web. Finally, and most importantly, my husband and I felt strongly that God was calling me to organize the information I had to help other parents. So, I dug out all of my saved notes, articles, PTN newsletters, etc. and attempted to summarize, assemble, and organize the information.

48. Imperforate Anus Repair imperforate anus repair. Indications This surgery is recommended to repaircases of imperforate anus and other anorectal malformations. http://www.rwjuhh.net/Atoz/Encyclopedia/article/002926.asp

For a complete list of hospital classes and events, click here to connect to HealthConnection Online Medical Encyclopedia Encyclopedia Surgery I -> Imperforate anus repair Imperforate anus repair Alternate Names: Anorectal malformation repair; Perineal anoplasty Description: Surgical repair involves creating an opening for passage of stool. Complete absence of an anal opening requires emergency surgery for the newborn. Surgical repairs are done while the baby is deep asleep and pain-free (using general anesthesia). Surgery for a high type imperforate anus defect usually involves creation of a temporary opening of the large intestine (colon) onto the abdomen to allow passage of stool (this is called a colostomy ). The baby is allowed to grow for several months before attempting the more complex anal repair. The anal repair involves an abdominal incision, loosening the colon from its attachments in the abdomen to allow it to be repositioned. Through an anal incision, the rectal pouch is pulled down into place, and the anal opening is completed. The colostomy may be closed during this stage or may be left in place for a few more months while the tissues heal, and closed at a later stage. Surgery for the low type imperforate anus (which frequently includes a fistula ) involves closure of the fistula, creation of an anal opening, and repositioning the rectal pouch into the anal opening.

49. Imperforate Anus imperforate anus. Alternate Causes and Risks imperforate anus is a malformationof the anorectal region that may occur in several forms. The http://www.rwjuhh.net/Atoz/encyclopedia/article/001147.asp

For a complete list of hospital classes and events, click here to connect to HealthConnection Online Medical Encyclopedia Encyclopedia Disease I -> Imperforate anus Imperforate anus Alternate Names: Anorectal malformations; Anal atresia Causes and Risks: Imperforate anus is a malformation of the anorectal region that may occur in several forms. The rectum may end in a blind pouch that does not connect with the colon, or it may have openings to the urethra, bladder, or vagina . A condition of stenosis, or narrowing of the anus, or absence of the anus may be present. The malformations are caused by abnormal development of the fetus, and many are associated with other congenital defects. Imperforate anus is a relatively common congenital malformation that occurs in about 1 out of 5,000 infants. Prevention: As with most birth defects, there is no known prevention. Symptoms: absence of anal opening misplaced anal opening anal opening very near the vaginal opening in the female no passage of first stool within 24 to 48 hours after birth stool passed by way of vagina or urethra abdominal distention vomiting if infant is fed Signs and Tests: A physical examination with check for anal patency in the newborn will show the malformation.

50. Imperforate Anus - General Practice Notebook imperforate anus. imperforate anus is a congenital cause of intestinalobstruction, bladder and sexual dysfunction. Its describes http://www.gpnotebook.co.uk/cache/812318729.htm

imperforate anus Imperforate anus is a congenital cause of intestinal obstruction, bladder and sexual dysfunction. Its describes a spectrum of abnormalities affecting the anorectal area. The anus of the newborn baby must be always checked for the presence patency in the neonatal examination. Imperforate anus affects 1 in 4000 new babies. In males, the most frequent abnormality is imperforate anus with a recto-urethral fistula, followed by perineal and rectovesical forms. In females, rectovestibular fistula is most common followed by perineal fistula with persistent cloaca. In 5% of cases there is no fistula. There is a higher than average incidence of other congenital malformations, for example, oeosphageal atresia. The risk of a couple with one affected child having a second child with imperforate anus is about 1%. Click here for more information...

51. Anus(imperforate) - General Practice Notebook imperforate anus is a congenital cause of intestinal obstruction, bladderand sexual dysfunction. imperforate anus affects 1 in 4000 new babies. http://www.gpnotebook.co.uk/cache/1738145793.htm

anus(imperforate) Imperforate anus is a congenital cause of intestinal obstruction, bladder and sexual dysfunction. Its describes a spectrum of abnormalities affecting the anorectal area. The anus of the newborn baby must be always checked for the presence patency in the neonatal examination. Imperforate anus affects 1 in 4000 new babies. In males, the most frequent abnormality is imperforate anus with a recto-urethral fistula, followed by perineal and rectovesical forms. In females, rectovestibular fistula is most common followed by perineal fistula with persistent cloaca. In 5% of cases there is no fistula. There is a higher than average incidence of other congenital malformations, for example, oeosphageal atresia. The risk of a couple with one affected child having a second child with imperforate anus is about 1%. Click here for more information...

52. Imperforate Anus From Pediatrics / Gastroenterology imperforate anus Congenital anomalies of the anus and rectum are relatively common. Urologicabnormalities are common in patients with an imperforate anus. http://author.emedicine.com/PED/topic1171.htm

eMedicine Journal Pediatrics Gastroenterology Imperforate Anus Synonyms, Key Words, and Related Terms: anal atresia, anal stenosis, covered anus, rectourethral fistula, anal agenesis, anterior ectopic anus, perineal fistula, rectoprostatic fistula, rectal fistula, cloacal malformation, Currarino syndrome, anorectal anomaly Author Information Introduction Clinical Workup ... Bibliography AUTHOR INFORMATION Section 1 of 10 Authored by Daniel A Beals, MD , Associate Professor, Department of Surgery, Section of Pediatric Surgery, University of Kentucky Daniel A Beals, MD, is a member of the following medical societies: American Society for Bioethics and Humanities Edited by Hisham Nazer, MD , Professor, Department of Pediatrics, University of Jordan, Amman, Jordan; Mary L Windle, PharmD , Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Carmen Cuffari, MD , Assistant Professor, Department of Pediatrics, Division of Gastroenterology/Nutrition, Johns Hopkins University; Steven Schwarz, MD , Chairman, Department of Pediatrics, Long Island College Hospital; Professor of Pediatrics, State University of New York Downstate Medical Center; and

53. Imperforate Anus : Meddie Health Search Colon and Rectal Surgery Abstracts Primary repair of imperforate anus inan adult. PSU Vol 02 1994 Hirschsprung's disease. imperforate anus. http://www.meddie.com/search/Health/Conditions_and_Diseases/Digestive_Disorders/

HOME ADD A LINK MODIFY A LINK NEW LINKS ... TOP RATED Search Meddie: the entire directory only this category More search options Home Health Conditions and Diseases ... Anorectal : Imperforate Anus ITEMS: LINKS: Anorectal Malformations Discussion Groups Links to discussion groups and mailing lists (Rating: 0.00 Votes: 0) Rate It Cecostomy.com A new technique and catheter changing the lives of patients with fecal incontinence (Rating: 0.00 Votes: 0) Rate It Colon and Rectal Surgery Abstracts: Primary repair of imperforate anus in an adult. (Rating: 0.00 Votes: 0) Rate It Constipation after operation for imperforate anus. (Rating: 0.00 Votes: 0) Rate It Digestive System Defects Developmental Defects of the Digestive System (Rating: 0.00 Votes: 0) Rate It EImperforate Anus Family Association Since Nov.1996 - Taiwan (Rating: 0.00 Votes: 0) Rate It Esophageal Atresia and Tracheoesophageal Fistula Published by the American Academy of Family Physicians (Rating: 0.00 Votes: 0) Rate It Frequently Asked Questions Surgeons, Nurses and Parents questions regarding The Malone Procedure, VATER, Soave pull-through for Hirschsprung's and more. (Rating: 0.00 Votes: 0)

54. Imperforate Anus Resources On The Internet HealthCyclopedia, imperforate anus. Health News, Search millions Surgery.Constipation after operation for imperforate anus. Currarino http://www.healthcyclopedia.com/imperforate_anus.html

Home Health Conditions by Category ... Contact Us Imperforate Anus Health News Search millions of published articles for news on Imperforate Anus The eLibrary newspaper and magazine archive contains articles from current and back issues of hundreds of publications, including: Modern Medicine Aging The Ardell Wellness Report HealthFacts The Journal of Environmental Health Medical Post Medical Update Men's Health and the National Women's Health Report Note: To access the full text of articles, sign up for a seven-day no-risk free trial subscription to eLibrary. Web Directory Subtopics: Hirschsprungs Urinary Incontinence See Also: Health: Child Health Health: Conditions and Diseases: Rare Disorders: VATER Syndrome Health: Medicine: Medical Specialties: Pediatrics Web Links: The Pull-thru Network - Non-profit support and resource organization for families of children born with imperforate anus, cloaca, Hirschsprung's Disease and any of the associated defects. Anorectal Malformation - Resource page providing links to detailed support information. Anorectal Malformations Discussion Groups - Links to discussion groups and mailing lists Cecostomy.com

55. TOWNES - IMPERFORATE ANUS; TRIPHALANGEAL THUMBS; EAR ANOMALIES Features Listed For TOWNES imperforate anus; TRIPHALANGEAL THUMBS;EAR ANOMALIES. McKusick 107480. Absent or hypoplastic thumbs http://www.hgmp.mrc.ac.uk/dhmhd-bin/hum-look-up?1711

56. Avera Health - Imperforate Anus Repair - Series - Normal Anatomy bowel (rectum). Through complex nerve and muscle structures, therectum releases stool through the anus out of the body. Review http://www.avera.org/adam/presentations/100030_1.htm

Normal anatomy In individuals with a normal anatomy, the large intestine (colon) empties into a pouch-like portion of bowel (rectum). Through complex nerve and muscle structures, the rectum releases stool through the anus out of the body. Review Date: 6/25/2001 12:00:00 AM Reviewed By:A.D.A.M. Medical Illustration Team

57. Imperforate Anus Repair imperforate anus repair. Alternative Names Anorectal malformationrepair; Perineal anoplasty. Risks Risks for any anesthesia are http://www.iowaclinic.com/adam/ency/article/002926ris.shtml

Disease Injury Nutrition Poison ... Risks Imperforate anus repair Alternative Names: Anorectal malformation repair; Perineal anoplasty Risks: Risks for any anesthesia are: reactions to medications problems breathing Risks for any surgery are: bleeding infection Other risks include: damage to the supporting muscles in the pelvis damage to the urethra temporary postoperative paralysis of the bowel ( paralytic ileus Review Date: 6/7/2001 Reviewed By: Robert O’Rourke, M.D., Department of Surgery, University of California, San Francisco, CA. Review provided by VeriMed Healthcare Network. Home Introduction Specialties and Locations Bill Payment Online ... Health Library

58. Imperforate Anus imperforate anus Definition Failure of establishment of continuitybetween the rectum, anal canal, and the exterior. It is due http://www.geocities.com/hotsprings/villa/6315/lessons/surgery/imperforateanus.h

IMPERFORATE ANUS Definition - Failure of establishment of continuity between the rectum, anal canal, and the exterior. It is due to inappropriate fusion of the proctadeum with the post allantoic gut Epidemiology - 1 in 4500 live births Classification LOW ABNORMALITIES Easy to identify, easy to treat The gut ends blindly at level below the pelvic diaphragm There are 4 lesions in the low type - Covered anus Anus covered with a skin tag The opening is situated anteriorly in the midline depending on the length of the skin tag Ectopic anus The anal opening is not present in the normal place The anal opening is commonly in he perineum in boys or into the vulva in girls. Anal stenosis The opening of the anus is very minute, almost microscopic. Anal membrane The anus is covered by a thin membrane which bulges with meconium HIGH ANOMALIES 3 lesions in the high anomalies - Anorectal agenesis No anal canal formation. Rectum ends blindly above the pelvic diaphragm. Recto-vesical fistula common. In females there is recto-vaginal fistula. Rectal atresia Fistula usually not present.

59. Nature Publishing Group Special Imaging Casebook High imperforate anus With Enterolithiasis and DysraphismWith Large Meningomyelocele. Marilyn J Siegel MD a and Thomas E Herman MD. http://www.nature.com/cgi-taf/DynaPage.taf?file=/jp/journal/v20/n1/abs/7200069a.

60. Medical College Of Wisconsin Patient Care J. Aiken, MD (Pediatric Surgery) (Patient Age Range nbsp018) Congenital Anomaliesand Newborn Surgery, Hernia Surgery, imperforate anus Surgery, Inflammatory http://doctor.mcw.edu/cgi-bin/clinic?146

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