Comprehensive Care for Imperforate Anus

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Why Nationwide Children's?

The Center for Colorectal and Pelvic Reconstruction (CCPR) at Nationwide Children’s Hospital, in Columbus, Ohio, provides fully integrated care for children with all types of colorectal and pelvic issues. Every year we care for hundreds of patients from around the world and perform more than 1,000 procedures, allowing us to deliver a level of coordination and resources not commonly offered in the management of these conditions.

The complex, inter-related problems associated with colorectal and pelvic conditions are best evaluated and treated by a team working together to establish an individualized treatment plan for every patient, at every stage of development, resulting in the best outcomes. 

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Overview

Imperforate anus, also known as anorectal malformation, is a condition that children are born with that prevents them from having normal bowel movements. 

The condition can be the result of the anal opening being too small or in the wrong location, which can cause painful bowel movements or severe constipation. It could also be caused by the absence of the anal opening. In some cases where the anal opening is missing, the small intestine or rectum enters other parts of the pelvic area, like the bladder or vagina. In other instances, the rectum, reproductive system and urologic system form a single channel that both stool and urine pass through. In cases where the anal opening is missing, chronic (repeated) infections occur. 

Surgery to help correct the issue is always required for children with imperforate anus. After surgery, most children are able to gain control over their bowel movements. The Bowel Management Bootcamp at Nationwide Children’s is offered as a seven-day outpatient program to help children who need extra care to become continent and have bowel control. 

 

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CCPR Team

The children and families who entrust their care to us have access to a team of internationally recognized experts from colorectal surgery, gastroenterology/motility, urology and gynecology, as well as neurosurgery and orthopedics and a specially trained team of nurses and nurse practitioners. Our medical and surgical directors include:

Richard Wood

Richard J. Wood

Richard Wood, MD, is the Chief of the Section of Pediatric Colorectal & Pelvic Reconstructive Surgery at Nationwide Children's Hospital, Director of the Center for Colorectal and Pelvic Reconstruction and assistant professor of Pediatric Surgery at The Ohio State University.

Geri Hewitt

Geri D. Hewitt

Geri D. Hewitt, MD, is Chief of the Section of Obstetrics and Gynecology at Nationwide Children's Hospital and a Professor of Clinical Obstetrics in the Departments of Obstetrics and Gynecology and Pediatrics at The Ohio State University College of Medicine.

Daniel G. DaJusta

Daniel G. DaJusta

Daniel G. DaJusta, MD, is a surgeon in the Section of Urology and the Director of Urologic Surgery for the Center for Colorectal and Pelvic Reconstruction at Nationwide Children's Hospital.

Nationwide Children's Hospital Medical Professional

Desalegn T. Yacob

Desale Yacob, MD, is an attending pediatric gastroenterologist, Medical Director of the Motility Center and Director of Gastroenterology and Motility for the Center for Colorectal and Pelvic Reconstruction at Nationwide Children's Hospital.

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After surgery, some children with imperforate anus may still struggle with controlling their bowel movements. Our custom approach to bowel management provides patients and patient families with an action plan to overcome this problem.

The Bowel Management Bootcamp is a set of treatments designed to keep a child free from stool accidents, so that he or she may be able to wear normal underwear and participate in normal activities. The Bowel Management team will work together to decide the best treatment for your child.

The Bowel Management Bootcamp is a seven-day outpatient program for children dealing with incontinence. Patients and families will end the week equipped with:

  • An understanding of how continence works
  • Information on why fecal incontinence happens in children and adolescents with imperforate anus
  • A proven, customized treatment plan for each child

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A children’s hospital is the ideal place for children with colorectal malformations and other congenital conditions to get care. These unique conditions can continue to impact life in adolescence and adulthood, but adult-focused physicians are often unfamiliar with the types of surgical and medical care they require. It is crucial for children to learn how to become active participants in their care, as well as to find adult providers who can offer appropriate care.

Transition of Care Program

The CCPR has a Transition of Care Program, the first of its kind in the U.S., led by Dr. Alessandra Gasior. Dr. Gasior is the first surgeon to have completed a fellowship in both pediatric and adult colorectal care.

Nationwide Children's Hospital Medical Professional

Dr. Gasior is available to provide expert surgical and medical colorectal care for congenital or pediatric conditions as patients transition to adulthood. The Transition of Care Program works to develop a care network for growing children, so that they can become familiar with their new team of providers while still having comprehensive, expert colorectal care available to them.

The goal of this Program is to empower patients to take ownership of their care at a young age—usually 12 years old—so that by the time they reach 16-18 years old, they are ready to transition to the adult care setting. The clinic also welcomes any adult patient living with colorectal malformations or congenital conditions to help them get back on track with medical regimens and provide long-term care coordination.

Inside CCPR

The Center for Colorectal and Pelvic Reconstruction was the first center in the world to formally integrate all specialties involved in providing complete care of the colon and rectum in kids.

Speak With Our Team

Speak With Our Team