Journal of Pediatric Surgery 53 (2018) 1160–1162 Contents lists available at ScienceDirect Journal of Pediatric Surgery journal homepage: www.elsevier.com/locate/jpedsurg Surgical management of functional constipation: An intermediate report of a new approach using a laparoscopic sigmoid resection combined with malone appendicostomy Alessandra Gasior ⁎, Carlos Reck, Alejandra Vilanova-Sanchez, Karen A. Diefenbach, Desalegn Yacob, Peter Lu, Karla Vaz, Carlo Di Lorenzo, Marc A. Levitt, Richard J. Wood Center for Colorectal and Pelvic Reconstruction, Nationwide Children's Hospital, Columbus, OH article i nf o abstract Article history: Introduction: We previously reported our surgical technique for functional constipation for patients who have Received 17 February 2018 failed medical management using a novel collaborative approach with gastroenterology input, pre-operative Accepted 27 February 2018 contrast enema, colonic manometry, and laxative protocol combined with a laparoscopic colonic resection with Malone appendicostomy. Now we report our intermediate outcomes. Keywords: Methods: Patients who failed bowel management program for functional constipation were reviewed from Functional constipation 3/2014–2/2017. Patients with Hirschsprung disease, anorectal malformation, tethered cord, spina biﬁda, Idiopathic constipation Trisomy 21, cerebral palsy, mitochondrial disease, or prior colon resection were excluded. Pediatric Results: Of 31 patients (14 females; median age 12 years, follow-up 10.3 months) with functional constipation and failed
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