A descriptive model for a multidisciplinary unit for colorectal and pelvic malformations

Journal of Pediatric Surgery
Alejandra Vilanova-SanchezMarc A Levitt

Abstract

Patients with anorectal malformations (ARM), Hirschsprung disease (HD), and colonic motility disorders often require care from specialists across a variety of fields, including colorectal surgery, urology, gynecology, and GI motility. We sought to describe the process of creating a collaborative process for the care of these complex patients. We developed a model of a devoted center for these conditions that includes physicians, psychologists, social workers, nurses, and advanced practice nurses. Our weekly planning strategy includes a meeting with representatives of all specialties to review all patients prior to evaluation in our multidisciplinary clinic, followed by combined exams under anesthesia or surgical intervention as needed. There are 31 people working directly in the Center at present. From the Center's start in 2014 until 2017, 1258 patients were cared for from all 50 United States and 62 countries. 360 patients had an ARM (110 had a cloacal malformation, 11 had cloacal exstrophy), 223 presented with HD, 71 had a spinal malformation or injury causing neurogenic bowel, 321 had severe functional constipation or colonic dysmotility, and 162 had other diagnoses including familial polyposis, Crohn's disease, or ulcerati...Continue Reading

Citations

Jun 21, 2018·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Devin R HalleranDaniel DaJusta
Apr 3, 2021·The Urologic Clinics of North America·Caitlin ShepherdNeal Shore
Jun 10, 2021·The American Surgeon·Joseph J LopezUNKNOWN Comprehensive Colorectal Center
Jun 26, 2021·The Journal of Surgical Research·Cody J TragesserBrian W Gray
Sep 24, 2021·Pediatric Surgery International·Marina L ReppucciAndrea Bischoff

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