From Pull-through to PSARP: Caring for Patients with Congenital and Pediatric Colorectal Disease as they Age

CME Credit Hours: 1.25

As surgical and medical care for children have improved, they are living longer and healthier lives. The approach to transition of colorectal patients from the pediatric to adult systems needs a collaborative and educated approach to reduce recidivism and ensure smooth transition. The needs of congenital colorectal patients require knowledge of the embryology, repair and long-term consequences.

Objectives

At the conclusion of this session, participants should be able to:

  1. Explain anorectal malformation: anatomy and repair as well as long term considerations
  2. Review Hirschsprung’s Disease: anatomy and repair as well as long term considerations
  3. Review neurogenic bowel, associated diagnoses, treatment and long-term considerations of treatment with antegrade continent enterostomy, cecostomy/chait
  4. Discuss barriers to transition, both from pediatric as well as adult viewpoints, and how to overcome

Co-Directors

Alessandra Gasior, DO, Columbus, OH
Erin Teeple, MD, Wilmington, DE


Introduction                               
Alessandra Gasior, DO, Columbus, OH

Anorectal Malformations: Embryology, Anatomy, Treatment and Long-term Considerations
Payam Saadai, MD, Sacramento, CA

Hirschsprung’s Disease: Embryology, Anatomy, Treatment and Long-term Considerations   
Jason Frischer, MD, Cincinnati, OH

Neurogenic Bowel: Definition, Associated Conditions, Treatment and Long-term Considerations
Kristin Fiorini, MD, Philadelphia, PA

Barriers to Transitioning Colorectal Care from Pediatric to Adult Centers
Meagan Costedio, MD, Cleveland, OH

Closing Comments
Erin Teeple, MD, Wilmington, DE

Panel Discussion & Questions

Adjourn