Growing up to Colorectal Surgery: Transitioning Patients from Pediatrics

Monday, May 2, 9:15 - 10:00 am

CME Credit Hours: 0.75

Children with pediatric colorectal conditions grow into young adults who may have persistent functional issues or acquire common colorectal conditions of the general population.  It is imperative that adult colorectal surgeons understand the postoperative anatomy associated with common congenital anomalies.  It is also important to understand a pediatric bowel management program so adult practitioners are able to build on and adjust into adulthood.  Many factors affect transitioning patients from pediatric to adult providers. To reduce negative consequences, this transition must be well orchestrated.  This session will provide insight into the importance of transition of care as well as identification of mood disorders in young adults with chronic illness.

Over the past 2 decades genetic testing has significantly improved. This has led to earlier identification of children with hereditary colorectal disease. This symposium will discuss the most common genetic syndromes affecting the colon and rectum, what screening tests are needed, when the appropriate screening starts, as well as when to consider prophylactic surgery.


At the conclusion of this session, participants should be able to:
  1. Review the surgeries for anorectal malformations and Hirschsprung’s disease, and recognize how this affects anorectal anatomy and function as an adult.
  2. Incorporate a pediatric bowel management program into adult practice
  3. Manage screening for young adults with genetic syndromes of the colon and rectum.
  4. Recognize depression screening and transition of care of adolescents to improve adherence to medications, prevent opiate addiction and decrease the need for surgery in IBD.


Meagan Costedio, MD, Cleveland, OH
Erin Teeple, MD, Wilmington, DE

9:15 am               
Meagan Costedio, MD, Cleveland, OH
Erin Teeple, MD, Wilmington, DE
9:20 am               
Anorectal Malformations and Hirschsprungs Disease- Surgical Review and Problems that Persist into Adulthood
Jennifer Irani, MD, Boston, MA
9:28 am               
Bowel Management Programs in Kids – How, What and Why?
Jill Zalieckas, MD, MPH, Boston, MA
9:36 am               
Transition of Care from Adolescence to Adults How to Set this Up at Your Institution & Avoiding the Turf Battle 
Alessandra Gasior, MD, Columbus, OH
9:44 am               
Genetic Syndromes of the Colon and Rectum in the Pediatric Population: What Screening and When Do We Start?
David Liska, MD, Cleveland, OH
9:52 am               
Questions and Answers and Wrap up 
10:00 am