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Related Concept Videos

Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
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Aneurysm I: Introduction01:30

Aneurysm I: Introduction

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An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
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Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
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Intestinal Obstruction I: Introduction01:29

Intestinal Obstruction I: Introduction

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Intestinal obstruction is a partial or complete blockage of the small or large intestine that disrupts the normal flow of intestinal contents through the lumen. This interruption impairs digestion, absorption, and fluid balance, and may lead to serious complications if not treated promptly.Mechanical ObstructionMechanical obstruction occurs when a physical blockage prevents intestinal contents from passing, arising from within the lumen or the bowel wall, or from external compression.Adhesions,...
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Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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Anastomoses01:19

Anastomoses

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In human anatomy, anastomosis refers to a connection or opening between two things, particularly between blood vessels or other tubular structures. The term is derived from the Greek term 'anastomosis,' which means 'outlet' or 'opening.' This natural network of connections plays a critical role in the survival and functionality of the human body.
Anastomoses can be formed at arterial, venous, and lymphatic vessels.
Arterial Anastomosis: These occur between arteries. They...
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Related Experiment Video

Updated: Apr 19, 2026

Rectal Organoid Morphology Analysis ROMA: A Diagnostic Assay in Cystic Fibrosis
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Anorectal malformations.

Ajay Narayan Gangopadhyay1, Vaibhav Pandey1

  • 1Department of Paediatric Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.

Journal of Indian Association of Pediatric Surgeons
|January 2, 2015
PubMed
Summary

Anorectal malformations (ARMs) are common congenital anomalies diagnosed neonatally. Despite surgical advances, achieving fecal and urinary continence requires a holistic, long-term approach for improved quality of life.

Area of Science:

  • Pediatric Surgery
  • Congenital Anomalies
  • Developmental Biology

Background:

  • Anorectal malformations (ARMs) represent frequent congenital anomalies in pediatric surgery.
  • Incidence ranges from 1 in 2000 to 1 in 5000 live births, with antenatal diagnosis being rare.
  • ARMs present a spectrum from low-anomalies with simple management to high-anomalies requiring complex interventions.

Purpose of the Study:

  • To review advancements in the diagnosis and management of Anorectal Malformations (ARMs).
  • To highlight the shift towards a holistic approach for optimizing long-term outcomes in ARM patients.
  • To emphasize the goal of achieving complete fecal and urinary continence and enhancing quality of life.

Main Methods:

  • Review of advancements in imaging techniques for ARM diagnosis.
Keywords:
Anorectal malformationscloacacontinenceimperforate anus

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  • Analysis of evolving surgical procedures, from classical methods to minimally invasive techniques like PSARP.
  • Examination of the impact of improved understanding of embryology, anatomy, and physiology.
  • Main Results:

    • Significant improvements in survival rates for ARM patients over the past century.
    • Refined diagnosis and initial management strategies due to technological and knowledge advancements.
    • Persistent challenges with fecal and urinary incontinence, often linked to associated conditions, even after anatomical repair.

    Conclusions:

    • Modern management of ARMs necessitates a paradigm shift towards a comprehensive, syndrome-based approach.
    • Long-term goals focus on achieving complete fecal and urinary continence.
    • Enhancing the overall quality of life for patients with Anorectal Malformations is paramount.