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Related Concept Videos

Assessment of the Rectum and Anus01:25

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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.
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Inflammatory Bowel Disease V: Surgical Management01:21

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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.
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Related Experiment Video

Updated: Nov 24, 2025

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Initial experience with transanal proctectomy in children.

Michael D Traynor1, D Dean Potter1

  • 1Division of Pediatric Surgery, Department of Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN 55902, USA.

Journal of Pediatric Surgery
|December 28, 2020
PubMed
Summary
This summary is machine-generated.

Transanal proctectomy (taCP) is a safe and effective option for pediatric inflammatory bowel disease patients. This minimally invasive approach offers advantages in small pelvic spaces, with promising short-term outcomes.

Keywords:
Ileal pouch-anal anastomosis (IPAA)Minimally invasive surgery (MIS)Natural orifice transluminal endoscopic surgery (NOTES)Pediatric surgeryProctecomtyTransanal proctectomy

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Area of Science:

  • Pediatric surgery
  • Gastroenterology
  • Inflammatory Bowel Disease (IBD)

Background:

  • Transanal proctectomy (taCP) may offer advantages in pediatric patients with limited pelvic space.
  • This study reports on the short-term outcomes of taCP in pediatric IBD surgery.

Purpose of the Study:

  • To evaluate the safety and efficacy of transanal completion proctectomy (taCP) in pediatric patients undergoing surgery for inflammatory bowel disease.
  • To assess short-term outcomes, including complications and functional results, of taCP in this population.

Main Methods:

  • A case series of pediatric patients (age ≤19) who underwent taCP between January 1, 2018, and December 31, 2019.
  • All patients had a prior single-incision total abdominal colectomy (TAC) and underwent single-incision laparoscopy with taCP.
  • Data abstracted included demographics, pre/perioperative details, and postoperative complications.

Main Results:

  • Seven patients (median age 18) with ulcerative colitis or Crohn's colitis underwent taCP after TAC.
  • Median operative time was 226 minutes, with no conversions to more invasive techniques. Median length of stay was 5 days.
  • Two patients experienced in-hospital complications (watery diarrhea); one was readmitted for bowel obstruction. Functional outcomes for ileal pouch-anal anastomosis were generally favorable.

Conclusions:

  • Transanal proctectomy (taCP) demonstrated safety and effectiveness in this pilot series of pediatric IBD patients.
  • Further research is warranted to compare taCP with traditional minimally invasive surgery (MIS) completion proctectomy.
  • taCP may be a valuable option for pediatric patients with inflammatory bowel disease, particularly those with limited pelvic working space.