WASHINGTON, DC USA (UroToday.com) - In his discussion, Dr. Brad Kropp advocated that at the time of initial closure of the cloacal exstrophy one preserve and identify all bowel components, tabularize the exstrophic cecum, create an end hindgut ostomy and leave the appendix in place.
This approach decreases short gut syndrome and increases the likelihood of continence as well as leaving more bowel available for GU reconstruction. Pull through outcomes in this population are variable ranging from 26% to 85%.
He also presented his data on the continent fecal reservoir as a treatment option for those who have failed other modalities.
Presented by Brad Kropp, MD at the 59th Annual Meeting of the Society for Pediatric Urology during the American Urological Association (AUA) Annual Meeting - May 14 - 19, 2011 - Walter E. Washington Convention Center, Washington, DC USA
Reported for UroToday by Pamela I. Ellsworth, MD, Associate Professor Surgery (Urology), Alpert Medical School of Brown University.