Giulia Brisighelli
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View article: Development of the “JPCC Barriers to Pediatric Colostomy Care Scoring System”: A Modified Delphi Study
Development of the “JPCC Barriers to Pediatric Colostomy Care Scoring System”: A Modified Delphi Study Open
Background In low‐ and middle‐income countries (LMICs), pediatric colostomy care is associated with significant clinical, social, and economic challenges that negatively impact patient outcomes. This study aimed to identify key barriers to…
View article: The burden of delayed diagnosis in Hirschsprung disease: insights from a Paediatric Colorectal Centre in South Africa
The burden of delayed diagnosis in Hirschsprung disease: insights from a Paediatric Colorectal Centre in South Africa Open
Background Delayed diagnosis of Hirschsprung disease (HD), defined as diagnosis after 12 months of age, is usually uncommon and, according to some authors, associated with a worse outcome. We aim to report our experience in a tertiary hosp…
View article: Unusual causes of perineal trauma in paediatric patients: lessons learned from a high-volume colorectal clinic in a low-and-middle-income country
Unusual causes of perineal trauma in paediatric patients: lessons learned from a high-volume colorectal clinic in a low-and-middle-income country Open
Purpose In low-and-middle-income countries (LMIC), a non-negligible number of cases of paediatric perineal trauma is observed. Trauma can arise from less conventional mechanisms such as traditional enemas and flame burns, alongside blunt a…
View article: Patients with Anorectal malformations managed at a paediatric colorectal clinic in South Africa and requiring transition to adult care
Patients with Anorectal malformations managed at a paediatric colorectal clinic in South Africa and requiring transition to adult care Open
Background: Anorectal malformations (ARMs) are congenital defects requiring lifelong management, including surgeries and bowel management strategies. Transitioning from pediatric to adult care presents challenges, especially in low- and mi…
View article: Unveiling a Unique Posterior Cloaca Variant: Expanding the Spectrum
Unveiling a Unique Posterior Cloaca Variant: Expanding the Spectrum Open
A posterior cloacal variant is a congenital malformation where a urogenital sinus terminates anterior to a normally placed anus. These are rare malformations with highly variable anatomy. We report on three cases of a novel phenotype of po…
View article: Are end colostomies always contraindicated in anorectal malformations?
Are end colostomies always contraindicated in anorectal malformations? Open
Background. In our clinical setting, a three-staged approach is consistently employed to manage patients with anorectal malformations (ARMs). Objective. To evaluate the safety and feasibility of end-colostomies, in particular subtypes of A…
View article: Neonatal Sacrococcygeal Fetiform Teratoma Containing Bowel: A Case Report
Neonatal Sacrococcygeal Fetiform Teratoma Containing Bowel: A Case Report Open
A fetiform sacrococcygeal teratoma (homunculus) is a highly differentiated subgroup of mature cystic teratoma that resembles a malformed fetus. These tumors originate at the base of the coccyx and may vary in their intrapelvic and extrapel…
View article: Are end colostomies always contraindicated in anorectal malformations?
Are end colostomies always contraindicated in anorectal malformations? Open
Purpose In our clinical setting, a three-staged approach is consistently employed for the management of patients with anorectal malformations (ARMs). The aim of our study is to evaluate the safety and feasibility of end-colostomies in spec…
View article: Rectal suction biopsies to diagnose Hirschsprung’s disease in a low-resource environment – optimising cost-effectiveness
Rectal suction biopsies to diagnose Hirschsprung’s disease in a low-resource environment – optimising cost-effectiveness Open
In a low-resource setting, selecting the appropriate RSB system and obtaining a single specimen is sufficient to diagnose HD. Patients with inconclusive results should undergo a repeat biopsy where two specimens are obtained.
View article: Data for: PRELIMINARY RESULTS AFTER ESTABLISHING A DATA-BASE FOR PATIENTS WITH ANORECTAL MALFORMATIONS IN A LOW TO MIDDLE INCOME COUNTRY
Data for: PRELIMINARY RESULTS AFTER ESTABLISHING A DATA-BASE FOR PATIENTS WITH ANORECTAL MALFORMATIONS IN A LOW TO MIDDLE INCOME COUNTRY Open
ARM patients seen at colorectal clinic at Chris Hani Baragwanath Academic Hospital, Johannesburg with special emphasis on social conditions and HIV status
View article: Transanal irrigation (TAI) in the paediatric population: Literature review and consensus of an Italian multicentre working group
Transanal irrigation (TAI) in the paediatric population: Literature review and consensus of an Italian multicentre working group Open
Constipation and fecal incontinence in pediatric patients are conditions due to either functional or organic bowel dysfunction and may represent a challenging situation both for parents, pediatricians, and pediatric surgeons. Different tre…
View article: Posterior Cloacal Variant with Clitorolabial Transposition and a Rectoperineal Fistula
Posterior Cloacal Variant with Clitorolabial Transposition and a Rectoperineal Fistula Open
We present a case and discuss the management of a posterior cloacal variant not as yet described in the literature. A 5-week-old infant presented to our institution with a posterior cloacal variant and transposition of the clitoris and lab…
View article: Clinical Quiz—A Rare Case of Anal Canal Duplication in the Context of Currarino Syndrome
Clinical Quiz—A Rare Case of Anal Canal Duplication in the Context of Currarino Syndrome Open
Currarino syndrome (CS) is a rare condition that presents with any combination of a sacral defect, a presacral mass, and an anorectal malformation. This collection, referred to as Currarino's triad, may not necessarily present as all three…
View article: Inter- and Intraobserver Variation in the Assessment of Preoperative Colostograms in Male Anorectal Malformations: An ARM-Net Consortium Survey
Inter- and Intraobserver Variation in the Assessment of Preoperative Colostograms in Male Anorectal Malformations: An ARM-Net Consortium Survey Open
Aim: Male patients with anorectal malformations (ARM) are classified according to presence and level of the recto-urinary fistula. This is traditionally established by a preoperative high-pressure distal colostogram that may be variably in…
View article: A Genetics-First Approach Revealed Monogenic Disorders in Patients With ARM and VACTERL Anomalies
A Genetics-First Approach Revealed Monogenic Disorders in Patients With ARM and VACTERL Anomalies Open
Background: The VATER/VACTERL association (VACTERL) is defined as the non-random occurrence of the following congenital anomalies: Vertebral, Anal, Cardiac, Tracheal-Esophageal, Renal, and Limb anomalies. As no unequivocal candidate gene h…
View article: Devastating Outcomes of Traditional Enemas: Unusual Indications for Well-Known Operations
Devastating Outcomes of Traditional Enemas: Unusual Indications for Well-Known Operations Open
Background Despite serious health risks having been described, traditional enemas are still often used in African traditional medicine. We aim to report two cases of complications secondary to traditional enemas, to illustrate how severe t…
View article: Image of the Month: High Pressure Distal Colostogram in a Patient with an Anorectal Malformation
Image of the Month: High Pressure Distal Colostogram in a Patient with an Anorectal Malformation Open
An adequately performed high pressure distal colostogram is crucial to plan surgery in male patients born with anorectal malformations. We present two male patients that underwent a divided sigmoid colostomy with distal mucus fistula in th…
View article: A Surgical Technique to Repair Perineal Body Disruption Secondary to Sexual Assault
A Surgical Technique to Repair Perineal Body Disruption Secondary to Sexual Assault Open
Perineal trauma is uncommon in the pediatric population and it is estimated that 5 to 21% is secondary to sexual abuse. We aim to present a proposed surgical technique to repair perineal injuries secondary to sexual assault in female child…
View article: Rectal Perforation following High-Pressure Distal Colostogram
Rectal Perforation following High-Pressure Distal Colostogram Open
In patients with anorectal malformations and a colostomy, the high-pressure distal colostogram is the technique of choice to determine the type of malformation and thus to plan the surgical repair. Perforations associated with high-pressur…
View article: Infant Percutaneous Endoscopic Gastrostomy: Risks or Benefits?
Infant Percutaneous Endoscopic Gastrostomy: Risks or Benefits? Open
PEG is safe and feasible in infants when performed by highly experienced physicians.
View article: Biofilms associated with bowel necrosis: A newly recognised phenomenon in infants
Biofilms associated with bowel necrosis: A newly recognised phenomenon in infants Open
The identification of biofilms in necrotic bowel has raised questions regarding their clinical implications. Further studies are needed to evaluate all resected necrotic bowel for biofilms and the clinical implications of this finding.