Caitlyn Smith

11 statements · 1 topic

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▶ Ep 54 · 0:52
In terms of the quality of life changes, dilations are really a source of stress for families. Parents feel like they're hurting their children and there's a lot of anxiety.
quote · Anorectal Malformation
▶ Ep 54 · 0:52
Overall number of procedures were relatively the same between groups because many non-dilated patients with strictures got stricturoplasty at colostomy closure, with only 3 requiring a separate anesthetic.
clinical · Anorectal Malformation

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Caitlyn's statements about Anorectal Malformation 11 statements

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Update Course Rewind: Anal Dilation Following PSARP 2023

▶ Ep 54 · 0:52
clinical Dilations are a source of stress for families, with parents feeling like they're hurting their children and experiencing significant anxiety. ↗
▶ Ep 54 · 0:52
clinical A 2021 single institution prospective randomized control trial included only primary patients (no redos or cloacas), all with anorectal malformation diagnosis, with 12 months follow-up and PSARP performed at average 5 months old. ↗
▶ Ep 54 · 0:52
clinical In the RCT, stricture was defined as Hagar 10 or less. ↗
▶ Ep 54 · 0:52
clinical The RCT had 25 patients in each arm (dilation vs non-dilation), with 3 strictures in the dilation group and 8 strictures in the non-dilation group. ↗
▶ Ep 54 · 0:52
clinical Overall number of procedures were relatively the same between groups because many non-dilated patients with strictures got stricturoplasty at colostomy closure, with only 3 requiring a separate anesthetic. ↗
▶ Ep 54 · 0:52
quote Well, I used to be an A, a protocol driven Hagar dilation sort of gal. And over time, I realized that it wasn't always necessary. ↗
▶ Ep 54 · 0:52
quote In terms of the quality of life changes, dilations are really a source of stress for families. Parents feel like they're hurting their children and there's a lot of anxiety. ↗
▶ Ep 54 · 3:54
clinical For children over 6 months old, especially close to 12 months, dilation is not typically offered to families. ↗
▶ Ep 54 · 4:37
clinical Follow-up is scheduled about 2-4 weeks after operation with anaplasty sizing in the office, and if it looks good, dilation can be skipped. ↗
▶ Ep 54 · 5:25
clinical Strictures can develop in either dilation or non-dilation groups due to tension, ischemia, or reaction between epidermis and mucosa creating a band. ↗
▶ Ep 54 · 6:27
clinical Care for anorectal malformation patients varies highly depending on setting and patient resources, which should be taken into account in decision making between dilation and stricturoplasty approaches. ↗