Posterior Rectal Advancement Anoplasty (PRAA) in a male with an anorectal malformation and rectoperineal fistula

Pediatric Colorectal & Pelvic Reconstruction | Children's National Hospital 

Sphincter Reconstruction in a patient who suffered from Fournier’s gangrene

Pediatric Colorectal & Pelvic Reconstruction | Children's National Hospital 

Total colonic Hirschsprung disease: Ileostomy take down and ileoanal pull-through

Pediatric Colorectal & Pelvic Reconstruction | Children's National Hospital 

Colorectal Quiz: Episode 50 - 16th Annual European Pediatric Colorectal and Pelvic Reconstruction Conference, Stockholm, Sweden, October 2025 - What did we learn?

In this special 50th episode of the Colorectal Quiz Podcast, Dr. Marc Levitt and an international panel including Filipa Jalles, MD, Lindsey Clarke, PA-C and Meghan Mesa, BSN, RN, CPN review key takeaways from the 16th E…

Turnbull Stoma

https://www.childrensnational.org/get-care/departments/colorectal 

Rectal Atresia - a Unique Anorectal Malformation

Pediatric Colorectal & Pelvic Reconstruction | Children's National Hospital 

Enhancing Urethral Meatus Creation in Cloacal Malformations: A New Technique

Colorectal

Enhancing Urethral Meatus Creation in Cloacal Malformations: A New Technique

Pediatric Colorectal & Pelvic Reconstruction | Children's National Hospital (childrensnational.org)

Advancing global surgical care: Children’s National colorectal team at PAPSA 2025

Held only once every 2 years, the PAPSA meeting draws more than 300 pediatric surgeons from across Africa, making it the continent’s most significant gathering dedicated to pediatric surgery. 

Colorectal care across borders: expanding access through global collaboration

Members of the Division of Colorectal & Pelvic Reconstruction at Children’s National Hospital recently traveled to Sao Paulo, Brazil, with the goal of advancing surgical care for children with complex colorectal conditio…

Posterior Sagittal Anorectoplasty

Pediatric Colorectal & Pelvic Reconstruction | Children's National Hospital

Rectal Prolapse Repair Following a Posterior Sagittal Anorectoplasty

Pediatric Colorectal & Pelvic Reconstruction | Children's National Hospital

Laparoscopic Assisted Posterior Sagittal Anorectoplasty

Pediatric Colorectal & Pelvic Reconstruction | Children's National Hospital (childrensnational.org)

Colorectal Quiz: Episode 42 - HD Constipation

In this episode of the Colorectal Quiz, Drs. Mark Levitt, Jason Frischer, and Chris Gayer discuss a complex case of persistent constipation in a patient with a history of Hirschsprung’s disease. Despite a successful pull…

Controversies in Hirschsprung surgery

Controversies in Hirschsprung surgery

Cloacal Exstrophy: A Modification of the Newborn Operation - Leaving the Cecal Plate Untouched

Pediatric Colorectal & Pelvic Reconstruction | Children's National Hospital (childrensnational.org) 

Better standardized care for total colonic Hirschsprung disease

Dr. Marc Levitt and colleagues are authoring guidelines for diagnosis and management of children with total colonic Hirschsprung disease to help improve care and treatment of children with this rare subset of the conditi…

A Complex Urogenital Malformation: Urogenital Sinus with Normal Anus

Children's National Hospital, Division of Colorectal and Pelvic Reconstruction  - Washington, DC.  Christina Ho, Andrea Badillo, Briony Varda, Marc A. Levitt, 

Colorectal Quiz Episode 38: Transitional Care in Colorectal Surgery

Join our hosts and special international guests Dr. Stuart Hosie and Dr. Mark Malota from Germany. Together they discuss the management of a young adult with anorectal malformation, the collaborative care delivered, foll…

Transanal full thickness rectal mobilization with an ischiorectal fat pad to repair an H-Type rectovaginal fistula

Center for Colorectal and Pelvic Reconstruction, Department of Pediatric Surgery, Nationwide Children's Hospital,  Carlos A. Reck MD, Victoria A. Lane MBChB, Richard J. Wood MD, Alessandra Gassior MD, Marc A. Levitt MD  …

Is Multi-disciplinary care the future of medicine?

Children's National Medical Center, Anesthesiology Grand Rounds Part 1 - August 31, 2023  Marc Levitt, MD 

Colorectal Surgery: What does the anesthesia provider need to know?

Children's National Medical Center, Anesthesiology Grand Rounds Part 2 - August 31, 2023  Marc Levitt, MD 

Rectovaginal Fistula

Nationwide Children's Hospital 

How to Change Your Child’s MiniACE Balloon Device

Before performing any of the instructed steps in this video, always check with our team or your child’s pediatrician for safety. The goal of this video is to educate and empower you to independently care for your child’s…

How to Make Saline

Before performing any of the instructed steps in this video, always check with our team or your child’s pediatrician for safety. Saline is important in the use of antegrade flushes, enemas, and irrigations, as our Colore…

How to Administer a Rectal Irrigation at Home

Before performing any of the instructed steps in this video, always check with our team or your child’s pediatrician for safety. If you’re watching this video, it’s because rectal irrigations have been prescribed by our …

Colorectal Educational Videos

The Division of Colorectal and Pelvic Reconstruction at Children’s National Hospital have educational videos that may be useful. View our library of parent educational videos here: Colorectal Education Videos Please feel…

Colorectal Quiz Episode 37: The Yancey-Soave story of the original surgical descriptions for Hirschsprung disease

Swenson described the first operation for Hirschsprung disease in the 1940s, which involved a full thickness rectal dissection. To respond to complications related to the dissection adjacent to the rectal wall, several s…

Mullerian Anomalies

Mullerian Anomalies 

Laparoscopic Segmental Colectomy for Functional Constipation

David Coyle, Devin R. Halleran, Hira Ahmad, Alessandra Gasior, Richard J. Wood, Marc A. Levitt, Karen A. Diefenbach  Video credit: Center for Colorectal and Pelvic Reconstruction, Nationwide Children's Hospital

Surgical Treatment of Recto-Urethral Fistula (No audio)

Marc A. Levitt, MD  Division of Colorectal and Pelvic Reconstruction, Children's National Hospital  Video credit: Center for Colorectal and Pelvic Reconstruction, Nationwide Children's Hospital

Transanal Swenson like Technique for Hirschsprung's Disease (No audio)

Marc, A. Levitt, MD  Division of Colorectal and Pelvic Reconstruction, Children's National Hospital (https://childrensnational.org/departments/colorectal)  Video credit: Center for Colorectal and Pelvic Reconstruction. N…

Patient driven change: Is collaborative care the future of medicine?

A basic premise in the care of complex patients is that experience, increased volume of cases, and an integrated, multi-disciplinary approach yields improved outcomes. Is this true using the example of the care of childr…

Hirschsprung Post Pull-thru algorithm

Evaluation and treatment of the patient who is not doing well after their Hirschsprung’s pull-through.

Functional Constipation algorithm

Evaluation and treatment of functional constipation with failure of medical management.

DrBeen Medical Lectures: Dr. Marc Levitt, MD Discusses Hirschsprung Disease

Dr. Marc A. Levitt, MD Discusses Hirschsprung Disease on YouTube Live with Drbeen Medical Lectures. Link to DrBeen website: https://www.drbeen.com 

ERN eUROGEN ARM Webinar Series: Management of Cloacal Malformations – what is new in 2021?

eUROGEN ARM Webinars Series, October 2021   This webinar will be presented by Dr. Marc Levitt from the Children’s National Hospital in Washington D.C. The management of cloacal malformations, including prenatal diagnosis…

Bowel Management algorithm

Bowel management for the treatment of fecal incontinence and soiling.

Anorectal Malformation algorithm

Evaluation and treatment of the patient who is not doing well after their anorectal malformation repair

Sphincter Reconstruction for Patients with Soiling after a Pull-Through for Hirschsprung Disease

Sphincter reconstruction technique is described in detail for patients with soiling due to an iatrogenic overstretching of the anal sphincters at the time of the initial pull-through procedure for Hirschsprung disease. U…

Recto-Bladderneck Fistula: Laparoscopic-Assisted Anorectoplasty

The technique of a laparoscopic-assisted anorectoplasty is demonstrated in detail for patients with a recto-bladderneck fistula.

Malone appendicostomy in a Patient with Prior Abdominal Surgery via a prior abdominal incision

This new technique spares the midline fascia, offers an opportunity to perform a scar revision, and provides abdominal access for the plication when performing a Malone appendicostomy in patients who have had previous ab…

New Book - Tips & Tricks

Now out! Pediatric Colorectal Surgery Tips and Tricks https://bit.ly/Levitt-CRCBooks Discount code is MAL22 All proceeds benefit www.ctoverseas.org

Laparoscopic segmental colectomy for functional constipation May 2019

Colorectal Quiz Episode 30: Tethered Cord

In this week’s Colorectal Quiz, Dr. Marc Levitt welcomes his Children’s National collaborative team members from Neurosurgery, Dr. John Myseros, and from Urology, Dr. Christine Ho, to discuss the evaluation and impact of…

Colorectal Quiz Episode 29: Female ARM-Post Op Management

Join Dr. Kathy van Leeuwen and Dr. Cristine Velazco at Phoenix Children’s as they discuss the nuances of post-operative anorectal malformation management following the PSARP procedure with Dr. Marc Levitt and Dr. Jason F…

Colorectal Quiz Episode 28: Female ARM Management - Perineal Fistula

Join Dr. Kathy van Leeuwen and Dr. Christine Velazco at Phoenix Children’s as they discuss a specific case of a perineal fistula that leads to further discussion with Dr. Marc Levitt and Dr. Jason Frischer on the differe…

Hirschsprung Disease in Brief

The surgical management for Hirschsprung disease has changed dramatically over the past few decades. So here, we discuss the basics of workup, diagnosis, and surgical treatment for aganglionic megacolon AKA Hirschsprung …

Colorectal Quiz Episode 26: Perianal Crohn's Disease

In this week's episode, Dr. Levitt and Dr. Frischer discuss perianal Crohn's disease with Dr. Lisa McMahon, director of the IBD center at Phoenix Children's Hospital and pediatric surgery fellow, Dr. Cristine Velazco. We…

Colorectal Quiz 25: Perineal Groove

In this episode, Dr. Marc Levitt and Dr. Jason Frischer discuss the complexities of the perineal groove with Dr. Jonathan Sutcliffe. Hosted by Dr. Amanda Jensen Perineal Groove: An Anorectal Malformation Network, Consort…

The Colorectal Quiz Episode 23: Hirschsprung Disease - The Soiling Patient Part 2 -The Dentate Line and Motility

In this episode we dive deeper into discussion regarding a patient with Hirschsprung disease who has issues with fecal incontinence. We specifically will discuss the importance of the dentate line and how motility plays …

The Colorectal Quiz Episode 22: Hirschsprung Disease - the Soiling Patient Part 1

In the last few episodes of the Colorectal Quiz, we discussed obstructions in Hirschsprung disease. Now we're turning to another issue in Hirschsprung disease - the soiling patient. Along with Dr. Levitt and Dr. Frischer…

The Colorectal Quiz Episode 21: The History of Hirschsprung Disease

The treatment for Hirschsprung disease has undergone tremendous evolution over the past century. Here, Dr. Marc Levitt and Dr. Jason Frischer discuss the history of Hirschsprung disease and how the treatment has improved…

The Colorectal Quiz Episode 20: Hirschsprung Disease Obstruction Part 2

We've discussed Hirschsprung Disease at length before but today we visit a complicated topic that many deal with, obstruction. Dr. Levitt and Dr. Frischer speak with Dr. Rentea from Children's Mercy at Kansas City about …

Colorectal Quiz Episode 19: Hirschsprung Disease - The Obstructed Patient Part 1

We've discussed Hirschsprung Disease at length before but today we visit a complicated topic that many deal with, obstruction. Dr. Levitt and Dr. Frischer speak with Dr. Rentea from Children's Mercy at Kansas City about …

Colorectal Quiz Episode 18: Cloaca Part 2

The treatment for cloacal malformations are a great example of collaboration between pediatric colorectal surgery, gynecology, and urology. In today's episode, Dr. Marc Levitt and Dr. Jason Frischer talk to Dr. Richard W…

Colorectal Quiz Episode 17: Cloaca Part 1

The treatment for cloacal malformations are a great example of collaboration between pediatric colorectal surgery, gynecology, and urology. In today's episode, Dr. Marc Levitt and Dr. Jason Frischer talk to Dr. Richard W…

Colorectal Quiz Episode 16: Bowel Management in Spinal Patients - Need for a Urologist Part 2

Bowel management can be difficult on its own but for patients with spinal disorders, it can be exponentially more complex. Today, Dr. Levitt and Dr. Frischer discuss bowel management for this subset of patients and they …

Colorectal Quiz Episode 15: Bowel Management in Spinal Patients - Need for a UrologistPart 1

Bowel management can be difficult on its own but for patients with spinal disorders, it can be exponentially more complex. Today, Dr. Levitt and Dr. Frischer discuss bowel management for this subset of patients and they …

Colorectal Quiz Episode 14: ARM Newborn Part 3

Surgeons, neonatologists, pediatricians, and anyone who cares for the newborn child needs to understand how to evaluate anorectal malformations. To clear things up, Dr. Marc Levitt and Dr. Jason Frischer explain how to m…

Colorectal Quiz Episode 13: Newborn ARM Part 2

Surgeons, neonatologists, pediatricians, and anyone who cares for the newborn child needs to understand how to evaluate anorectal malformations. To clear things up, Dr. Marc Levitt and Dr. Jason Frischer explain how to m…

Colorectal Quiz Episode 12: Newborn ARM Part 1

Surgeons, neonatologists, pediatricians, and anyone who cares for the newborn child needs to understand how to evaluate anorectal malformations. To clear things up, Dr. Marc Levitt and Dr. Jason Frischer explain how to m…

The Colorectal Quiz Episode 11: Total Colonic Hirschsprung's Part 2

Part 2 of our series on Total Colonic Hirschsprung Disease. Here Dr. Levitt and Dr. Frischer discuss the diagnosis and management with a case scenario. Special guests - Amanda Jensen and Hira Ahmad

The Colorectal Quiz Episode 10: Total Colonic Hirschsprung Disease Part 1

We've discussed Hirschsprung Disease a lot on this podcast but we've never talked about one of the most complex forms - total colonic hirschsprung disease. Here Dr. Levitt and Dr. Frischer discuss the diagnosis and manag…

The Colorectal Quiz Episode 9: Motility Disorders Part 2

Motility disorder is a team sport - that's why today, we're talking to our colleagues in Pediatric Gastroenterology, Dr. Anil Drabari from Children's National Hospital and Dr. Kahleb Graham from Cincinnati Children's Hos…

The Colorectal Quiz Episode 8: Motility Disorders Part 1

Motility disorder is a team sport - that's why today, we're talking to our colleagues in Pediatric Gastroenterology, Dr. Anil Darbari from Children's National Hospital and Dr. Kahleb Graham from Cincinnati Children's Hos…

The Colorectal Quiz Episode 5: Proximal Hirschsprung Disease Surgical Technique

In this episode of the colorectal quiz, Dr. Marc Levitt and Dr. Jason Frischer discuss the surgical considerations when a patient with Hirschsprung disease presents with a more proximal transition zone in the transverse …

The Colorectal Quiz Episode 4: Classic Hirschsprung disease - Surgical Technique

In this episode of the Colorectal Quiz, Dr. Marc Levitt and Dr. Jason Frischer discuss considerations when operating on a patient with classic distal sigmoid Hirschsprung disease with special guests Dr. Aaron Garrison an…

The Colorectal Quiz Episode 3.5: Proximal Hirschsprung Disease

In this episode, Dr. Levitt and Dr. Frischer discuss the workup and management for a patient with suspected proximal Hirschsprung disease. Listen as they walk you through a their thought process and what to consider in t…

Colorectal Quiz Episode 3: Hirschsprung Disease

In the third episode of the Colorectal Quiz series, Dr. Levitt and Dr. Frischer discuss the basics of the initial management and diagnosis of Hirschprung disease.2 view abdominal XRContrast enema

Colorectal Quiz Episode 2: When to redo a PSARP

In the second installment of the Colorectal quiz, Dr. Jason Frischer and Dr. Marc Levitt discuss a topic of debate - when is the right time to redo an anorectoplasty? Listen as they walk you through their thought process…

The Colorectal Quiz Episode 1: ARM - Low Bulbar Fistula

Pediatric colorectal surgeons Dr. Marc Levitt and Dr. Jason Frischer discuss a case of a new born with a low anorectal malformation. Listen as they take you through the workup, diagnosis, and treatment of an ARM with an …

Cloaca Management with Dr. Marc Levitt & Dr. Aaron Garrison

Marc Levitt, MD discusses Cloaca with Todd Ponsky, MD and Aaron Garrison, MDEdited by Ian C Glenn, MD and Sophia Abdulhai, MDDr. Levitt is surgical director of the Center for Colorectal and Pelvic Reconstruction as well …

Complications of Anorectal Malformations with Dr. Marc Levitt

Dr Marc Levitt discusses ARM Complications with Dr Todd Ponsky Edited by Nicholas Bruns, MD and Ian C. Glenn, MD In this episode, Dr. Marc Levitt from Nationwide Children’s Hospital discusses complications of anorectal m…

Hirschsprung Disease Audience Q&A with Dr. Marc Levitt

Continuation of discussion on Hirschsprung disease with Dr. Marc Levitt with emphasis on the audience's questions . 

Hirschsprung Disease Part II with Dr. Marc Levitt

Continuation of discussion on Hirschsprung disease with Dr. Marc Levitt with emphasis on complex situations.

Hirschsprung Disease Part I with Marc Levitt

Dr. Marc Levitt and Dr. Todd Ponsky discuss Hirschsprung disease.Dr. Ponsky: Welcome to "Stay Current” in pediatric surgery, I’m Todd Ponsky, a pediatric surgeon at Akron Children’s Hospital and today we’re going to be f…

How I Do It Levitt PSARP

Dr Marc Levitt from Nationwide Children's Hospital shows how he performs a posterior sagital anorectoplasty (PSARP) for a "no-fistula" anorectal malformation. See more videos like this at http://videolibrary.globalcastmd…