Distal Colostogram
Once the surgical emergency has been solved using a diverting colostomy, a patient with an anorectal malformation can be managed as a normal baby, unless other associated defects are present.
Prior to the final repair, it is highly desirable to determine the precise type of anatomic defect, as it has important prognostic and therapeutic implications. For this, we have found the high-pressure distal colostogram to be the best study.
This consists of the injection of hydrosoluble contrast material through the distal stoma. The study must be done under fluoroscopy, in the lateral position, using a Foley catheter with the balloon inflated in the distal stoma.
Contact the Colorectal Center at Cincinnati Children's
For more information or to request an appointment for the Colorectal Center at Cincinnati Children's Hospital Medical Center, please contact us.