Pediatric Gastrointestinal and Liver Disease

Endoscopic Retrograde Cholangiopancreatography

Endoscopic retrograde cholangiopancreatography (ERCP) is a combined endoscopic and radiologic procedure used for diagnostic and, more commonly, therapeutic interventions within the pancreatic and biliary tree. Although interventional radiology and interventional endoscopic ultrasound (EUS) approaches exist, ERCP has been and remains…

Stomas of the Small and Large Intestine

Acknowledgments The authors wish to thank those who wrote the previous text versions and the following individuals for their contributions to this chapter: Meagan Costedio, MD; enterostomal therapists Coleen Potts, RN, Susan Booth, RN, and Jeanette Gatan, RN; Lisa Rhome,…

Newborn Abdominal Wall Defects

Historical Background Omphalocele was first described by Ambrose Paré during the 16th century and was associated with poor prognosis; gastroschisis was likely described by Lycosthenes near the same time. The present-day diagnoses were established in 1953 by Moore and Stokes,…

Imperforate Anus

The term imperforate anus is a misnomer; it is commonly used to refer to a spectrum of anorectal malformations, ranging from a benign defect that requires a minor operation and results in an excellent prognosis to complex malformations with a…

Hirschsprung Disease

Hirschsprung disease (HD) is characterized by the absence of ganglion cells in the myenteric and submucosal plexuses of the intestine. The first known description of HD appeared in an ancient Hindu document known as the Sushruta Samheta. There were multiple…