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A Sphincter-Saving Operation

Eduardo Jorge, MD; Thomas V. N. Ballantine, MD; Raymond J. Joehl, MD

Arch Surg. 1987;122(9):987-991.

Abstract
• We performed posterior sagittal anorectoplasty to treat two adult patients. One patient had an idiopathic stricture extending from the proximal sigmoid colon to the anus. The second patient was born with a high imperforate anus and, following a pull-through procedure as an infant, remained totally incontinent of feces. Both patients now have excellent fecal continence following this operation. The posterior sagittal anorectoplasty may be used to preserve rectal continence in selected adults.

(Arch Surg 1987;122:987-991)

Author Affiliations
From the Department of Surgery, Milton S. Hershey Medical Center, Pennsylvania State University, College of Medicine, Hershey. Dr Joehl is now with Northwestern University Medical School, Chicago.

Footnotes
Accepted for publication Dec 30, 1986.

Read in part at the American College of Surgeons Clinical Congress, Chicago, Oct 17, 1985.

Reprint requests to Department of Surgery, Milton S. Hershey Medical Center, PO Box 850, Hershey, PA 17033 (Dr Jorge).

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