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How is anorectal malformation managed after a colostomy?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My 61-day-old baby was diagnosed with anorectal malformation during birth, and a colostomy was done. He is 11.02 Ibs now, and I want to know when the second surgery can be done.

Please help.

Thank you.

Answered by Dr. Prakash Chandra Girdhar Lal Nagar

Education:

MRCPCH UK

Professional Bio:

Dr. Prakash Chandra Girdhar Lal Nagar is a Pediatrician, having 42 years of clinical experience. He got tremendous experience in renowned hospitals in India, including Nanavati Hospital and Nair Hospital of Mumbai. Later, he worked as a Specialist Pediatrics in a very busy 450 bedded MOH hospital in Oman for more than 10 years. He worked as Specialist Pediatrics at JCI accredited MOH hospital of UAE, and he also has vast experience in Neonatology in Oman, UAE, UK, and Canada.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Usually, a second surgery for a high anorectal malformation is performed once the baby is well stabilized and growing well, approximately three to four months after the first surgery. It also depends on the site of the problem, as well as on the treating surgeon. Some surgeons do it once the baby attains approximately 22.05 Ibs of weight if they do it in a 2-stage plan. Some surgeons might do it in a 3-stage plan.

As your baby is otherwise growing well, I expect they may be planning to do it soon, but the final timing depends on the pediatric surgeon. I suggest just sticking to the advice of your surgeon. You are taking care of your baby so well, which is why he is growing well. The credit goes to you, along with your surgeon. I trust everything will be fine soon, and your baby will be passing motion normally.

I hope this helps.

Kindly revert in case of further queries.

Thanks, and take care.

Medically reviewed by iCliniq medical review team
Published At May 3, 2023
Reviewed At June 23, 2026

Education:

MRCPCH UK

Professional Bio:

Dr. Prakash Chandra Girdhar Lal Nagar is a Pediatrician, having 42 years of clinical experience. He got tremendous experience in renowned hospitals in India, including Nanavati Hospital and Nair Hospital of Mumbai. Later, he worked as a Specialist Pediatrics in a very busy 450 bedded MOH hospital in Oman for more than 10 years. He worked as Specialist Pediatrics at JCI accredited MOH hospital of UAE, and he also has vast experience in Neonatology in Oman, UAE, UK, and Canada.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MRCPCH UK

Professional Bio:

Dr. Prakash Chandra Girdhar Lal Nagar is a Pediatrician, having 42 years of clinical experience. He got tremendous experience in renowned hospitals in India, including Nanavati Hospital and Nair Hospital of Mumbai. Later, he worked as a Specialist Pediatrics in a very busy 450 bedded MOH hospital in Oman for more than 10 years. He worked as Specialist Pediatrics at JCI accredited MOH hospital of UAE, and he also has vast experience in Neonatology in Oman, UAE, UK, and Canada.

This doctor is not available for online consultations on the platform anymore.

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