Tuesday, September 20, 2011

Sion hospital to do rare surgery

Sion hosp to do rare surgery


For a year, Krish Sharma was only breastfed as he didn't have an anal opening and passed urine and stool from his penis. His parents instead of taking him to a doctor, decided to feed him a liquid diet so that he doesn't have to pass stool.
Krish, who was suffering from congenital anomaly (there was no anus formation and rectum was connected to urethra), was brought to Sion Hospital last month. He will be taken up for definitive surgery this week, in which they will pull down the rectum and place it in the muscle complex.
Dr Paras Kothari, head of the department of pediatric surgery, Sion Hospital, said: "Congenital anomaly is found in one in five lakh children but the most unusual fact of this case is the age of presentation. Male patients with Anorectal Malformation (ARM ) are usually brought to the hospital within four or five days. Only one or two cases worldwide have been reported where the child with such symptoms was brought for treatment after a year."
Krish weighed only 6 kg when he was first brought to Sion hospital. "Since he was only breastfed, he didn't gain much weight. We have now created an opening in his lower abdomen area and asked the mother to feed him solid food. It is a serious condition, and requires a series of operations. But the long-term outcome is good for many children," said Dr Krushnakumar Kesan.
Krish is in the hospital for definitive surgery in which anus will be created and stoma will be closed. "Normally, in such conditions, the child may develop kidney infection. Luckily Krish doesn't have those complications. It is mainly because of uneducated parents and the doctors not guiding the parents properly that led to the delay," said Dr Kothari.
Krish's case study will now be presented in the clinical meets and the department is also sending it for medical journals for printing.

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