title: Gastrointestinal reconstruction and outcomes for patients with the OEIS complex.
abstract: The OEIS complex (ie, omphalocele-exstrophy-imperforate anus-spinal defects) is a rare and complex anomaly requiring collaboration among multiple pediatric surgical subspecialties throughout the early childhood period. Initial gastrointestinal management involves identification of all intestinal components with reconstruction of the entire length of intestines in-line leading to an end colostomy. Candidacy for an abdominoperineal intestinal pull-through procedure is dependent upon the patient's ability to form solid stools, degree of pelvic neuromuscular development, and ability to comply with a bowel management program.
authors: Department of General Surgery, Division of Pediatric Surgery, University of Mississippi Medical Center, Jackson, MS 39216, USA. dsawaya@comcast.net
authors: David
authors: D
authors: Sawaya
authors: John P
authors: JP
authors: Gearhart
mesh_terms: D001006:Anus, Imperforate / Q000150:complications / Q000601:surgery; D013505:Digestive System Surgical Procedures / Q000379:methods*; D005242:Fecal Incontinence / Q000209:etiology / Q000628:therapy; D006554:Hernia, Umbilical / Q000150:complications / Q000601:surgery; D006801:Humans; D007422:Intestines / Q000002:abnormalities / Q000601:surgery*; D010384:Pelvic Bones / Q000002:abnormalities / Q000601:surgery; D017773:Pelvic Floor / Q000002:abnormalities / Q000601:surgery; D012600:Scoliosis / Q000150:complications / Q000601:surgery; D014564:Urogenital Abnormalities / Q000150:complications / Q000601:surgery; D013520:Urologic Surgical Procedures / Q000379:methods; D000099061:OEIS Complex