Conference Program

17th October ANORECTAL MALFORMATIONS:

09:00 – 10:00 Perinatal Management of Anorectal Malformations
  Physical examination (males and females), decision making, importance of a colostomy (45 minutes presentation and 15 minutes discussion)

 

10:00 – 10:30 Associated anomalies in anorectal malformations (20 minutes presentation and 10 minutes discussion)
  Physical examination (males and females), imaging

 

      10:30 – 11:00 Coffee break

11:00 – 12:00 Surgery for anorectal malformations (45 minutes presentation and 15 minutes discussion)
  Identifying concepts (with emphasis on differences with adult surgery). When? How? LMIC?

 

12:00 – 13:00 Challenges faced by adult colorectal surgeons (45 minutes presentation and 15 minutes discussion)
  Delayed diagnosis, reoperations, constipation, incontinence, ACEs, permanent stomas, associated anomalies that need to be followed-up

 

      13:00 – 14:00 Lunch

 

14:00 – 14:30 Case presentation and discussion (transition of care patient with an anorectal malformation) (10 min presentation and 20 min discussion)

 

14:30 – 15:30 Follow-up for patients with ARMs (45 minutes presentation and 15 minutes discussion)
  Prognosis. Incontinence and pseudo-incontinence. The importance of a structured colorectal center.

 

      15:30 – 16:00 Coffee break

 

16:00 – 16:45 Challenges faced by adult urologists (30 minutes presentation and 15 minutes discussion)
  Urinary incontinence, bladder augmentations, Mitrofanoff, stones, erectile and ejaculatory disfunction, end stage renal disease

 

16:45 – 17:30 Challenges faced by gynecologists (30 minutes presentation and 15 minutes discussion)
  Fertility, reproductive health

 

      17:30 Closing remarks Anorectal Malformations

18th October HIRSCHSPRUNG DISEASE:

09:00 – 10:30 HD in childhood (60 minutes presentation and 30 minutes discussion)
  Presentation, types, diagnosis and work-up, LMIC

 

      10:30 – 11:00 Coffee break

 

11:00 – 12:00 Surgery for HD (45 minutes presentation and 15 minutes discussion)
  When, how, LMIC

 

12:00 – 13:00 Follow-up for patients with HD (45 minutes presentation and 15 minutes discussion)
  Enterocolitis, constipation and incontinence. The importance of a structured colorectal center.

 

      13:00 – 14:00 Lunch

 

14:00 – 14:30 Case presentation and discussion (transition of care patient with HD) (10 minutes presentation and 20 minutes discussion)

 

14:30 – 15:30 Challenges faced by adult colorectal surgeons (45 minutes presentation and 15 minutes discussion)
  Delayed diagnosis, operations in adult age, reoperations, constipation, incontinence, ACEs, permanent stomas

 

      15:30 – 16:00 Coffee break

16:00 – 16:45 Challenges faced by patients  (30 minutes presentation and 15 minutes discussion) (Ethics talk)
  Ethics, permanent stomas, difficulty in transition, centralization

 

16:45 – 17:30 How can a TOC program be structured in our setting (30 minutes presentation and 15 minutes discussion) (Ethics talk)

 

      17:30 Closing remarks Hirschsprung disease

 

19th October FUNCTIONAL CONSTIPATION and BOWEL MANAGEMENT:

 

09:00 – 10:00 Functional constipation (45 minutes presentation and 15 minutes discussion)
  Definition, Presentation, Work-up options and surgical options

 

10:00 – 11:00 The adult counterpart (45 minutes presentation and 15 minutes discussion)
  What happens to the constipated child. Work-up options and surgical options.

 

      10:30 – 11:00 Coffee break

11:00 – 12:00 Bowel management and creation of a system for the pediatric population (45 minutes presentation and 15 minutes discussion)
  Identifying concepts. Who, when, why, how, LMIC

 

12:00 – 12:30 Bowel management for ARMs (20 minutes presentation and 10 minutes discussion)
  Practical examples, diet, laxatives, washouts

 

12:30 – 13:00 Bowel management for HD (20 minutes presentation and 10 minutes discussion)
  Practical examples, diet, total colonic

 

      13:00 – 14:00 Lunch

14:00 – 14:30 Case presentation and discussion (transition of care patient with functional constipation) (20 minutes presentation and 10 minutes discussion)

 

14:30 – 15:30 The role of the nurses (in peds and adults) (45 minutes presentation and 15 minutes discussion)
  Transition of care for nurses, different options, LMIC

 

      15:30 Closing remarks Functional Constipation

In association with

University of the Witwatersrand
The Johannesburg Paediatric Colorectal Clinic
WITS Department of Paediatric Surgery
Surgeons for Little Lives
Wits Donald Gordon Medical Centre
The WDGMC Colorectal Unit