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         Imperforate Anus:     more detail
  1. Proctology: Defecation, Hemorrhoid, Anal Fissure, Germ Cell Tumor, Anal Fistula, Stapled Hemorrhoidectomy, Imperforate Anus, Proctalgia Fugax
  2. Report of a successful operation for artificial anus, in a case of imperforate rectum by Manning Simons, 1878
  3. Imperforate anus, bowel opening into urethra, hypospadias: A presentation of new plastic methods by Hugh H Young, 1936
  4. Anorectal Malformations in Children by Alexander M. Holschneider, 2006-11-14

1. Imperforate Anus
imperforate anus. What is imperforate anus? imperforate anus is the absence of a normal anal opening. How is imperforate anus evaluated?
http://www.pedisurg.com/PtEduc/Imperforate_Anus.htm
IMPERFORATE ANUS What is imperforate anus? Imperforate anus is the absence of a normal anal opening. The diagnosis is usually made shortly after birth by a routine physical examination. Imperforate anus occurs in about 1 in 5000 births and its cause is unknown. Children who have imperforate anus may also have other congenital anomalies. The acronym VACTERL describes the associated problems that infants with imperforate anus may have: Vertebral defects, Anal atresia, Cardiac anomalies, Tracheoesophageal fistula, Esophageal atresia, Renal anomalies, and Limb anomalies. The incidence of kidney and bladder problems increases with the severity of the imperforate anus, ranging from 5 to 20 percent with low lesions up to 60 to 90 percent with high lesions. While some of these anomalies may be noted on physical examination, others require further diagnostic tests. Renal ultrasound is done shortly after birth on all infants to evaluate the kidneys. Chest X-ray, EKG, and cardiac ultrasound may be ordered to evaluate the heart. Other X-rays may be done to evaluate the trachea and esophagus and the spine. How is imperforate anus evaluated?

2. MedlinePlus Medical Encyclopedia: Imperforate Anus Repair
imperforate anus repair. Definition Return to top. imperforate anus repair is surgery to correct birth defects involving malformation of the rectum and anus.
http://www.nlm.nih.gov/medlineplus/ency/article/002926.htm
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Medical Encyclopedia
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Imperforate anus repair
Contents of this page:
Illustrations
Imperforate anus repair - series Alternative names Return to top Anorectal malformation repair; Perineal anoplasty Definition Return to top Imperforate anus repair is surgery to correct birth defects involving malformation of the rectum and anus. Normally, the large intestine (colon) empties into a pouch-like portion of bowel (rectum). Through complex nerve and muscle structures, the rectum releases stool through the anus out of the body. Infants with imperforate anus defect, however, have malformations of the rectum and anus, in which abnormal development of these structures leads to growth of skin over the anus, and incomplete development of the rectum. As a result, these infants have either no anal opening through which stool can pass or a very small opening with fistulas (channels that connects skin to bowel) that allows only a small amount of stool to pass out of the rectum. Variations of the defect include:
  • Complete absence of an anal opening A small tube-like opening ( fistula ) from the bowel to the skin, vagina, or urethra

3. HealthCentral - Pediatrics Encyclopedia - Imperforate Anus Repair
of the rectum and anus (imperforate anus). In individuals with a normal Infants with imperforate anus defect have malformations of the rectum and anus, preventing normal
http://www.healthcentral.com/peds/top/002926.cfm
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4. MedlinePlus Medical Encyclopedia: Imperforate Anus
imperforate anus. imperforate anus is a congenital absence or obstruction of the anal opening. Causes, incidence, and risk factors Return to top.
http://www.nlm.nih.gov/medlineplus/ency/article/001147.htm
@import url(http://www.nlm.nih.gov/medlineplus/images/advanced.css); Skip navigation
Medical Encyclopedia
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Imperforate anus
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Illustrations
Digestive system Imperforate anus Imperforate anus repair - series Alternative names Return to top Anorectal malformation; Anal atresia Definition Return to top Imperforate anus is a congenital absence or obstruction of the anal opening. Causes, incidence, and risk factors Return to top Imperforate anus is a malformation of the anorectal region that may occur in several forms. The rectum may end in a blind pouch that does not connect with the colon. Or, it may have openings to the urethra, bladder, base of penis or scrotum in boys, or vagina in girls. A condition of stenosis (narrowing) of the anus or absence of the anus may be present. The malformations are caused by abnormal development of the fetus, and many are associated with other birth defects. Imperforate anus is a relatively common congenital malformation that occurs in about 1 out of 5,000 infants. Symptoms Return to top
  • absence of anal opening misplaced anal opening anal opening very near the vaginal opening in the female no passage of first stool within 24 to 48 hours after birth stool passed by way of vagina, base of penis or scrotum, or urethra

5. EMedicine - Imperforate Anus : Article By Daniel A Beals, MD
imperforate anus Congenital anomalies of the anus and rectum are relatively common. Minor abnormalities occur in approximately 1 per 500 live births; major anomalies occur in 1 per 5000 live Jr, Ortiz-Interian CJ, Acosta Vasquez CE Sr imperforate anus, delayed presentation in a 7-year-old girl one of male twins, with imperforate anus in the other male twin
http://www.emedicine.com/ped/topic1171.htm
(advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Pediatrics Gastroenterology
Imperforate Anus
Last Updated: August 10, 2002 Rate this Article Email to a Colleague Synonyms and related keywords: anal atresia, anal stenosis, covered anus, rectourethral fistula, anal agenesis, anterior ectopic anus, perineal fistula, rectoprostatic fistula, rectal fistula, cloacal malformation, Currarino syndrome, anorectal anomaly AUTHOR INFORMATION Section 1 of 9 Author Information Introduction Clinical Workup ... Bibliography
Author: Daniel A Beals, MD , Associate Professor, Department of Surgery, Section of Pediatric Surgery, University of Kentucky Daniel A Beals, MD, is a member of the following medical societies: American Society for Bioethics and Humanities Editor(s): Hisham Nazer, MD , Professor, Department of Pediatrics, University of Jordan, Amman, Jordan; Mary L Windle, PharmD , Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy;

6. Imperforate Anus: Background
Anorectal Malformations imperforate anus. General Background. An imperforate anus is caused by this process not being completed.
http://www.pullthrough.org/Background.html
Anorectal Malformations: Imperforate Anus General Background All anorectal malformations have routinely been classified by the term "imperforate anus," a condition recognized since antiquity. Studies show that anorectal malformations occur in varying degrees in one out of every 4,000 newborns. This translates to approximately 600 children born each year in the U.S. Females seem to suffer this condition less frequently than males. There is no known cause for the condition which runs equally through all racial, social, cultural and economic groups. One thing is known: Parents should never blame themselves for the condition. There is no evidence to suggest it is caused by something done as an adolescent, on the night of conception or during the pregnancy. The complex miracle of reproduction sometimes just goes astray. These defects probably develop during the 4th to 12th week of gestation. As the fetus grows, all of the internal organs begin in a mass, and slowly spread out, until they separate. During normal development, the urethra and lower colon begin distending as one, and separate before completing their respective descents. An imperforate anus is caused by this process not being completed. The uncompleted developmental steps must be done surgically. There are many types of anorectal malformations. Each one has specific characteristics and carries a specific prognosis. When the colon is located high in the pelvis, most surgeons describe it as

7. EMedicine - Imperforate Anus: Surgical Perspective : Article By Marc A Levitt, M
imperforate anus Surgical Perspective Anorectal malformations comprise a wide spectrum of disease affecting boys and girls and can involve malformations of the distal anus and rectum, as well
http://www.emedicine.com/ped/topic2923.htm
(advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Pediatrics General Surgery
Imperforate Anus: Surgical Perspective
Last Updated: May 30, 2003 Rate this Article Email to a Colleague Synonyms and related keywords: anorectal malformations, anorectal anomaly, persistent cloaca, rectoperineal fistula, recto–bladder neck fistula, bucket-handle malformation AUTHOR INFORMATION Section 1 of 11 Author Information Introduction Indications Relevant Anatomy And Contraindications ... Bibliography
Author: Marc A Levitt, MD , Assistant Professor of Surgery and Pediatrics, Albert Einstein College of Medicine; Consulting Surgeon, Division of Pediatric Surgery, Schneider Children's Hospital, North Shore - Long Island Jewish Health System Coauthor(s): Alberto Pena, MD , Professor of Surgery, Albert Einstein College of Medicine; Chief, Department of Pediatric Surgery, Schneider Children's Hospital, North Shore - Long Island Jewish Health System Marc A Levitt, MD, is a member of the following medical societies:

8. NORD - National Organization For Rare Disorders, Inc.
imperforate anus. Anal Atresia. Anal Membrane. Anal Stenosis. Anorectal Malformations. Ectopic Anus. High imperforate anus. Low imperforate anus. Perineal Anus imperforate anus is a rare
http://www.rarediseases.org/search/rdbdetail_abstract.html?disname=Imperforate A

9. Imperforate Anus Repair
imperforate anus repair is surgery to correct birth defects involving malformation of the rectum and anus.Normally, the large intestine (colon) empties into a pouchlike portion of bowel (rectum
http://www.pennhealth.com/ency/article/002926.htm
Search Encyclopedia: List of Topics Print This Page  Gastrointestinal Surgery
Imperforate anus repair
Imperforate anus repair - series Definition: Imperforate anus repair is surgery to correct birth defects involving malformation of the rectum and anus. Normally, the large intestine (colon) empties into a pouch-like portion of bowel (rectum). Through complex nerve and muscle structures, the rectum releases stool through the anus out of the body. Infants with imperforate anus defect, however, have malformations of the rectum and anus, in which abnormal development of these structures leads to growth of skin over the anus, and incomplete development of the rectum. As a result, these infants have either no anal opening through which stool can pass or a very small opening with fistulas (channels that connects skin to bowel) that allows only a small amount of stool to pass out of the rectum. Variations of the defect include:
  • Complete absence of an anal opening A small tube-like opening ( fistula ) from the bowel to the skin, vagina, or urethra

10. The Pull-thru Network's Home Page
Nonprofit support and resource organization for families of children born with imperforate anus, cloaca, Hirschsprung's Disease and any of the associated defects.
http://www.pullthrough.org/
Welcome to the Pull-thru Network! The Pull-thru Network was organized as a chapter of the United Ostomy Association in 1988 by a group of families whose children were born with an anorectal malformation. Today, the PTN is one of the largest organizations in the world dedicated to the support and information needs of the families of children born with imperforate anus, cloaca, cloaca exstrophy, bladder exstrophy, VATER Syndrome, Hirschsprung’s Disease and other related birth anomalies. Add us to your Favorites
Showing our support for one of our own. Membership in the Pull-thru Network
Membership in the Pull-thru Network is open to all persons interested in the development and welfare of children and adults who have had, or will have, a pullthrough type surgery or a permanent ostomy for the correction of anorectal malformations, colon disease or injury. PTN offers a variety of services to its members: The PTN News is the quarterly newsletter of the Pull-thru Network. Currently it is 24 pages in length and is sent through the US Mail. The articles range from medical information, “Good News” about our children, personal stories and helpful information related to the various issues faced by families of a child born with an ARM or colon disease. Members may also receive

11. Colon & Rectal Surgery
Abstracts Primary repair of imperforate anus in an adult.
http://www.sma.org/smj/96abcoln.htm
Laparoscopic surgery for colorectal cancer is surrounded by controversy. We have reviewed the data on laparoscopic surgery for colon cancer done at our institution over the past 5 years. In our experience so far, the laparoscopic technique of surgery for colorectal cancer has yielded oncologic results comparable to the open technique and in certain areas discussed in detail better than the open technique. COMPLICATIONS OF LAPAROSCOPIC COLORECTAL SURGERY: AN IMPACT OF EARLY EXPERIENCE. Sergio Larach, MD, Sanjiv Patankar, MD, Santiago Perozo, MD, Andrea Ferrara, MD, and Paul Williamson, MD. Colon and Rectal Clinic of Orlando, Orlando, Fla. The technique of laparoscopic colorectal surgery is still evolving and the outcome is being watched with keen interest. The aim of this study was to review the impact of our early learning experience on reducing the complications specifically related to the laparoscopic technique of colorectal surgery. From October 1991 to May 1996, 192 laparoscopic operations were done on the colon and rectum. Of these, 123 operations were done between October 1991 and September 1994 (early experience group) while 69 operations were done between October 1994 and May 1996 (later experience group). The data were prospectively collected and continually updated. The incidence of complications in the two groups was compared to identify the impact made by the introduction of preventive steps identified by us during our earlier experience. The overall incidence of early postoperative complications was similar in both groups, 24.4% in the early experience group and 24.7% in the later experience group. The incidence of late postoperative complications was 13% in the early experience group, while it was 7.2% the later experience group. Both early and late complications specifically related to the laparoscopic technique of surgery were markedly reduced in the later experience group to 4.3% (3/69) as compared with 15.4% (19/123) in the early experience group. There were 4 episodes of bleeding, 2 ureteral injuries, and 7 hernias in the early experience group. There was 1 bleeding episode and no ureteral injuries or incisional hernias in the later experience group.

12. Personal Experiences & Notes On
on the care of a child with imperforate anus
http://members.tripod.com/jim_pendergraft/project.htm
var cm_role = "live" var cm_host = "tripod.lycos.com" var cm_taxid = "/memberembedded"
the Care of a Child with Imperforate Anus NOTICE The relevance of any information contained in this document to a particular person should be discussed by the family with their own physicians. I am not a doctor and can not guarantee the accuracy of the information provided here. Updated: October 10, 2001 kpendergraft@nc.rr.com
Introduction - How to Make the Best Use of This
General Information Health Resume Medical Records ... Appendix A - Detailed Outline
Introduction - How to Make the Best Use of This
This document came into being from a combination of factors. First, the pullthrough list archives prior to Jan. 2000 are no longer accessible. I had saved many notes on various topics relating to Stephen’s problems that I thought could help other parents. Second, there are parents who have no computer access who could benefit from the information on the PTL list serv and on the web. Finally, and most importantly, my husband and I felt strongly that God was calling me to organize the information I had to help other parents. So, I dug out all of my saved notes, articles, PTN newsletters, etc. and attempted to summarize, assemble, and organize the information.

13. AllRefer Health - Imperforate Anus (Anal Atresia, Anorectal Malformation)
imperforate anus (Anal Atresia, Anorectal Malformation) information center covers causes, prevention, symptoms, diagnosis, treatment, incidence, risk factors
http://health.allrefer.com/health/imperforate-anus-info.html
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Alternate Names : Anal Atresia, Anorectal Malformation Definition Imperforate anus is a congenital absence or obstruction of the anal opening.
Digestive System
Imperforate Anus
Imperforate Anus Repair - Series Imperforate anus is a malformation of the anorectal region that may occur in several forms. The rectum may end in a blind pouch that does not connect with the colon. Or, it may have openings to the urethra, bladder, base of penis or scrotum in boys, or vagina in girls. A condition of stenosis (narrowing) of the anus or absence of the anus may be present. The malformations are caused by abnormal development of the fetus, and many are associated with other birth defects. Imperforate anus is a relatively common congenital malformation that occurs in about 1 out of 5,000 infants.

14. AllRefer Health - Imperforate Anus Pictures & Images (Anal Atresia, Anorectal Ma
You are here AllRefer.com Health Diseases Conditions imperforate anus Pictures Images. imperforate anus. imperforate anus imperforate anus.
http://health.allrefer.com/health/imperforate-anus-pictures-images.html
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Alternate Names : Anal Atresia, Anorectal Malformation Click on an image thumbnail to view full size
Digestive System The esophagus, stomach, large and small intestine, aided by the liver, gallbladder and pancreas convert the nutritive components of food into energy and break down the non-nutritive components into waste to be excreted.
Imperforate Anus Imperforate anus is a malformation of the anorectal region that may occur in several forms. The rectum may end in a blind pouch that does not connect with the colon, or it may have openings to the urethra, bladder, or vagina. A condition of stenosis, or narrowing of the anus, or absence of the anus may be present.
Imperforate Anus Repair - Series Browse through a series of illustrations for Imperforate Anus Repair.

15. Pediatric Surgery | Minimally Invasive Surgery | Imperforate Anus
Minimally Invasive Surgery. Print Format. imperforate anus. imperforate anus is a birth defect that occurs in about one of every 5,000 newborns.
http://www.ucsfhealth.org/childrens/medical_services/surgical/minimal/conditions
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Pediatric Surgery Topics Minimally Invasive Surgery To Visit Us ... Events and Classes Minimally Invasive Surgery Print Format Imperforate Anus Signs and Symptoms
Diagnosis

Treatment
Signs and Symptoms Imperforate anus is a birth defect that occurs in about one of every 5,000 newborns. It is somewhat more common in boys than girls and may include a single abnormality or a combination of abnormalities of the rectum, (the end of the intestine near the anus), and anus, (the opening of the rectum). There is no known cause for this condition. There are many forms of this birth defect including:
  • The absence of an anal opening. An anal opening in the wrong position, usually a very small opening. A connection, or opening called a fistula, between the rectum and the urethra, bladder or vagina.

16. Pediatric Surgery | Minimally Invasive Surgery | Imperforate Anus
Minimally Invasive Surgery. Print Format. imperforate anus.
http://www.ucsfhealth.org/childrens/medical_services/surgical/minimal/conditions
University of California, San Francisco About UCSF Quick Links... Admissions Appointments Billing Calendar Clinical Trials Clinics Conditions and Treatments Contact a Patient Contact Us Directions and Maps For Health Professionals Jobs Make A Donation Medical Dictionary Medical Tests News Patient Profiles Specialized Services UCSF Medical Center Volunteer Services Search
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Pediatric Surgery Topics Minimally Invasive Surgery To Visit Us ... Events and Classes Minimally Invasive Surgery Print Format Imperforate Anus Signs and Symptoms
Diagnosis

Treatment
Treatment If the anus is missing, an operation will be needed to make an opening, or new anus, for stool to pass. When the intestine ends high in the pelvis (the area below the abdomen, between the hips), this is usually done in two operations. First a stoma, or opening of the intestine to the abdomen, is made and the rectum is pulled down to the anus where a new anal opening is made. During the operation, if a fistula is present, it will be closed to prevent stool from entering the urinary tract or vagina. The stoma is closed in a second operation, several months later, after the new anal opening has healed. In some newborns, the rectum can be pulled down to the anus and a new opening created in a single operation, using small instruments. This is called laparoscopy. In this case, a stoma is not needed and the entire defect is repaired in a single operation. If the intestine is low in the pelvis, close to the skin surface, an anal opening can be made and the intestine can be sewn to the skin. If the anal opening is in the wrong position, it will be closed and moved to the correct place. This operation is called an anoplasty and is performed soon after birth. It is usually done in a single operation.

17. Imperforate Anus - Information / Diagnosis / Treatment / Prevention
home digestive disorders anorectal imperforate anus imperforate anus. Personal Experiences Notes on the care of a child with imperforate anus.
http://www.healthcyclopedia.com/digestive-disorders/anorectal/imperforate-anus.h

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Related Topics: Child Health Medicine/Medical Specialties/Pediatrics Rare Disorders/VATER Syndrome Urinary Incontinence Medical Definition: University of Newcastle-upon-Tyne Medical Dictionary: "imperforate anus" Message Boards: Google Groups: alt.support.ostomy Health News: Search millions of published articles for news on Imperforate Anus Modern Medicine Aging The Ardell Wellness Report HealthFacts Medical Post Medical Update Men's Health and the National Women's Health Report Note: Subscription required to access the full text of articles. Web Directory: The Pull-thru Network Non-profit support and resource organization for families of children born with imperforate anus, cloaca, Hirschsprung's Disease and any of the associated defects. Colon and Rectal Surgery Abstracts: Primary repair of imperforate anus in an adult.

18. Imperforate Anus
imperforate anus is a rare inborn abnormality characterized by the absence or abnormal localization of the anus. imperforate anus.
http://www.bchealthguide.org/kbase/nord/nord629.htm
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National Organization for Rare Disorders, Inc.
Imperforate Anus
Important
It is possible that the main title of the report is not the name you expected. Please check the synonyms listing to find the alternate name(s) and disorder subdivision(s) covered by this report.
Synonyms
  • Anal Atresia Anal Membrane Anal Stenosis Anorectal Malformations Ectopic Anus High Imperforate Anus Low Imperforate Anus Perineal Anus Rectoperineal Fistula
Disorder Subdivisions
  • None
Related Disorders List
Information on the following diseases can be found in the Related Disorders section of this report:
  • Colon Atresia (Colon Stenosis)
General Discussion
Imperforate anus is a rare inborn abnormality characterized by the absence or abnormal localization of the anus. The rectum or the colon may be connected to the vagina or the bladder by a tunnel (fistula). With surgical correction, normal elimination can become possible.
Symptoms
Imperforate anus is an abnormality present at birth, and characterized by the absence of the normal opening of the anus. Elimination of feces may not be possible until surgery is performed. In some cases the rectum opens into the lower part of the vagina in females, or close to the scrotum in males.

19. Townes Brocks Syndrome
ANAL ABNORMALITIES In most patients with TownesBrocks Syndrome, there is an absence of an anal opening (imperforate anus). Abnormal
http://www.bchealthguide.org/kbase/nord/nord823.htm
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National Organization for Rare Disorders, Inc.
Townes Brocks Syndrome
Important
It is possible that the main title of the report is not the name you expected. Please check the synonyms listing to find the alternate name(s) and disorder subdivision(s) covered by this report.
Synonyms
  • Imperforate Anus with Hand, Foot and Ear Anomalies Deafness, Sensorineural, with Imperforate Anus and Hypoplastic Thumbs Townes Syndrome
Disorder Subdivisions
  • None
Related Disorders List
Information on the following diseases can be found in the Related Disorders section of this report:
  • Imperforate Anus VACTERL Association REAR Syndrome Holt-Oram Syndrome
General Discussion
Townes-Brocks Syndrome is a rare genetic disorder present at birth. Symptoms of the disorder and the severity of these symptoms vary from person to person. Major characteristics may include an absence of an anal opening in association with hand, foot and ear abnormalities. Hearing loss or deafness due to lesions or dysfunctions of part of the internal ear or its nerve tracts and centers (sensorineural hearing loss or deafness) is present in some patients.
Symptoms
Townes-Brocks Syndrome is a rare genetic disorder. Characteristics of this disorder are present at birth and vary from person to person both in type and severity.

20. Imperforate Anus
imperforate anus. Definition imperforate anus is a congenital absence or obstruction of the anal opening. Alternative Names
http://www.drkoop.com/ency/article/001147.htm
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Imperforate anus
Definition: Imperforate anus is a congenital absence or obstruction of the anal opening.
Alternative Names: Anorectal malformation; Anal atresia
Causes, incidence, and risk factors: Imperforate anus is a malformation of the anorectal region that may occur in several forms. The rectum may end in a blind pouch that does not connect with the colon. Or, it may have openings to the urethra, bladder, base of penis or scrotum in boys, or vagina in girls. A condition of stenosis (narrowing) of the anus or absence of the anus may be present. The malformations are caused by abnormal development of the fetus, and many are associated with other birth defects. Imperforate anus is a relatively common congenital malformation that occurs in about 1 out of 5,000 infants.
Review Date: 10/31/2003
Reviewed By: Grace Jeon, M.D., General Surgeon, Pasadena, CA. Review provided by VeriMed Healthcare Network.

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