Abstract

The present study analyzes the article by article by Huijgen et al., “Long-term follow-up in patients with anorectal malformation: MRI findings in relation to bowel function”, which demonstrates the current state of pediatric colorectal surgery and the role of personality in a context where physiological science has ceased to be funded by the state. It presents evidence of the destruction of pediatric colorectal surgery by Dr. Peña and his followers. The article lacks an understanding of the physiology and pathology of the anorectal area in health and with ARM. It ignores the research of several generations of pediatric surgeons who have proven the existence of an anal canal and achieved good results by preserving it. There are no references to modern articles in which the authors reject PSARP due to the destruction of anal sphincters. The article lacks scientific methodology, resulting in incorrect and dangerous conclusions and proposals. In fact, everyone involved in the decision to publish it promotes PSARP, which causes lifelong suffering. Meanwhile, if all elements of the anal canal are preserved, these patients can be healthy.

Keywords

anorectal malformations, posterior sagittal anorectoplasty, cutback, anal canal physiology, alberto peña, postoperative function, classification