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Colorectal conditions are complex and often involve multiple systems of the body. When you have concerns about your child’s colorectal health, Children’s Mercy will help you get an accurate diagnosis and create a comprehensive treatment plan that is unique to your child.

Your colorectal care team

At the Comprehensive Colorectal Center, you can see all the specialists your child might need in one place for a collaborative and comprehensive approach to their care. The following specialists are part of the the care team:

  • Director, Comprehensive Colorectal Center; Colorectal and Pelvic Reconstruction SurgeryRebecca Rentea, MD uses her surgical expertise and experience with all kinds of colorectal conditions to lead the team towards an individualized plan for your child.
  • UrologyJohn Gatti, MDAlonso Carrasco Jr., MDMary Langston, PPCNP-BC – Our urology specialists contribute to the team with their in-depth understanding of the structure and function of the urinary system in children with colorectal conditions.
  • GastroenterologyJohn Rosen, MD problem-solves digestive and bowel issues related to your child’s condition.
  • GynecologyJulie Strickland, MD brings her expertise in pediatric gynecology to help girls and young women with cloaca/ARM and other colorectal conditions to find treatment options that take their future sexuality and fertility into account.
  • NeurosurgeryDavid Garcia, MD answers any questions around possible tether cord or other neurological differences that could be contributing to your child’s incontinence.
  • Health PsychologyChristina Low Kapalu, PhD works with families to talk through some of the social and emotional aspects of your child’s care and helps you find solutions that work for your daily life because managing a complex medical condition can impact the mental health of both your child and you. 
  • Clinic Coordinator: Cindy Pugh, BSN, RN helps you keep track of all the details of your child’s treatment, including appointments, lab tests, surgery, and navigating insurance coverage.

With this team on your side, you can rest assured that you are not alone.

Instead of multiple appointments with different doctors who each have a separate plan of care, our team meets all together to discuss your child’s unique needs and create one, unified approach to treatment.

Dr. Rebecca Rentea, Clinic Director, Colorectal and Pelvic Reconstruction Surgery
The pediatric colorectal center team at Children's Mercy

Your Comprehensive Care Team

Your child's care team will include every specialist you child might need. They will work with you and your child to determine a treatment plan that considers the impact one treatment might have on another area of the body.

Diagnosis and treatment — what to expect

We provide team-based care that centers on the best possible outcome for your child. We will work with you to create an integrated and personalized care plan specific to your family's needs. 

Depending on your child’s age and condition, we will:

  • Carefully examine your child's symptoms and diagnose any related conditions.
  • Help your child achieve independence with their fecal and urinary control.
  • Provide a second opinion or re-evaluation for children with complex conditions.
  • Coordinate complex, multi-system surgery to correct or reconstruct your child’s anorectal, urological and gynecological systems using the least invasive approach, always keeping your child’s future in mind.
  • Evaluate internationally adopted children with colorectal or pelvic floor conditions in coordination with Children’s Mercy’s International Adoption Clinic.

Your first visit

Families are usually referred to the center by their primary-care physician or another specialist for their first visit. 

You can expect to spend one to two hours at the clinic visiting with your care team.

Before your visit:

  • Please send any available tests, results and medical records you may have so we can review them ahead of time.
  • We will ask you to fill out some pre-visit online forms to customize your child’s appointment.
  • Sometimes additional tests may be ordered to help us determine the best course of treatment for your child. 

Follow up care:

You can schedule a follow-up visit directly by calling (816) 234-3151.