Division of Pediatric General, Thoracic and Fetal Surgery

A Guide to Your Child's Surgery

Our Surgery Guide will help you and your family prepare for your child's upcoming surgery, outlining what to expect from the first pre-op visit all the way through to her discharge.

Go to the Guide »

Pediatric Anorectal Continence Evaluation Program (PACE)

The Pediatric Anorectal Continence Evaluation Program (PACE) at The Children's Hospital of Philadelphia is a comprehensive treatment program for children with long-term bowel management needs related to a variety of conditions that are generally diagnosed at birth and repaired surgically in infancy. Despite surgical correction, your child may still need assistance with bowel management.

The PACE Program team will work with your child and family to provide a successful bowel management program in the years following surgery so that your child may lead a normal, healthy life.

Normal bowel movement is dependent on a balance between a child's anatomy and physiology, as well as emotional and physical stressors. In order to achieve an effective bowel management program, we use a variety of evaluative tools and medications to find the balance that is right for your child. We tailor our recommendations to meet your child's needs, and incorporate medications, diet, activity and lifestyle changes depending on your child's underlying diagnosis, associated anomalies and overall lifestyle.

Conditions we treat

We treat children with long-term bowel management needs associated with:

Your child’s evaluation with the PACE Program

The PACE Program’s multidisciplinary team brings together experts in pediatric general surgery and gastroenterology to provide streamlined, coordinated care for your child. Depending on your child’s specific condition and symptoms, her care will include evaluations with the Division of Pediatric General, Thoracic and Fetal Surgery and the Division of Gastroenterology’s Lustgarten Center for GI Motility. Children with potential motility disorders will be seen by both a pediatric surgeon and a GI motility specialist.

At your child’s first appointment with the PACE Program, we will start with a thorough medical history and physical evaluation, including a rectal examination. Your child's evaluation may include a variety of procedures that will help us to confirm the diagnosis and gather a full understanding of her condition. Procedures may include a rectal biopsy, barium enema, MRI or CT scan, colonoscopy and anorectal manometry.

After the initial evaluation, we will review information about your child’s diagnosis and provide educational materials.

We will go over the treatment options available to your child, including surgical and non-surgical management strategies, and will explain any recommended tests and procedures that are appropriate for your child and pertinent to treatment plans.

The PACE Program provides ongoing support and management of your child’s condition as she grows. We do this by:

The PACE Program is located on the 5th floor of the Richard D. Wood Pediatric Ambulatory Care Center at Children’s Hospital’s Main Campus in Philadelphia.

To determine if your child or patient can benefit from treatment through the PACE Program, please call us and a member of our team will answer your questions and work with you to schedule an appointment or make other referrals as needed.

Why choose the PACE Program at CHOP

The Pediatric Anorectal Continence Evaluation Program (PACE) at The Children's Hospital of Philadelphia brings together top pediatric specialists in general surgery and gastroenterology to provide comprehensive care in one location for children with bowel management needs.

Our experience caring for patients with these issues makes us well-equipped to manage your child’s care. We treat more than 300 patients annually in our multidisciplinary clinic.

The PACE Program also works closely with primary care providers to offer appropriate bowel management strategies and ensure coordinated care for your child. We provide comprehensive feedback for each new evaluation and subsequent visits; offer interpretation of diagnostic studies and educational information about complex diagnoses; and recommend referrals to other specialists as needed.

Contact us

To determine if your child or patient can benefit from treatment through the PACE Program, please call 215-590-8846 or email pace@email.chop.edu. A member of our team will answer your questions and work with you to schedule an appointment or make other referrals as needed.

Our team

May 2014

  • Print
  • Share

Contact Us