My research interests are primarily focused on long-term outcomes of patients born with Hirschsprung disease, imperforate anus, cloaca anomaly, idiopathic constipation, and colorectal problems. The surgical reconstruction and associated malformations. I also believe in education and helping other countries to achieve excellence upon treatment of these conditions.
Teaching
Associate Professor
(2019)
School of Medicine,
Surgery
Pediatric Colorectal Surgery; Hirschsprung Disease; Anorectal and Urogenital Malformations (imperforate anus, cloaca, cloacal exstrophy, vaginal agenesis); Total Colonic Aganglionosis; Bowel Management (fecal incontinence and idiopathic constipation).
Publications
Bischoff A, Hayes K, Guimaraes C, Merritt A, Wickham M, Schneider L, Martin H, Ketzer J, Rodriguez V, Peña A, De La Torre L. Standardization of radiograph readings during bowel management week. Pediatr Surg Int. 2023 Jul 20;39(1):236. PubMed PMID: 37468717
Wehrli LA, Reppucci ML, De La Torre L, Ketzer J, Rieck JM, Cooper EH, Judd-Glossy L, Peña A, Bischoff A. Gastrointestinal quality of life and bowel function in adults born with anorectal malformation and hirschsprung disease. Pediatr Surg Int. 2023 Jul 18;39(1):234. PubMed PMID: 37464109
Domínguez-Muñoz A, De La Torre L, Santos-Jasso K, Schneider L, Merritt A, Wickham M, Ketzer J, Rodriguez V, Peña A, Bischoff A. Identifying predictive factors for bowel control in patients with spina bifida and spinal cord injuries. Pediatr Surg Int. 2023 Jul 11;39(1):231. PubMed PMID: 37432519
Domínguez-Muñoz A, Bischoff A, Wehrli LA, Judd-Glossy L, Schneider L, Merritt A, Wickham M, Ketzer J, Rodriguez V, Peña A, De La Torre L. Radiologically supervised bowel management program outcome in patients with chronic idiopathic constipation. Pediatr Surg Int. 2023 Jul 10;39(1):229. PubMed PMID: 37428259
Wehrli LA, Reppucci ML, Woodfield K, Ketzer J, Rieck JM, Cooper EH, De La Torre L, Pena A, Bischoff A, Alaniz VI. Fertility concerns and outcomes in females with anorectal malformations. Pediatr Surg Int. 2023 Jul 9;39(1):228. PubMed PMID: 37422894
Wehrli LA, Reppucci ML, Ketzer J, Dominguez-Muñoz A, Cooper EH, Peña A, Bischoff A, De La Torre L. Incidence of medullary thyroid carcinoma and Hirschsprung disease based on the cosmos database. Pediatr Surg Int. 2023 Jul 7;39(1):227. PubMed PMID: 37418029
Olivos M, Garcia V, De la Torre L. Evaluation of user satisfaction in parents or caregivers of pediatric patients with colorectal pathology in the use of telemedicine. JPS Open. 2023 Dec;4:100060. https://doi.org/10.1016/j.yjpso.2023.100060
De la Torre L, Dominguez A, Arnold M, Lovell M, Martinez D, Bischoff A, Wehrli L. Histological transitional zone pull-through in Hirschsprung disease. Postoperative functional results and current recommendations. Bol Med Hosp Infant Mex. 2023;80(6) DOI:10.24875/BMHIM.23000050
Wehrli L, Reppucci M, Stevens J, Arnold M, Lovell M, Zornoza M, Bischoff A, De la Torre L . Should we perform a Hirschsprung redo pull-through on patients with retained transition zone? JPS Open. 2023;(3)100058. https://doi.org/10.1016/j.yjpso.2023.100058
De la Torre L, Bischoff A. How Constipation can be Misdiagnosed as Hirschsprung Disease in ARM Patients. PTN magazine 2023. https://www.pullthrunetwork.org/ptn-articles
Reppucci ML, De La Torre L, Pickett K, Wehrli L, Nolan MM, Ketzer J, Bischoff A. Social media communities for patients and families affected by congenital pediatric surgical conditions. Pediatr Surg Int. 2022 Jul;38(7):1047-1055. PubMed PMID: 35588326
Reppucci ML, De La Torre L, Peña A, Judd-Glossy L, Pickett K, Ketzer J, Bischoff A. The use of social media among the pediatric colorectal community. Pediatr Surg Int. 2022 Jan;38(1):43-50. PubMed PMID: 34554295
Reppucci ML, Alaniz VI, Wehrli LA, Torre L, Wood D, Wilcox DT, Appiah LC, Peña A, Bischoff A. Reproductive and family building considerations for female patients with anorectal and urogenital malformations. J Pediatr Surg. 2022 Sep 19. [Epub ahead of print] PubMed PMID: 36229236
Vargas MC, Wehrli LA, Louiselle A, Ketzer J, Reppucci ML, Juddy-Glossy L, Alaniz VI, Wilcox DT, Wood DN, Peña A, De La Torre L, Bischoff A. Do adult patients with congenital colorectal conditions know their diagnosis?. Pediatr Surg Int. 2022 Dec;38(12):1723-1728. PubMed PMID: 36129533
Wehrli LA, Reppucci ML, Ketzer J, de la Torre L, Peña A, Bischoff A. Stricture rate in patients after the repair of anorectal malformation following a standardized dilation protocol. Pediatr Surg Int. 2022 Dec;38(12):1717-1721. PubMed PMID: 36107235
Wehrli LA, Bischoff A, De La Torre L, Reppucci ML, Ketzer J, Peña A, Alaniz VI. Pelvic exams and cervical cancer screening in patients with anorectal malformations. Pediatr Surg Int. 2022 Dec;38(12):1681-1684. PubMed PMID: 36107236
Reppucci ML, Wehrli LA, Wilcox D, Ketzer J, Pena A, de la Torre L, Bischoff A, Wood D. Patient-reported urinary outcomes in adult males with congenital colorectal conditions. Pediatr Surg Int. 2022 Dec;38(12):1709-1716. PubMed PMID: 36151341
Reppucci ML, Wehrli LA, Wilcox D, Ketzer J, Pena A, de la Torre L, Bischoff A, Wood D. Sexual function and fertility of adult males with anorectal malformations or Hirschsprung disease. Pediatr Surg Int. 2022 Dec;38(12):1693-1699. PubMed PMID: 36151340
Reppucci ML, Nolan MM, Cooper E, Wehrli LA, Schletker J, Ketzer J, Peña A, Bischoff A, De la Torre L. The success rate of antegrade enemas for the management of idiopathic constipation. Pediatr Surg Int. 2022 Dec;38(12):1729-1736. PubMed PMID: 36107238
Reppucci ML, Wehrli LA, Schletker J, Nolan MM, Rieck J, Fares S, Ketzer J, Rove K, Pena A, de la Torre L, Bischoff A. The effect of an enhanced recovery protocol in pediatric patients who undergo colostomy closure and Malone procedures. Pediatr Surg Int. 2022 Dec;38(12):1701-1707. PubMed PMID: 36098796
Judd-Glossy L, Ariefdjohan M, Ketzer J, Wehrli LA, Pena A, de la Torre L, Bischoff A. Long-term outcomes of adult patients following surgery for congenital colorectal conditions: analysis of psychosocial functioning. Pediatr Surg Int. 2022 Dec;38(12):1685-1692. PubMed PMID: 36127514
De la Torre. Current management of idiopathic constipation. https://www.youtube.com/watch?v=y29egGqlXco&t=44s
De la Torre. Obstructive problems after Hirschsprung pull-through. https://www.youtube.com/watch?v=M6EboUIWolw&t=7s
De la Torre, L. How Constipation can be Misdiagnosed as Hirschsprung Disease in ARM Patients PTN magazine
Hall J, Schletker J, Judd-Glossy L, Edmonds T, Krause A, Simmons H, Ketzer J, Peña A, De la Torre L, Bischoff A. A review of adopted colorectal patients: a parent's perspective. Pediatr Surg Int. 2021 Jan 21. [Epub ahead of print] PubMed PMID: 33475771
Schletker J, Wiersch J, Ketzer J, Edmonds T, Krause A, Simmons H, Peña A, De La Torre L, Bischoff A. An overview of opioid usage and regional anesthesia for patients undergoing repair of anorectal malformation. Pediatr Surg Int. 2021 Jan 7. [Epub ahead of print] PubMed PMID: 33415489
Judd-Glossy L, Ariefdjohan M, Ketzer J, Curry S, Schletker J, Edmonds T, Krause A, Simmons H, Pena A, De La Torre L, Bischoff A. Analysis of patients' and caregivers' psychosocial functioning in colorectal conditions: comparison of diagnosis, gender, and developmental functioning. Pediatr Surg Int. 2021 Jan 9. [Epub ahead of print] PubMed PMID: 33423102
Olivos M, Correa C, De la Torre L. Current practice of rectal biopsies for the diagnosis of Hirschsprung's disease in Latin America: an international online survey. Pediatr Surg Int. 2021 Jan 12. [Epub ahead of print] PubMed PMID: 33433662
Hall J, Schletker J, Judd-Glossy L, Edmonds T, Krause A, Simmons H, Ketzer J, Peña A, De la Torre L, Bischoff A. A review of adopted colorectal patients: a parent's perspective. Pediatr Surg Int. 2021 Apr;37(4):431-435. PubMed PMID: 33475771
Schletker J, Wiersch J, Ketzer J, Edmonds T, Krause A, Simmons H, Peña A, De La Torre L, Bischoff A. An overview of opioid usage and regional anesthesia for patients undergoing repair of anorectal malformation. Pediatr Surg Int. 2021 Apr;37(4):457-460. PubMed PMID: 33415489
Judd-Glossy L, Ariefdjohan M, Ketzer J, Curry S, Schletker J, Edmonds T, Krause A, Simmons H, Pena A, De La Torre L, Bischoff A. Analysis of patients' and caregivers' psychosocial functioning in colorectal conditions: comparison of diagnosis, gender, and developmental functioning. Pediatr Surg Int. 2021 Apr;37(4):437-444. PubMed PMID: 33423102
Alaniz VI, Wilcox DT, Arnold M, Bodmer JL, de la Torre L, Peña A, Bischoff A. Neovagina stricture complicated by high-grade dysplasia in a patient with history of cloaca and ulcerative colitis: a case report and review of the literature. Pediatr Surg Int. 2021 Jan 12. [Epub ahead of print] PubMed PMID: 33433664
Olivos M, Correa C, De la Torre L. Current practice of rectal biopsies for the diagnosis of Hirschsprung's disease in Latin America: an international online survey. Pediatr Surg Int. 2021 Apr;37(4):479-483. PubMed PMID: 33433662
Bischoff A, Guimaraes CVA, Mirsky DM, Santos-Jasso KA, Zaretsky MV, Ketzer J, Hall J, Mueller C, de La Torre L, Peña A, Meyers ML. Visualization of the fetal anus by prenatal ultrasound for the diagnosis of anorectal malformations: is it feasible?. Pediatr Surg Int. 2021 Jan 5. [Epub ahead of print] PubMed PMID: 33399927
Bischoff A, De La Torre L, Peña A. Letter to the Editor, “Assessing the benefit of reoperations in patients who suffer from fecal incontinence after repair of their anorectal malformation”. J Pedi Surg. Article in Press.:https://doi.org/10.1016/j.jpedsurg.2021.01.019
Bischoff A, Guimaraes CVA, Mirsky DM, Santos-Jasso KA, Zaretsky MV, Ketzer J, Hall J, Mueller C, de La Torre L, Peña A, Meyers ML. Visualization of the fetal anus by prenatal ultrasound for the diagnosis of anorectal malformations: is it feasible?. Pediatr Surg Int. 2021 Apr;37(4):425-430. PubMed PMID: 33399927
Pena A, Bischoff A, de la Torre L. Reply to letter to the editor. J Pediatr Surg. 2021 Jun;56(6):1254. PubMed PMID: 33608107
Bischoff A, Torre L, Peña A. Letter to the Editor. J Pediatr Surg. 2021 Jun;56(6):1255. PubMed PMID: 33509655
Stevens J, de La Torre L, Hall J, Simmons H, Krause A, Ketzer J, Schletker J, Judd-Glossy L, Trainor S, Wilson P, Peña A, Bischoff A. The importance of dedicated colorectal team participation in the management of spina bifida and spinal cord injury patients. Pediatr Surg Int. 2021 Oct 13. [Epub ahead of print] PubMed PMID: 34647156
Judd-Glossy L, Ariefdjohan M, Ketzer J, Matkins K, Schletker J, Krause A, Simmons H, Pena A, De La Torre L, Bischoff A. Considering the value of online support groups for colorectal conditions: perspectives from caregivers and adult patients. Pediatr Surg Int. 2021 Sep 25. [Epub ahead of print] PubMed PMID: 34562117
Reppucci ML, Arnold MA, Lovell M, Santos-Jasso K, Ketzer J, Pena A, de la Torre L, Bischoff A. Is the appendix a good organ to diagnose total colonic aganglionosis?. Pediatr Surg Int. 2021 Sep 23. [Epub ahead of print] PubMed PMID: 34554294
Alaniz VI, Wilcox DT, Arnold M, Bodmer JL, de la Torre L, Peña A, Bischoff A. Neovagina stricture complicated by high-grade dysplasia in a patient with history of cloaca and ulcerative colitis: a case report and review of the literature. Pediatr Surg Int. 2021 Apr;37(4):491-494. PubMed PMID: 33433664
Bischoff A, de La Torre L, Peña A. Comparative effectiveness of imaging modalities for preoperative assessment of anorectal malformation in the pediatric population. J Pediatr Surg. 2020 Feb;55(2):354. PubMed PMID: 31718867
De La Torre L, Zornoza M, Peña A, Bischoff A, Ketzer J, Ruiz A. Transanal rectal mucosectomy and muscular plication: A new technique for rectal prolapse in patients with an anorectal malformation. J Pediatr Surg. 2020 Nov;55(11):2531-2535. PubMed PMID: 32586611
Vuille-Dit-Bille RN, de La Torre L, Hall J, Ketzer J, Peña A, Bischoff A. Hirschsprung disease and anorectal malformations - An uncommon association. J Pediatr Surg. 2020 May 16. [Epub ahead of print] PubMed PMID: 32507634
Peña A, De La Torre L, Belkind-Gerson J, Lovell M, Ketzer J, Bealer J, Bischoff A. Enema-Induced spastic left colon syndrome: An unintended consequence of chronic enema use. J Pediatr Surg. 2020 Oct 31. [Epub ahead of print] PubMed PMID: 33199058
Dewberry L, Alaniz V, Wilcox D, De La Torre L, Peña A, Bischoff A. From Prenatal Diagnosis Through Transition to Adult Care: What Everyone Should Know About Anorectal Malformations. Curr Treat Optios Peds 6(2020) 91-100. DOI:https://doi.org/10.1007/s40746-020-00194-4
Pediatric Colorectal Surgery, Specialized Training
(1995)
Pediatric Surgery, Certificate
(1994)
Conditions & Treatments
Surgery
Clinical Interests
My many clinical interests include congenital colorectal problems such as Anorectal and Urogenital malformation (imperforate anus, cloaca, cloacal exstrophy, vaginal agenesis); Hirschsprung Disease; Total Colonic Aganglionosis; Bowel Management (fecal incontinence and idiopathic constipation).
Care Philosophy
I strive to provide the best surgical and clinical care for my patients. I believe in devoting time to patients and family explaining and discussing prognosis, long-term expectations as well as surgical reconstruction and possible future implications. I also believe in following our patients throughout life.
Personal Interests
In my spare time, I enjoy spending time with family, watching good movies, and practicing outside sports (running, biking, swimming). I also enjoy traveling the world to try to improve colorectal care for children everywhere.
Volunteer Activities
Traveling the world to try to improve colorectal care everywhere. I have traveled to more than 30 different countries to give lectures and live surgical demonstrations on how to treat congenital colorectal problems.
Public Speaking Yes
Surgical Treatment of Colorectal Problems in Children. From prenatal to long-term outcomes. 3-day intensive workshop with live surgical demonstrations.
General Information
Medical Schools:
MD, National Autonomous University Of Mexico
(1988)