Distal colostography (DC), also called distal colography or loopography, is an important step in the reparative management of anorectal malformations (ARMs) with imperforate anus, Hirschsprungs disease (occasionally) and colonic atresia (rarely) in children and obstructive disorders of the distal colon (colitis with stricture, carcinoma or complicated diverticulosis) in adults. It serves to identify/confirm the type of ARM, presence/absence of fistulae, leakage from anastomoses, or patency of the distal colon.