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Anatomic Problems of the Lower GI Tract
On this page:
- What are anatomic problems of the lower gastrointestinal (GI) tract?
- How does the lower GI tract develop?
- What is malrotation?
- What is volvulus?
- What is intussusception?
- What is a fistula?
- What is imperforate anus?
- What is colonic atresia?
- Eating, Diet, and Nutrition
- Points to Remember
- Hope through Research
- For More Information
- Acknowledgments
What are anatomic problems of the lower gastrointestinal (GI) tract?
Anatomic problems of the lower GI tract are structural defects. Anatomic problems that develop before birth are known as congenital abnormalities. Other anatomic problems may occur any time after birth—from infancy into adulthood.
The GI tract is a series of hollow organs joined in a long, twisting tube from the mouth to the anus. The movement of muscles in the GI tract, along with the release of hormones and enzymes, allows for the digestion of food. Organs that make up the GI tract are the mouth, esophagus, stomach, small intestine, large intestine—which includes the appendix, cecum, colon, and rectum—and anus. The intestines are sometimes called the bowel. The last part of the GI tract—called the lower GI tract—consists of the large intestine and anus.
The large intestine is about 5 feet long in adults and absorbs water and any remaining nutrients from partially digested food passed from the small intestine. The large intestine then changes waste from liquid to a solid matter called stool. Stool passes from the colon to the rectum. The rectum is 6 to 8 inches long in adults and is located between the last part of the colon—called the sigmoid colon—and the anus. The rectum stores stool prior to a bowel movement. During a bowel movement, the muscles of the rectal wall contract to move stool from the rectum to the anus, a 1-inch-long opening through which stool leaves the body.
Anatomic problems of the lower GI tract may involve parts of organs being in the wrong place, shaped abnormally, or incorrectly connected to other organs. Anatomic problems that affect the large intestine or anus include
- malrotation
- volvulus
- intussusception
- fistula
- imperforate anus
- colonic atresia
How does the lower GI tract develop?
About 4 weeks into gestation—the 9-month period from conception to birth—the intestines of the developing baby, or fetus, consist of a thin, straight tube that connects the stomach and the rectum. Over the next 2 weeks, the rapidly developing intestines outgrow the baby's abdomen and move into the umbilical cord, which connects the baby to the mother. During gestational weeks 10 to 12, the baby's abdomen has grown large enough to hold the intestines, which return to the abdomen, rotating counterclockwise to their final position. The intestines are held in place by tissue called mesentery.
What is malrotation?
Malrotation is when the intestines do not rotate completely or correctly during gestation. Malrotation can cause serious medical problems in some infants and children, while others may never develop problems. Surgeons estimate that problems with malrotation occur in a small percentage of cases and are usually diagnosed in the first month of life. Boys are more likely than girls to be diagnosed with malrotation during infancy, but problems identified later in childhood are equally likely in boys and girls. Malrotation rarely occurs in adults.
Malrotation can prevent the cecum—the beginning of the large intestine—from moving to its normal position in the lower right area of the abdomen. If this happens, bands of mesentery can block the small intestine, creating an intestinal obstruction—also called bowel obstruction—a life-threatening event and a medical emergency. Malrotation may also leave the mesentery only narrowly attached to the back of the abdomen. This incomplete attachment may result in the intestine twisting—a serious condition called volvulus—see "What is volvulus?"
Symptoms of Malrotation
Infants who have serious problems resulting from malrotation experience pain that can be severe, and they often vomit bile—a greenish-yellow fluid. Other symptoms may include
- abdominal tenderness, swelling, or bloating
- bloody or dark-red stools
- constipation—a condition in which a child has fewer than two bowel movements a week
- dehydration, or abnormal loss of body fluids—decreased tears and little or no urine or dark-yellow urine may be observed
- signs of shock—paleness, sweating, confusion, and rapid pulse
- weight loss
Older children with problems from malrotation may have the above symptoms as well as nausea, abdominal pain, diarrhea, or an abnormal growth rate, as compared with their peers.
Infants or children with any of the above symptoms should be evaluated immediately by a health care provider.
Diagnosis and Treatment of Malrotation
Doctors use x rays of the abdomen and imaging studies to diagnose intestinal problems related to malrotation.
- Computerized tomography (CT) scan. CT scans use a combination of x rays and computer technology to create three-dimensional (3-D) images. A CT scan may include the injection of a special dye, called contrast medium. CT scans require the child to lie on a table that slides into a tunnel-shaped device where the x rays are taken. CT scans can help diagnose malrotation. Infants and children may be given a sedative to help them fall asleep for the test.
- Upper GI series. An upper GI series may be done to look at the small intestine. No eating or drinking is allowed for 8 hours before the procedure, if possible. During the procedure, a child is given barium—a chalky liquid—to drink. An infant will lie on a table and is given barium through a tiny tube placed in the nose that runs into the stomach. Infants and children may be given a sedative to help them fall asleep for the test. Barium coats the small intestine, making signs of malrotation show up more clearly on x rays.
The child may experience bloating and nausea for a short time after the test. For several days afterward, barium liquid in the GI tract causes stools to be white or light colored. A health care provider will provide specific instructions about eating and drinking after the test.
- Lower GI series. A lower GI series may be done to look at the large intestine. A health care provider may provide written bowel prep instructions to follow at home before the test. The child may be given a clear liquid diet for 1 to 3 days before the procedure. A laxative or enema may be used before the test. A laxative is medication that loosens stool and increases bowel movements. An enema involves flushing water, laxative, or sometimes a mild soap solution into the anus using a special plastic bottle.
Infants and children may be given a sedative to help them fall asleep for the test. For the test, the child will lie on a table while the doctor inserts a flexible tube into the child's anus. The large intestine is filled with barium, making signs of malrotation show up more clearly on x rays.
For several days afterward, barium liquid in the GI tract causes stools to be white or light colored. Enemas and repeated bowel movements may cause anal soreness. A health care provider will provide specific instructions about eating and drinking after the test.
The above tests are all performed at a hospital or outpatient center by an x-ray technician, and the images are interpreted by a radiologist—a doctor who specializes in medical imaging.
Surgery is almost always required to correct problems resulting from malrotation. A surgeon performs the procedure in a hospital and the child is given general anesthesia. With early diagnosis and treatment, surgery is usually successful and may involve
- repositioning the large and small intestines
- dividing the bands of mesentery blocking the small intestine
- removing the appendix, a 4-inch pouch attached to the cecum
- untwisting the large intestine if volvulus has occurred
What is volvulus?
Volvulus occurs when the intestine twists around itself and the mesentery that supports it, creating an obstruction. The area of intestine above the obstruction continues to function and fills with food, fluid, and gas. The mesentery may become so tightly twisted that blood flow to the affected part of the intestine is cut off. This situation can lead to death of the blood-starved tissue and tearing of the intestinal wall—a life-threatening event and a medical emergency.
Volvulus can be caused by malrotation or by other medical conditions such as
- an enlarged colon
- Hirschsprung disease, a disease of the large intestine that causes severe constipation or intestinal obstruction
- abdominal adhesions, or bands of scar tissue that form as part of the healing process following abdominal injury, infection, or surgery
Sigmoid volvulus—twisting of the sigmoid colon—accounts for the majority of cases, with cecal volvulus—twisting of the cecum and ascending colon—occurring less frequently.
Sigmoid Volvulus
Anatomic problems that increase a person's risk of developing sigmoid volvulus include
- an elongated or movable sigmoid colon that is not attached to the left wall of the abdomen
- a narrow mesentery connection at the base of the sigmoid colon
- malrotation that presents with problems in infancy
Sigmoid volvulus that occurs after infancy is more commonly seen in people who
- are male
- are older than age 60
- live in a nursing or psychiatric facility
- have a history of mental health conditions
Symptoms of Sigmoid Volvulus
Sigmoid volvulus symptoms can be severe and occur suddenly. Symptoms may include
- abdominal cramping
- bloody stools
- constipation
- nausea
- signs of shock
- vomiting
People with any of these symptoms should be evaluated immediately by a health care provider.
Other symptoms may develop more slowly but worsen with time, such as constipation, inability to pass gas, and abdominal swelling. People with these symptoms should also contact a health care provider.
Diagnosis and Treatment of Sigmoid Volvulus
Prompt diagnosis and appropriate treatment of sigmoid volvulus generally lead to a successful outcome. Doctors use x rays, upper or lower GI series, CT scans, and flexible sigmoidoscopy—another common diagnostic test—to help diagnose sigmoid volvulus.
- Flexible sigmoidoscopy. This test is used to look inside the rectum and lower colon. Sigmoidoscopy is performed at a hospital, outpatient center, or doctor's office by a gastroenterologist—a doctor who specializes in digestive diseases—or a radiologist. Infants and children may be given a sedative to help them fall asleep for the test. For the test, the person will lie on a table while the doctor inserts a flexible tube into the anus. A small camera on the tube sends a video image of the intestinal lining to a computer screen. The doctor can see sigmoid volvulus.
Children and adults can usually go back to their normal diet after the test, though cramping or bloating may occur during the first hour after the test.
If volvulus is found, the doctor may use the sigmoidoscope to untwist the colon. However, if the colon is twisted tightly or if the blood flow has been cut off, immediate surgery will be needed. Surgery involves restoring the blood supply, if possible, to the affected part of the sigmoid colon. Sometimes the affected part of the colon must be removed and the healthy ends reattached, a procedure called an intestinal resection. Resection prevents volvulus from recurring; untwisting the volvulus with the sigmoidoscope may not prevent recurrence.
Cecal Volvulus
Cecal volvulus is twisting of the cecum and ascending colon. Normally, the cecum and ascending colon are fixed to the abdominal wall. If improperly attached, they can move and become twisted.
Symptoms of Cecal Volvulus
More commonly seen in people ages 30 to 60, cecal volvulus may be caused by abdominal adhesions, severe coughing, or pregnancy. People with cecal volvulus often have intermittent chronic symptoms—those that come and go over a longer period of time—including
- abdominal cramping or swelling
- nausea
- vomiting
People with any of the above symptoms should be evaluated immediately by a health care provider.
Other symptoms may develop more slowly but worsen with time, such as constipation, inability to pass gas, and abdominal swelling. People with these symptoms should also contact a health care provider.
Diagnosis and Treatment of Cecal Volvulus
Doctors use x rays, upper or lower GI series, and CT scans to diagnose cecal volvulus. Imaging shows whether the cecum is out of place and inflated with trapped air. Imaging may also show that the appendix, which is attached to the cecum, is filled with air. To treat cecal volvulus, surgeons use a procedure called cecopexy to reposition the cecum and attach it to the abdominal wall. If the cecum is seriously damaged by volvulus, the surgeon will perform intestinal resection surgery. Cecopexy and intestinal resection surgery have high rates of success and usually prevent the recurrence of cecal volvulus.
What is intussusception?
Intussusception is a condition in which one section of either the large or small intestine folds into itself, much like a collapsible telescope. The condition can cause obstruction and cut off blood flow to the affected part of the intestine—a life-threatening event and a medical emergency.
Malrotation increases the risk that an infant or young child will develop intussusception. Sometimes, a viral infection or growth in the small or large intestine—such as a polyp or tumor—can trigger intussusception, but most childhood cases have no known cause.
Intussusception, though uncommon, is the leading cause of bowel obstruction in young children in the United States. About 1,400 cases occur in the United States each year, nearly all of them in children younger than 1 year old. Intussusception is 1.5 times as likely to affect boys as girls.1
1Tate JE, Simonsen L, Viboud C, et al. Trends in intussusception hospitalization among US infants, 1993–2004: implications for monitoring the safety of the new rotavirus vaccination program. Pediatrics. 2008;121(5):e1125–e1132.
Symptoms of Intussusception
Infants or children with intussusception may have symptoms including
- abdominal pain, which may be intermittent
- bloody stools
- diarrhea
- fever
- lack of energy
- signs of dehydration
- stool mixed with mucus—a clear liquid made by the intestines that coats and protects tissues
- swelling or a lump in the abdomen
- vomiting with or without bile
Infants or children with any of the above symptoms should be evaluated immediately by a health care provider.
Diagnosis and Treatment of Intussusception
A range of tests may be required to diagnose intussusception. X rays of the abdomen may show an intestinal obstruction. Upper and lower GI series can locate the intussusception and show telescoping of the intestine. CT scans can also help diagnose the condition. If intussusception is not diagnosed promptly, it can cause serious damage to the affected part of the intestine.
In some cases, intussusception may be temporary and correct itself and, if no underlying problem is found, treatment is not required. When intussusception does not resolve on its own, doctors can usually correct the problem with a lower GI series, using air or barium to gently push the telescoped part of intestine into its proper position. However, intestinal resection surgery is sometimes necessary to successfully treat the condition.
What is a fistula?
A fistula is an abnormal passage, or tunnel, between two organs—called an internal fistula—or between an organ and the outside of the body—called an external fistula. In the lower GI tract, both internal and external fistulas can occur. Fistulas can develop during gestation or at any age after birth. Fistulas that develop during gestation are more common in boys than girls.
Fistulas may occur as a result of
- complications following surgery—the most common cause
- childbirth—a fistula can develop between a mother's vagina and rectum
- Crohn's disease, a chronic inflammatory bowel disease that can affect any part of the GI tract
- diverticulitis, an inflammation or infection of small pouches called diverticula that are created by bulging, weak spots on the colon
- infection
- trauma
Symptoms of Fistulas
Some people with a fistula in the lower GI tract have no symptoms; others may experience
- abdominal pain that begins in one spot and spreads throughout the abdomen
- dehydration
- diarrhea
- fatigue, muscle cramps, or slow growth due to malabsorption—a condition that occurs when the small intestine cannot absorb nutrients from food
- fever, with or without chills
People with any of these symptoms should be evaluated immediately by a health care provider.
Diagnosis and Treatment of Fistulas
External fistulas can be found during a physical examination. Internal fistulas can be seen during an upper or lower GI series, CT scan, or colonoscopy.
- Colonoscopy. Colonoscopy is used to look inside the rectum and entire colon for signs of fistulas. Colonoscopy is performed at a hospital or outpatient center by a gastroenterologist or a radiologist. The health care provider will provide written bowel prep instructions to follow at home before the test. The person may be asked to follow a clear liquid diet for 1 to 3 days before the test. Laxatives and enemas may be used before the test.
For the test, the person will lie on a table while the doctor inserts a flexible tube into the anus. A small camera on the tube sends a video image of the intestinal lining to a computer screen. The doctor can see signs of fistulas. In most cases, a light sedative, and possibly pain medication, helps keep the person relaxed.
Cramping or bloating may occur during the first hour after the test. Driving is not permitted for 24 hours after the test to allow the sedative time to wear off. Before the appointment, people should make plans for a ride home. Full recovery is expected by the next day.
Internal and external fistulas may close on their own, although this process could take weeks or months. The doctor may prescribe antibiotics to prevent or treat infection resulting from leakage of intestinal contents. Some people may need to stop eating and receive nourishment intravenously to ensure proper healing.
If a fistula does not close on its own, a surgeon may perform intestinal resection surgery.
What is imperforate anus?
Imperforate anus occurs during gestation and involves abnormal development of the rectum and anus. This condition results in a blocked or missing anus, which allows little or no stool to pass from the rectum. Imperforate anus is uncommon and occurs slightly more often in boys than in girls. Types of imperforate anus include
- an anus that is narrow or blocked by a thin membrane—this condition is also called anal atresia
- an anus that is missing or incorrectly placed
- a rectum that is not connected to the anus
- a rectum that is connected to the urinary tract or genitals by a fistula
Although most girls with imperforate anus have a less severe form of the condition, such as anal atresia, some are born with a more severe form of imperforate anus called cloaca—a common opening for the rectum, bladder, and vagina.
Symptoms of Imperforate Anus
Imperforate anus is observed when a newborn is first examined after birth. In addition to visible indications such as an incorrectly placed anus, imperforate anus may be associated with symptoms that include abdominal swelling and the absence of bowel movements.
Diagnosis and Treatment of Imperforate Anus
The severity of imperforate anus depends on where the blockage is situated—low, intermediate, or high—in relation to the set of muscles that support the rectum and other organs within the pelvic region. X rays of the abdomen and CT scans can help determine the severity of the condition. The doctor may perform other tests to look for abnormalities in the urinary tract.
Correcting imperforate anus almost always requires surgery, and the type of procedure depends on the location and severity of the defect. For example, a low imperforate anus may only require gently widening the anus. Sometimes anoplasty—a surgery to rebuild or move the anus—is needed within the first days after birth. Intermediate or high imperforate anus may require multiple surgeries done in stages. Girls with cloaca may require multiple extensive and complicated surgeries.
The outcome of surgery is measured by the child's ability to eventually control bowel movements. Most children treated for imperforate anus develop voluntary bowel movements at the usual age of toilet training. However, some children may not achieve good bowel control after surgery because the anal muscles do not develop properly. Factors affecting the outcome of surgery include
- location of the defect—treatment of low imperforate anus has a more successful long-term outcome than intermediate or high imperforate anus
- the child's sex—girls tend to have low imperforate anus, which can be corrected more easily and has more successful long-term results
- age at the time of surgery—the younger the child when surgery is done, the more successful the outcome
What is colonic atresia?
Colonic atresia is an extremely rare congenital anomaly that occurs when a section of the colon closes before birth. Symptoms appear in infants soon after birth and include vomiting, abdominal swelling, and the absence of bowel movements. Intestinal resection surgery is performed immediately after diagnosis.
Eating, Diet, and Nutrition
Eating, diet, and nutrition have not been shown to play a role in causing or preventing anatomic problems of the lower GI tract.
Points to Remember
- Anatomic problems of the lower gastrointestinal (GI) tract are structural defects.
- Anatomic problems that develop before birth are known as congenital abnormalities. Other anatomic problems may occur any time after birth—from infancy into adulthood.
- The GI tract is a series of hollow organs joined in a long, twisting tube from the mouth to the anus. The movement of muscles in the GI tract, along with the release of hormones and enzymes, allows for the digestion of food.
- The last part of the GI tract—called the lower GI tract—consists of the large intestine and anus.
- Anatomic problems of the lower GI tract may involve parts of organs being in the wrong place, shaped abnormally, or incorrectly connected to other organs.
- Anatomic problems that affect the large intestine or anus include malrotation, volvulus, intussusception, fistula, imperforate anus, and colonic atresia.
- Surgery is often needed to correct anatomic problems of the lower GI tract.
- Some anatomic problems of the lower GI tract can be corrected without surgery and others resolve without treatment or never cause problems.
Hope through Research
The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) conducts and supports research into many kinds of digestive disorders, including anatomic problems of the lower GI tract. Researchers have found that a single gene plays an essential role in controlling normal intestinal development during gestation. Ongoing studies will demonstrate how the absence of the gene affects colon formation.
Participants in clinical trials can play a more active role in their own health care, gain access to new research treatments before they are widely available, and help others by contributing to medical research. For information about current studies, visit www.ClinicalTrials.gov.
For More Information
Crohn's & Colitis Foundation of America
386 Park Avenue South, 17th Floor
New York, NY 10016
Phone: 1–800–932–2423
Fax: 212–779–4098
Email: firstname.lastname@example.com
Internet: www.ccfa.org
Digestive Disease National Coalition
507 Capitol Court NE, Suite 200
Washington, D.C. 20002
Phone: 202–544–7497
Fax: 202–546–7105
Email: firstname.lastname@example.com
Internet: www.ddnc.org
Gastro-Intestinal Research Foundation
70 East Lake Street, Suite 1015
Chicago, IL 60601
Phone: 312–332–1350
Fax: 312–332–4757
Email: email@example.com
Internet: www.girf.org
International Foundation for Functional Gastrointestinal Disorders
P.O. Box 170864
Milwaukee, WI 53217–8076
Phone: 1–888–964–2001 or 414–964–1799
Fax: 414–964–7176
Email: firstname.lastname@example.com
Internet: www.iffgd.org
National Organization for Rare Disorders
55 Kenosia Avenue
P.O. Box 1968
Danbury, CT 06813–1968
Phone: 1–800–999–6673 or 203–744–0100
Fax: 203–798–2291
Email: email@example.com or email@example.com
Internet: www.rarediseases.org
The Simon Foundation for Continence
P.O. Box 815
Wilmette, IL 60091
Phone: 1–800–23–SIMON (1–800–237–4666) or 847–864–3913
Fax: 847–864–9758
Internet: www.simonfoundation.org
United Ostomy Associations of America, Inc.
P.O. Box 512
Northfield, MN 55057–0512
Phone: 1–800–826–0826
Email: email@example.com
Internet: www.uoaa.org
Publications produced by the Clearinghouse are carefully reviewed by both NIDDK scientists and outside experts. This publication was originally reviewed by Robert Beart, M.D., University of Southern California; James W. Fleshman, M.D., Washington University and Barnes-Jewish Hospital; Kevan Jacobson, M.B.B.Ch, B.C.'s (British Columbia, Canada's) Children's Hospital; Joseph Levy, M.D., Children's Hospital of New York-Presbyterian; and John H. Pemberton, M.D., Mayo Clinic.
You may also find additional information about this topic by visiting MedlinePlus at www.medlineplus.gov.
This publication may contain information about medications. When prepared, this publication included the most current information available. For updates or for questions about any medications, contact the U.S. Food and Drug Administration toll-free at 1–888–INFO–FDA (1–888–463–6332) or visit www.fda.gov. Consult your health care provider for more information.
National Digestive Diseases Information Clearinghouse
2 Information Way
Bethesda, MD 20892–3570
Phone: 1–800–891–5389
Fax: 703–738–4929
Email: email@example.com
Internet: www.digestive.niddk.nih.gov
The National Digestive Diseases Information Clearinghouse (NDDIC) is a service of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). The NIDDK is part of the National Institutes of Health of the U.S. Department of Health and Human Services. Established in 1980, the Clearinghouse provides information about digestive diseases to people with digestive disorders and to their families, health care professionals, and the public. The NDDIC answers inquiries, develops and distributes publications, and works closely with professional and patient organizations and Government agencies to coordinate resources about digestive diseases.
This publication is not copyrighted. The Clearinghouse encourages users of this publication to duplicate and distribute as many copies as desired.
NIH Publication No. 12–5120
December 2011
Page last updated July 10, 2013


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This quote is about approval.
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Norman Vincent Peale (May 31, 1898 December 24, 1993) was a Christian preacher and author (most notably of The Power of Positive Thinking) and a progenitor of the theory of "positive thinking".


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The preparation was over.
It was 5:15 a.m. Saturday morning when Doug O'Neill arrived at the Churchill Downs barn of his prized 3-year-old Goldencents. It would be 10 hours of anticipation before the gates sprang open for Kentucky Derby 139 and O'Neill would find out if the bay colt would reward the trainer his second consecutive victory in the world's most famous race.
"Everyone around the barn was having a blast all week," said a reflective O'Neill. "After the success of I'll Have Another last year, we were all feeling a lot of confidence. There wasn't nearly as much pressure this year. Last year, there was a lot of self-induced pressure and a lot of media pressure. Never having success in the Derby before, you feel a little rattled at what it takes to get a horse ready. After the win, you feel a little swag, more confidence, and everyone's looser."
The 45-year-old trainer had heard it was going to rain, but welcomed the prospect.
"You know what they say about Louisville,'' he said. "They always joke that if you don't like the weather, wait five and it will change. It was raining that morning, but I really didn't think we'd get that much consistent rain.
"But to be honest, I didn't mind it because I really thought it would lend to our horse's chances. As it rained more and more, I was getting more confident.
"From my experience with a wet-fast track, it's easier to get the distance. I thought it might turn the mile and one-quarter into a mile and one-eighth if it was a really tight track."
Unfortunately, as the day went on, track conditions worsened, causing O'Neill a bit of concern.
"It got kind of like what (jockey) Kevin (Krigger) said was, 'a little peanut butterish.' It was getting a little sticky out there. It became a track that was more laboring. As you saw, the winner went the final half-mile in 53 seconds or something like that. It was pretty slow.
"Our asset is that we have speed, but the way the race came out, it really didn't favor us. Hey, that's part of racing. The plan was to go 23 (seconds, first quarter) and 47 (seconds, half mile). If he was on the lead, great, if he was chasing, great. We had enough confidence in our colt that we didn't feel we had to rush him and try to go wire to wire."
"Turning down the backside, I was all smiles. I thought this is where we wanted to be. We're going to be 1-2-3, this is perfect. I glanced at the timer and saw 45 and change and from where we were sitting, I was really happy."
That optimism, however, was short-lived.
"Somewhere midway down the backstretch, I could tell he was struggling and not getting stronger as the race went on,'' said O'Neill. "That was an 'uh oh' sign.
"I was very proud of Kevin. I thought he gave him a great ride. Once he realized it wasn't our day, he took it real easy on him and we were able to see the fruits of that the following morning."
Naturally, after the battle was lost, the condition of the horse became paramount.
"I was worried until I watched him break into a jog after the race,'' said O'Neill, ''then it was like 'phew.' Then, of course, you want to see him back at the barn. When we got back there, he cooled out great"
As O'Neill pointed out, sometimes it takes a little longer for something (physical) to show up, so the trainer was more than relieved when he examined his runner the next morning.
"The day after, he ate up good and his legs were ice cold and sound,'' he said. " At that point, we just figured we'd put a line through the Derby and go for the shorter stretch and the shorter distance of the (May 18) Preakness."
The disappointment of the Derby has not eroded O'Neill's confidence.
"I still think he ranks right up there with the top 3-year-olds this year,'' said the trainer.
"You wouldn't necessarily say that after watching the Derby, but I think he's going to redeem himself as long as he trains well at Pimlico (he's scheduled to work May 13). I think we have a big chance to turn it around (in the Preakness).''
Rafael Bejarano, Victor Espinoza and Ron Ellis inched closer to milestones with one winner each on Sunday's card.
Bejarano rode veteran Streets of Heaven to victory for Richard Baltas, giving the Peruvian born jockey his 2,996th victory. Espinoza and Ellis combined to take the Time To Leave Stakes with Teddy's Promise. Espinoza now needs eight wins to reach 3,000 career victories and Ellis five to reach 1,000.
The win Sunday for Bejarano, who has five mounts Thursday, was his 12th of Spring/Summer meet and enabled him to remain three clear of Joe Talamo in the rider standings. Tyler Baze and Edwin Maldonado are one win behind Talamo.
Bob Baffert won five times last week, including the Grade II Mervyn LeRoy Handicap with Liaison. He enters the third week of the meet with eight winners, two more than fellow Hall of Famer Jerry Hollendorfer.
Dan Ward, the longtime assistant trainer to Hall of Famer Jerry Hollendorfer, will be the guest of co-hosts Michael Burns and George Ortuzar at the next Escogiendo Ganadores (Picking Winners) session Saturday, May 11.
During the Spanish-language seminar, Ward, Burns and Ortuzar will discuss the Betfair Hollywood Park card, including the $70,000-added Came Home Stakes for 3-year-olds at seven furlongs over Cushion Track and the $100,000, Grade III Senorita Stakes for 3-year-old fillies at one mile on turf. The field of eight includes the Hollendorfer-trained Scarlet Strike.
Escogiendo Ganadores will begin at 11:30 a.m. at the Paddock Tote Board.
After Escogiendo Ganadores concludes, the Hollywood Insider will begin at the same location. One of the on-air personalities from Television Games Network (TVG) will play host for the seminar, which is scheduled to begin at 12 Noon.
Handicapping tips, insights and other last minute information will be offered on the afternoon's races.
With a race under his belt in the Grade III Tokyo City Stakes March 23, trainer Mike Mitchell proclaimed Thursday that Irish bred Dhaamer is raring to go for Sunday's $70,000 Round Table Stakes at 1 1-2 miles on the Betfair Hollywood Park turf.
"He's doing super," said Mitchell. "We passed up the San Juan Capistrano this year because that was his worst race last year. Now we have a nice fresh horse."
Dhaamer, a 6-year-old son of Dubai Destination, is the defending Round Table champion and also captured the Grade III Sunset Handicap on closing day of the 2012 Spring/Summer meet.
The popular Mother's Day Buffet will be offered Sunday in the Betfair Hollywood Park Turf Club. The event includes Turf Club admission, general parking, program, tax, tip, coffee and tea.
Admission price is $52 for adults and $23 for ages 4-17. Children under 3 are admitted free.
Reservations are recommended and can be made at (310) 419-1601.
CLOSING STRIDES —Trainer Ron Ellis reported that Teddy's Promise came out of her Time to Leave Stakes victory "perfect." She could return in the $70,000 Desert Stormer Handicap June 16. Her main goal is the $200,000, Grade II A Gleam Handicap, a Breeders' Cup "Win and You're In" race, July 13. Ellis also revealed that multiple stakes winners Include Me Out and Rail Trip are up to five-eighth of a mile workouts and about a month away from returning to competition……..Apprentice Jevian Toledo is a new face in the jock's room. The Puerto Rican native has won 32 races since his first victory on New Year's Day. The 18-year-old tacks 109 pounds and will be represented by Rene San Miguel ……..More than half the field (972) was eliminated last Sunday, the first day of the $2,500 winner-take-all Show Me the Money Contest. Contestants stay alive as long as their daily selections finish first, second or third. A total of 772 participants remain entering Thursday's action.
Copyright © 2009-2014, Hollywood Park. All rights reserved.


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HGTV Message Boards
Real Estate
Real Estate
NEW HGTV Show!! Pro-Athlete Real Estate
"Debuting Tuesday, Jan. 8 at 11 p.m. ET/PT, Scoring the Deal follows Jason Abrams, real estate specialist to the pros, through the fast-paced world of real estate for the world's best professional athletes. Known as the "Jerry Maguire of real estate," Jason's intense drive ensures that his clients are taken care of on every level. He serves not only as a broker, but also as concierge and tour guide to sport's biggest stars."
Who's tuning in for the first episode????This message has been edited. Last edited by: TheAbramsTeam,
Surely you jest! if these forums were monitored, HGTV admin would realize we don't give a fig about the rich & famous
TOTALLY agree with you. Another program I WILL NOT be watching.
Get some programs the AVERAGE person can relate to.
I don't mind coming to work. But that 8 hr. wait to go home is a drag.
The Abrams Team, sorry that responses so far haven't been too excited about the premise of your new show but I have to say that there is not a thing about it that appeals to me as well.
I don't buy tabloids, magazines about celebrities or watch television shows featuring them. Nothing against them, but I actually simply find their lives boring and without substance at least as they are portrayed in the media.
So, to answer your inquiry, will I turn into the first episode? Probably not. Just not interested in how celebrities survive buying a new house and being entertained as they do...
Also suggest you drop the "Jerry Maguire of real estate" cheesy label.
Just that self label sounds unappealing.
Who is Jerry Maquire anyway? Know I have heard the name ~ does it mean anything to me when it involves real estate? No...
HGTV, You really should monitor these boards to see what your viewing audience is interested in watching.
It was a movie, Idaho, starring Tom Cruise.
HGTV doesn't announce new series here so this appears to be another personal advertisement. Have a feeling that clicking on the embedded link directs readers to his firm's website.
BTW, does HGTV usually reserve the 11 p.m. timeslot for reruns and/or infomercials?
Needless to say, we'll pass.This message has been edited. Last edited by: BearCat49,
Idaho - my only contribution to this thread is ..if you didn't see "Jerry McGuire".. you missed one of the best movies of all time.A great night.. just cozy up with some popcorn and.. watch the DVD...and enjoy!!!.This message has been edited. Last edited by: real estate lady,
Thanks for cluing me in about Jerry Mcquire, BearCat and REL - I don't watch many movies (would rather read) although DH brings home at least 4 DVDs from the library every week so maybe I'll ask him to check it out. The newspaper carrier left us a huge canister of popcorn yesterday (that time of year ) so already have that part handled!
Don't forget Kleenex - this movie is a tearjerker and you'll also laugh yourself silly.This message has been edited. Last edited by: real estate lady,
I confess, I'm one of those who can hardly stand to watch Tom Cruise on the screen. At least the film was made before Renee Zellwegger began to take herself too seriously.
IR = Even if you don't remember the movie - from the 90's it is the one where Tom Cruise is yelling through the telephone and started the catch phrase - "Show Me The Money". Enough said.
As for the television program - sorry, but I really don't see the need to watch something about some smarmy sales person helping a newly rich young person blow their money. When what they really need is a really good sound financial planner for when their career does not do what they think it will. Too bad there are more smarmy salemen than good solid advisors for these guys.
Fun and Info
Hey Charming,
Although I did not start this thread, your post was brought to my attention to respond.
My name is Jason Abrams and I am the "smarmy sales person" of which you are speaking about. I would love to speak with you about who we are,how we operate, and why for over the last 10 years we have been on the forefront of changing the culture of shopping habits of Pro athletes. In fact, as you will see in the show we insist that all of our younger guys rent homes instead of buy them. We work in conjunction with great financial planners nationwide and try to stick budgets that foster long term sustainability for our clients. Take a 5 minute call with me to get me to know me a little bit better 480-299-0805. That goes for anyone that would like to learn a little more about me.
Thanks for the response, I'm glad you are not one of those who swoop in post rah rah stuff about you program never to be seen on the boards again.
I am glad to know you do understand some of the financial pitfalls that these young people find out the hard way.
If you want to be taken seriously as someone really trying to help these guys make good financial choices i would suggest getting rid of he Jerry Maguire comparisons.
JMHOThis message has been edited. Last edited by: Charming,
Fun and Info
Charming you should call him you may get some Carolina biz from the Sports World. I have sold
sports clientele here including the BUCS.
Course, if we were on some of the programming, we probably would blow the publics' socks off with our genius negotiation and marketing skill set....just sayin..
Surely, HGTV has gotten some ideas for shows..and TV copy from our posts and others on the board. NO matter, we are here in good faith ..for free.. for years... giving good real estate advise to strangers who are asking for our help...and we do not hesitate.
Maybe they'll send us a twinkie or a Ding Dong.This message has been edited. Last edited by: real estate lady,
Jason, you get a bit of acknowledgment for posting back but less credit for saying that you weren't the one who started the thread in the first place ~ does the production team's right hand not know what the left hand is doing?
Jury is out ~ I may watch the first show or, at least, record it but I still have reservations that it is anything in which I would be interested. Sorry, just not into the whole celebrity and big money house hunting thing...
Hey Idaho,
My firm has a marketing department that works on all of our social media and message board postings. It is amazing how powerful of a tool social media has become in the real estate world!
The nickname was bestowed upon me from the marketing and PR world
Please DVR or watch the first show. If you would be so kind to give it a chance that would be much appreciated. I have every intention of meeting you all back here the day after it's airing to either get accolades of some sort or blasted!
Thanks Guys!
Totally lame! Sounds like HGTV continues to go down the "National Enquirer" path of dangling tid bits of voyeurism in our faces.This is not Bravo, please stop with the faux reality, and the obsession with celebrity. It's so old news.
Aren't there any new ideas out there?
Oh, and Tom Cruise is such a weirdo, why would you glom onto his brand?
Here is a sneak preview video of the show! We would love some feedback from everyone! Especially Charming and Idaho!
Thanks for sharing the link.
Thank you for not being as over the top as the Jerry McGuire comparison would indicate. On the clip that I watched you seem to be a caring professional who knows his clients and does your best to find a property that fits their needs. You are doing on a grander scale what most of us try to do for our out of town clients on a much smaller and more limited scale. This message has been edited. Last edited by: Charming,
Fun and Info
Please!!!!!!!!!!!!!!! we have all fallen for the false premise of the Drama Queens that seem to be most of the HGTV shows.
But, as you can see, we are "cured". I doubt sincerely that HGTV will allow your program not have the amount of "drama" that their shows seem to have tons of.
I will think of your show as just the same as any other, until, I can read, that is actually different than all others. So, I will give you the benefit of the doubt. for the time being.This message has been edited. Last edited by: rker321,
Probably not a 'match' for what I like to watch.
BTW, I loved the movie 'Jerry MacGuire'; it was a first movie DH and I saw together ')
Well, Jason, I watched the clip but my reservations remain the same. It's not so much the "smarmy" agent business (as Charming described ~ don't worry she and I are friends here on this board!) that bothers me as much as the fact that I simply am not interested in "over the top" luxury homes and the celebrities involved with them.
And that is the problem I foresee ~ that the premise of the entire show is flawed. Not everyone is awed by celebrities and/or how they live, at least I'm not. Not only am I not "awed" ~ I'm just not interested ~ plain and simple.
I live in a very nice property but celebrities' homes or lifestyles just don't interest me. I will DVR the first show though and post back after it airs. Wishing you luck but I think you are going to have to have an uphill battle if many others feel as I do.
Edited to Add: I understand that these clients are pro-athletes and not just the run of the mill entertainment celebrities. ESPN is probably in the top five of channels getting air-time in this house so that's a plus BUT do I care how they live off the field, court or track? No, sorry. This message has been edited. Last edited by: Idaho Resident,
Thank you so much Charming!!! It is so scary to put yourself and your family on TV without knowing how you will be received by others. I cant thank you enough for taking the time to watch it. Really, thank you.
Wait a minute, is this a show about some multimillionaire celebrity or athlete that is either buying or selling their home?
Well, in that case, not interested. sorry, it would be very difficult for me to relate to such and enviroment to make it pleasant for me to watch.
I am not in the dreaming buisiness and I am not in the habit of living my life thru others.
:P what's the liklihood HGTV will feature the NBA player who was traded to another team and can't sell his zillion dollar condo
Abbrams - curious to know how you go state to state..licence wise..do you get licensed in all those states??
REL, Very simple answer here. I'm sure he associates with a local real estate agency ~ it's done all the time ~ totally legal and aboveboard.
Well, Jason, looks like you were right about the media/social network buzz. Question is: will the show deliver? I'll give it a fair chance considering my reservations posted above as long as you agree to post back the next day. Fair enough?
I too refer clientel to other state RE agencies and receive a referral fee through my broker, but don't go to the state to help sell the property. I believe that may be questionable under the law. That is why I was asking the question, and was hoping to find out from Abrams.This message has been edited. Last edited by: real estate lady,
We work with a local affiliate agent in each major city we go to, you will see in most of the episodes that both myself and my partner Kristen are escorted by our local affiliate agent to all the showings. It works a little different than a referral that most agents are used to dealing with because we are still very much involved in the entire process. If either of you would be interested in finding out more about how that process works please feel free to give me a call, I would be happy to explain it!
And yes Idaho! I would love to discuss with you and everyone else what you though of the show after January 8th!
Thank you for the preview. I'll watch it just as soon as I marry some RICH sugar daddy and we move out of my comfy 1,240 sq. ft. home that cost $97,000. When we are in the market for a $5-$15 million dollar home with 2,130 - 7,000 sq. ft home I'll maybe tune in. Until then, I think I'll slum it with us regular people.
I don't mind coming to work. But that 8 hr. wait to go home is a drag.
Thanks Abrams.I look forward to the show. Remember raw emotion sells...key to programming. Good luck to you and your crew.
Hello everyone!
Thank you to any of you who got a chance to tune in last night for the premiere episodes of the show! Please let me know what you thought!
Sorry, Jason, but I realized that I forgot to set the DVR when I woke up this morning and saw it was Jan 9th ~ knew there was something I meant to do on the 8th ~ so no comments here; again sorry.
Since HGTV is fairly notorious for their re-runs, do you know if it will be re-run? And, if so, when? I will definitely make a point of recording it next time around....
That is ok Idaho! I know they re-aired later that evening, but I am not sure when again they might re-run the first episodes. Check it out next week for sure, on the 15th, the show will have have June Cato and Joe Haden!
I too missed it. Hope to catch it on the 15th.
Hey, I remembered just in time to set the DVR tonight to catch this new show. BTW, the name of it is "Scoring the Deal" - don't think OP ever included that in the initial posts!
I saw the show and it was enjoyable..fast moving..however I would not refer to cooperating Realtors as Affiliates - sounds like a bank branch.
Thanks for tuning and and for the feedback guys! It looks like we are having some success! Hopefully HGTV will be running a second season and we can take in any suggestions you have!
I watched an episode of "Scoring The Deal" last night, the one where the family moves to New York to be closer to their investment in a play.
I liked that the show had a good balance between the personalities and the homes. I wasn't familiar with the athlete (can't even remember his name) but they were a pleasant family who I could identify with ---other than those millions of dollars they had to spend!
I would've liked to have seen more details of the homes they were offered; flooring, countertops, appliances, etc. After all, THAT'S the reason I watch HGTV.
And, in the end, I would have liked to have learned how much they actually paid, especially since the fact that the house was over their budget was a significant point in the episode.
I'll probably watch additional episodes when the description indicates an interesting type of home or location. And I'll ask my husband if this type of show interests him. My guess is that it will depend on which team the guy plays for.
Thanks for the feedback Annett! We will make sure to bring all this up with the producers during our meetings about the next season!
Well, Jason, I'm back with my review and have to say that your new show is a winner in my book! Yes, I'm surprised as you know how skeptical I was about the entire premise but it works! I've now seen four of your shows and have some comments to make to others as well as you about those shows.
To others: give this show a chance. Forget the so-called "luxury" and celebrity aspect that turned many of us away before even the first show and see it for yourself. For Jason, lose the corny "Jerry McQuire" reference, you don't need it and it makes you sound tacky.
As for the shows themselves? I'm a fan and will watch the remainder of the season. Why? Much to my surprise, you have actually come up with a novel idea ~ HGTV appeals mostly to women who love to watch house hunting/selling and renting. Throw in the pro athlete aspect and some men might be willing to watch with their wives as well.
What did I like so far? You and Kristen are great co-hosts ~ sincere and down to earth about the tasks you undertake; the athletes (so far) come across as everyday people (although the prices in which they are dealing are anything but everyday for most people) but, as I said above, it works.
I like that it seems to be split between Buying and Selling/Renting in the 4 episodes I have seen so far. First one was someone buying with the second half hour - 2 distinct parties - one wanting to sell and the other needing to rent. Like that pattern and also liked especially the episode that showed the financial adviser involved - hands on. I believe that was a criticism earlier, rightly so, before we had seen the first show.
So, so far, everything I've said is a thumbs up - now for the aspects I did not like. It's good to end the show with the handshake deal BUT that isn't the end of the deal as we all know and it simply isn't fair to leave your audience hanging. You need to either address the issues within the show itself or have a "follow-up" message displayed across the screen as the credits roll; otherwise, individuals will simply not take your show seriously.
You need to detail EXACTLY what the deal ends up being or you will lose your audience with the platitudes used so far: "And every one lived happily ever after." For example, the property the Catos' choose was far above their budget, did the seller reduce, did the Catos' agree to the higher price or something in-between? The rental for the 25 year old male athlete with the claw-foot tub and no shower? You said "if that problem is resolved, is it a deal?" Apparently it was a deal but how was it resolved? Did the landlord do renovations/install a shower? Reduce the rent to compensate? Or did the show pay for the shower installation to make the deal work?
Those are only two examples of leaving your audience hanging - it might work in prime time BUT viewers of HGTV want to know the bottom line and are rarely satisfied with glib responses so you have some work to do there. But over all, I think you have a really good production of a novel idea going on... Hope it continues.
PS. Just being picky here, but if you choose to use the quote function here on the message board, put the quote at the top (instead of the bottom) so we can know what it is that you are referring to.... please.
PSS. Last thing and probably just a personal preference of mine, could you restrict the use of "sick," "sexy" and "fly" to one use per episode? Any more than that is over-kill....
Hello Idaho!
First, thank you so much for giving Scoring The Deal a chance! I am thrilled that you found it as entertaining to watch as I had hoped. Honestly, we have very little control of how the final show is edited, but I did pass on all of your idea to the powers that be. One of things that makes my job so interesting is that we can be looking at $5M homes one day and $2,000 rentals the next. That serves to keep my days very interesting indeed! I really do feel blessed to have Kristen in my life. She is the world greatest business partner and I am super happy that our friendship is poking through. Thanks again for watching!!!!!
Hi Jason, glad to see you are posting over here. I replied to the posting in the Fan Favorites about my view of the show but saw these posting and thought I would come here. I totally agree with Idaho about letting the audience know what happened at the end of the show. I probably won't watch again this season but maybe next season if some changes are made, who knows. As a regular viewer I want to know (like how the Selling New York/LA shows do it), what actually happened - could be just a little blurb that comes across the screen at the end that tells us if they actually bought the property and if they got it for less (doesn't need to be totally specific) or if the deal fell through and the person is still looking. I need closure!!!
Really enjoyed this at the time... I might actually watch it again. Everyone should watch this... has some really good info in it,
Hi Everyone!
Just wanted to touch base and wish everyone a Happy Thanksgiving. We filmed a second season of Scoring The Deal and hope it will be airing soon!
I had the pleasure of spending a few days with Kendra Todd last week (many of you may remember her from "the glory days" as I have seen it referred to in these forums) She is doing great and misses HGTV and all of you guys!
I took all of our advise back to the powers that be and really worked hard to eliminate the cliff hangers in the new episodes.
What do you guys think about the shows that have been airing lately? Any complaints you want voiced?
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Oh God, this looks so good. Although, I kinda want to sous vide those rolls in my bathtub. By the way, what internal temp do you recommend here?
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That looks so freakin' good!! Makes me want to steal Mary's little lamb, and invite her to dinner too. Thanks.
Where is your lamb from.
Napa Valley Lamb Company, very good and had excellent fat
That belly preparation is awesome. So many times when I butchered lambs I didn't know what to do with the bellies. I tried making bacon which is good, but I found it can't stand on it's own like pork bacon.
Anyway, awesome post, awesome site.
Jesus fucking christ. Thank you for this. Those lamb legs are a thing of beauty
I just got two fresh lambs from different farms south of the bay area. I deboned both of them and made the stuffed belly roll. You mentioned in your post that the leg were ready for cure. how would you cure them. I only found one recipe online for dry cured lamb leg. Where can I find a good recipe.
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