Prospective follow up of children with anorectal malformation: our center experience until 10 years of age.

Leili Mohajerzadeh--- Pediatric Surgery Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran,
Mohsen Rouzrokh--- Pediatric Surgery Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran,
Ahmad Khaleghnejad Tabari--- Pediatric Surgery Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran,
Alireza Mirshemirani--- Pediatric Surgery Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran,
Naser Sadeghian--- Pediatric Surgery Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran,
Javad Ghoroubi--- Pediatric Surgery Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran,
Fatollah Roshanzamir--- Pediatric Surgery Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran,
Alireza Mahdavi--- Pediatric Surgery Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran,
Maryam Kazemi--- Pediatric Pathology Research Center, Mofid Children’s Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Department of Pathology, Medical school, Shahid Beheshti University of Medical Sciences, Tehran, Iran,
Sayeh Hatefi--- Pediatric Surgery Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran,
Arameh Abbasian--- Pediatric Surgery Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Abstract


314

Purpose: Longitudinal follow-up of bowel function in children with anorectal malformations (ARMs)) as they grow, to determine the anorectal function problems and help to resolve them somedeal.

Material and Methods: This study included 262 patients with ARM that operated in our center between 2006 until 2013.Patients that definitive reconstruction was performed in another center and underwent reoperation in this center excluded. Also  children that expired or did not come for visit removed. Bowel function was prospectively evaluated by using a structured questionnaire that asked from their parents. Additional bowel treatment with enemas and stool softeners and use of diapers were recorded.

Results: Interviews were completed with 242 children, age ranging from 3 to 10 years.

37.7% of patients had constipation.32.5% Grade 1 Manageable by changes in diet,54.3% Grade 2 Requires laxative and 13.2% Grade 3 Resistant to laxatives and diet.

18.6% of patients had fecal soiling , 31.5% Grade 1: Occasionally (once or twice per week),24% Grade 2: Every day, no social problem and 44.5% Grade 3:Constant, social problem.

Conclusion: In the present study there were many bowel function problems in ARM children,

that needs additional attention to achieve  them more near to  level of healthy children.

Pediatric surgeons who do the definitive surgery on anorectal malformations

Should  don’t lose contact with the patients as they become adults .These patients have many great troubles in adolescence.

 

 


Keywords


Anorectal malformation; Postoperative complications, Bowel functional outcome; fecal incontinence

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DOI: http://dx.doi.org/10.22037/irjps.v2i2.12154

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