Practice of dilatation after surgical correction in anorectal malformations View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2012-11

AUTHORS

Ekkehart Jenetzky, S. Reckin, E. Schmiedeke, D. Schmidt, N. Schwarzer, S. Grasshoff-Derr, N. Zwink, E. Bartels, A. Rißmann, J. Leonhardt, S. Weih, F. Obermayr, J. Rädecke, M. Palta, F. Kosch, G. Götz, A. Hofbauer, M. Schäfer, H. Reutter, S. Holland-Cunz, S. Märzheuser

ABSTRACT

BACKGROUND: In order to prevent stricture of the neoanus after surgical correction, regular dilatation is recommended. There is a lack of knowledge about the performance of anal dilatation and the occurrence of pain. The aim of our investigation was to describe the practice of dilatation and to identify possible risk factors for painful procedures. METHODS: Congenital Uro-Rectal Malformations Network is a German interdisciplinary multicenter research network. With standard questionnaires, physicians interviewed 243 patients and/or their parents at home, additional 103 patients born since 2009 were assessed through their treating physicians. RESULTS: In total, 88 % of the patients received dilatations. Treatment lasted for 7 months in median (range 1-156 months), until the age of 13 months (range 1-171 months). In 69 % painful dilatation was reported; without a significant differences in age or gender. In 32 % bleeding was reported. In 30 % at least one dilatation was performed under general anesthesia. In 11 % some kind of analgesia was used. Type of fistula, dilatations lasting longer than 10 months and Hegar size above 15 were relevant factors for experience of pain. There were about 16 % postoperative strictures of the neoanus, without reported differences in dilatation procedures; but there was a relation to type of malformation. CONCLUSION: Considering the high number of painful treatments, predictors for painful dilatations should be further clarified through standardized documentation and prospective evaluation in order to improve follow-up. More... »

PAGES

1095-1099

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00383-012-3169-4

DOI

http://dx.doi.org/10.1007/s00383-012-3169-4

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1052329481

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/23001134


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Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s00383-012-3169-4'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s00383-012-3169-4'


 

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334 schema:name Department of Pediatric Surgery, University of Leipzig, Leipzig, Germany
335 rdf:type schema:Organization
 




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