Evaluation and management of “low” anorectal malformation in male children: an observational study View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2021-10-27

AUTHORS

Gaurav Shandilya, Anand Pandey, Nitin Pant, Gurmeet Singh, Akhilesh Kumar, Jiledar Rawat

ABSTRACT

PurposeARM with perineal fistula has been traditionally defined as low ARM (LARM). This study was conducted to evaluate LARM in male patients with an emphasis on the role of various factors on the outcome and follow-up of them.Materials and methodsIt was a retrospective cohort study. The clinical presentation, associated anomalies, and complications were assessed. The operative procedures included cutback anoplasty and others. The patients were followed in the outpatient department. The complications were assessed and managed accordingly.ResultsDuring the study period of 8 years, 301 patients were admitted. The complaints included absent or abnormal anal opening, abdominal distension, constipation, and peritonitis. Most of the children (n = 214) presented in the neonatal period. The most common clinical presentation was the perineal fistula. The most common associated anomaly was urologic. Fourteen patients were referred from other centers after complications. The most common problem in follow-up was constipation.ConclusionLARM in male patients may have a diverse presentation. The associated anomalies need proper assessment. Awareness may avoid delayed presentation and unwanted complications. When managed by an expert, the condition can be effectively managed. Regular follow-up is important. More... »

PAGES

1-7

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00383-021-05035-5

DOI

http://dx.doi.org/10.1007/s00383-021-05035-5

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1142205835

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/34705061


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