Additional congenital defects in anorectal malformations

Hassink, Elly A. M.; Rieu, P.N.M.A.; Hamel, B.C.J.; Severijnen, R.S.V.M.; Staak, F.H.J.M. van der; Festen, C.

doi:10.1007/bf01955185

Cited by 85 publications

(90 citation statements)

References 21 publications

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“…4 ARM are associated in a high percentage of patients with other anomalies. 1,5 These anomalies include genitourinary, cardiac, vertebro-spinal and gastrointestinal anomalies. [6][7][8][9] Many of these associated anomalies are serious and the long-term prognosis of child with anorectal malformation is often more dependent on the extent of these associated anomalies than on the anorectal malformation itself.…”

Section: Introductionmentioning

confidence: 99%

Role of magnetic resonance imaging to detect occult spinal anomalies in anorectal malformations

Gupta

Ray

et al. 2016

Int J Contemp Pediatr

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Section: Introductionmentioning

confidence: 99%

Role of magnetic resonance imaging to detect occult spinal anomalies in anorectal malformations

Gupta

Ray

et al. 2016

Int J Contemp Pediatr

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“…Detailed investigation of the children with GISM for other system malformations is essential for the treatment of patients with GISM is difficult in the presence of coexisting anomaly (5). Association between ventricular septal defect (VSD), patent ductus arteriosus (PDA) and atrial septal defect (ASD) and esophageal atresia/ tracheoesophageal fistula (EA/TEF) and between VSD, ASD and pulmonary stenosis (PS) and anorectal malformation (ARM) have been presented previously (6,7), however the relation between incidence of CHD and mortality is not well established.…”

Section: Introductionmentioning

confidence: 99%

Gastrointestinal system malformations in children are associated with congenital heart defects

Örün¹,

Bilici²,

Demirçeken³

et al. 2011

Anadolu Kardiyol Derg

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ÖZETAmaç: Gastrointestinal sistem malformasyonlu (GİSM) çocuklarda doğumsal kalp hastalıklarının sıklığını ve mortalite ile ilişkisini saptamak. Yöntemler: Hastanemizin, Çocuk Cerrahisi Kliniğinde GİSM nedeniyle izlenen ve kardiyolojik inceleme yapılan ardışık 242 çocuk hastanın kayıt-ları retrospektif olarak incelenerek, GİSM olan çocuk hastalarda doğumsal kalp defektlerinin (DKH) insidansı araştırılmıştır. Verilerin istatistiksel değerlendirmesinde Ki-kare testi kullanılmıştır. Bulgular: GİSM saptanan, yaşları 0 gün ile 15 yıl arasında değişen 242 hasta değerlendirildi. Hastaların 135'i (%55.8) erkek, 107'si kız (%44.2) idi. En sık görülen gastrointestinal malformasyonları anorektal malformasyon (%43.2), mide, ileum veya kolon atrezisi (%21) ve özofajiyal atrezi/ trakeoözo-fajiyal fistül (%18.3) idi. Hastaların %28.5'inde doğumsal kalp hastalığı saptanmış olup, en sık gözlenen anomaliler; olguların 31'inde (%44.9) atriyal septal defekt, 17'sinde (%24.6) ventriküler septal defekt, 5'inde (%7.2) patent duktus arteriyozus idi. GİSM nedeni ile ameliyat edilen doğumsal kalp hastalığı olan (%16.7) ve olmayan (%13.3) hastalar arasında mortalite açısından anlamlı fark saptanmadı (p>0.05). Sonuç: Gastrointestinal sistem malformasyonu saptanan hastaların erken dönemde kardiyolojik açıdan değerlendirilmesi gerektiği vurgulanmak istenmiştir. (Anadolu Kardiyol Derg 2011; 2: 146-9) Anahtar kelimeler: Gastrointestinal sistem malformasyonu, doğumsal kalp defekti, ekokardiyografi, çocuk, hastalık insidansı ABSTRACT Objective: To determine the frequency of congenital heart defects (CHD) in children with gastrointestinal malformations (GISM) and mortality rates in patients with GISM. Methods: Two hundred and forty two consecutive children patients with GISM followed up in Pediatric Surgery Clinics of our hospital were examined for cardiovascular anomaly by the Department of Pediatric Cardiology, and the CHD incidence was investigated by examining the records of the patients retrospectively. Chi-square test was used for the statistical analysis of data. Results: Two hundred and forty two patients with gastrointestinal system malformations were included in the study. Of 242 patients, 135 (55.8%) were male and 107 (44.2%) were female, and their age range was 0-15 years. The most frequent GISM were anorectal malformations (43.2%), atresia involving stomach, ileum or colon (21%) and esophageal atresia/tracheoesophageal fistula (18.3%). Congenital heart defects were observed in 28.5% of the participants. The most frequent defects were as follows; atrial septal defect (31 patients, 44.9%) a, ventricular septal defect (17 patients, 24.6%) and patent ductus arteriosus (5 patients, 7.2%). There was no significant difference (p>0.05) in mortality rate in patients with CHD (16.7%) and without CHD (13.3%) undergoing operations for GISM. Conclusion: We would like to emphasize the importance of the earliest possible cardiological evaluation of all patients with gastrointestinal system malformations. (Anadolu Kardiyol Derg 2011; 2: 146-9)

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“…Atrezja odbytu należy do stosunkowo rozpowszechnionych wad wrodzonych. Częstość występowania tej wady waha się od 1 : 1500 do 1 : 5000 noworodków [6][7][8] i zazwyczaj towarzyszą jej inne nieprawidłowości [9,10]. W pracy opisano kaskadę zdarzeń, które doprowadziły do zaniedbywania i wyzyskiwania dziecka pozostającego pod opieką babci przez prawie 12 lat i mogły mieć tragiczne konsekwencje.…”

Section: Discussionunclassified

“…Zdecydowanie zaleca się również wdrożenie Any abnormality involving the structure or function of the body is defined as birth defect and prevalence approximately was 36.5 per 1000 births [5]. Imperforate anus is not that uncommon with prevalence of 1 : 1500 to 1 : 5000 in newborns [6][7][8] and commonly associated with other abnormalities [9,10]. This study highlights a cascade of events that occurred to a child who was left in the care of a guardian for nearly 12 years, leading to severe neglect and exploitation with potentially near fatal consequences.…”

Section: Discussionmentioning

confidence: 99%

A child with imperforate anus for twelve years: a case report of neglect and exploitation

Vadysinghe¹,

Edussuriya²,

Wickramasinghe³

et al. 2017

amsik

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StreszczenieOpisujemy rzadki przypadek zaniedbywania i wyzyskiwania dziecka. Według wiedzy autorów podobnego przypadku nie opisano dotychczas w literaturze. Dziecko z wrodzonym zarośnięciem odbytu zostało poddane zabiegowi wyłonienia tymczasowej kolostomii w dniu urodzenia. Kolejny zabieg chirurgiczny, polegający na zamknięciu kolostomii i rekonstrukcji odbytu, zaplanowano na okres po ukończeniu przez dziecko miesiąca życia. Osoba sprawująca opiekę nad dzieckiem nie zgłosiła się jednak do przeprowadzenia zabiegu. Dziecko w wieku 12 lat zostało przywiezione na szpitalny oddział ratunkowy z nieodprowadzalnym wypadnięciem kolostomii i objawami ostrego brzucha stanowiącymi zagrożenie dla życia. W trybie nagłym przeprowadzono zabieg laparotomii i zamknięcia kolostomii wraz z rekonstrukcją odbytu. Stwierdzono, że dziecko było zaniedbywane i krzywdzone poprzez brak dostępu do podstawowego leczenia chirurgicznego, szczepień oraz edukacji. Dziecko było wykorzystywane do żebrania. Korzyści finansowe z tej działalności uzyskiwała osoba sprawująca opiekę nad dzieckiem i inne osoby. Opisany przypadek zaniedbywania i wyzyskiwania dziecka z atrezją odbytu ukazuje wady systemu opieki zdrowotnej, który nie zapewnia monitorowania i leczenia dzieci z wadami wrodzonymi w rodzinach o niskim statusie społeczno-ekonomicznym.Słowa kluczowe: krzywdzenie dziecka, zaniedbywanie, wyzyskiwanie, atrezja odbytu. AbstractWe report a unique and rare case of child neglect and exploitation and similar case was not found. An infant, born with an imperforate anus, underwent surgery for a temporary colostomy on the day of birth. Surgery for reversal of colostomy with reconstruction was planned at one month of age. However, the guardian did not ensure that the child attended for this procedure. Subsequently, at the age of 12 years, the child was presented to the emergency unit with an irreducible prolapsed colostomy and a life threatening acute abdomen. Emergency laparotomy and colostomy reversal were performed with anal reconstruction. The child had features of gross neglect and abuse in the form of deprivation of essential surgical care, vaccination, and education. He was used for the purpose of begging for the financial benefit of his guardian and others. This is a case of neglect and exploitation of a child with imperforate anus and it emphasizes the failures of the health system to manage and follow-up children with congenital defects born to families with a poor socio-economic background.Key words: child abuse, neglect, exploitation, imperforate anus. WprowadzenieZaniedbywanie dziecka przejawia się zaniechaniem opieki nad nim. Oznacza niezaspokajanie podstawowych potrzeb zarówno w sferze fizycznej, jak i emocjonalnej. Wyzyskiwanie dziecka następuje, gdy niezaspokajanie jego potrzeb wiąże się z gratyfikacją materialną lub inną korzyścią dla innych osób [1]. W opisanym przypadku u dziecka po urodzeniu stwierdzono wrodzone zarośnięcie odbytu. Wyłoniono tymczasową kolostomię, z którą dziecko funkcjonowało przez 12 lat. Opisany przypadek pokazuje w...

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Additional congenital defects in anorectal malformations

Cited by 85 publications

References 21 publications

Role of magnetic resonance imaging to detect occult spinal anomalies in anorectal malformations

Role of magnetic resonance imaging to detect occult spinal anomalies in anorectal malformations

Gastrointestinal system malformations in children are associated with congenital heart defects

A child with imperforate anus for twelve years: a case report of neglect and exploitation

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