Anorectal malformations and their impact on survival

Kumar, Arun; Agarwala, Sandeep; Srinivas, M; Bajpai, Minu; Bhatnagar, Veereshwar; Gupta, Deepak; Gupta, Arun Kumar; Mitra, D. K.

doi:10.1007/bf02724407

Cited by 21 publications

(17 citation statements)

References 20 publications

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“…Ultimately, when considering it's clinical results, the complicated nature of the surgical procedure and appropriate surgical approaches must be considered in managing a case of anorectal malformations associated with esophageal atresia. In this study, the majority of the surgical treatments administered in the neonatal period were a staged procedure with good results, and there were no major differences compared to other reports [21-23]. Although the mortality rates after appropriate treatments are relatively low in the cases of simple anorectal malformations and esophageal atresia, the total mortality rate observed in the present study was 21.4%, a very high frequency compared to that in other gastrointestinal anomalies.…”

Section: Discussionsupporting

confidence: 41%

Anorectal Malformations Associated with Esophageal Atresia in Neonates

Byun

Lim

Park

et al. 2013

Pediatr Gastroenterol Hepatol Nutr

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PurposeAnorectal malformations are often associated with other anomalies, reporting frequency with 40-70%. Gastrointestinal anomalies have been known to be relatively less common than associated anomalies of other organ system. This study was performed to assess a distinctive feature of cases associated with esophageal atresia.MethodsClinical data (from January 2000 through December 2011) on the 196 subjects with anorectal malformations, managed in our Hospital, were reviewed. Total 14 neonates were identified with accompanying esophageal atresia and retrospective analysis was conducted.ResultsThe incidence was 7.1% and there were 8 male and 6 female subjects. Only 2 cases were associated with esophageal atresia without tracheoesophageal fistula. Although variable cases of anorectal malformation in female subjects, almost cases were anorectal malformations with rectourethral fistula in male. Other associated anomalies were identified in all cases, with more than 3 anomalies in 10 cases. There were 4 VACTERL (Vertebral abnormalities, Anal atresia, Cardiac anomalies, Tracheoesophageal fistula, Esophageal atresia, Renal and Limb anomalies) associations accounting for 28.6%, but could not identify chromosomal anomaly. Most cases were managed with staged procedure, usually primary repair of esophageal atresia and diverting colostomy. Overall mortality rate was 21.4%, mainly caused by heart problems.ConclusionThis study shows that early diagnosis and rational surgical approach with multidisciplinary plan are mandatory in managing anorectal malformations with esophageal atresia, when considering a high frequency of associated anomaly and a relative high mortality.

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Section: Discussionsupporting

confidence: 41%

Anorectal Malformations Associated with Esophageal Atresia in Neonates

Byun

Lim

Park

et al. 2013

Pediatr Gastroenterol Hepatol Nutr

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“…Other series report similar or higher mortality rates: Godse et al had a 12.6 % mortality in a Caucasian cohort and an Indian series reported a 16 % death rate [17,19].…”

Section: Discussionmentioning

confidence: 92%

Descriptive Epidemiology of Anorectal Malformations in Chinese Population

et al. 2017

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Over a twelve year period one hundred and five neonates (30 females) with an anorectal malformation (ARM) were studied at a tertiary referral centre in Hong Kong. A perineal fistula was the most frequent presentation of ARM in males closely followed by rectourethral fistula. Vestibular fistula was the most common anomaly amongst females. An ARM without a fistula was documented in 11 % of patients and dominated by males. Associations and syndromes were present in nearly 30 % of the group with VACTERL association and Down syndrome at the forefront. Isolated anomalies were most frequently seen in the renal tract (23 %), the CNS (20 %) and the heart (18 %). A quarter of the cohort was small for gestational age with syndromes/associations featuring in half of this subgroup. A death rate of 9.5 % was recorded, of which all except one had an underlying syndrome or association. In addition a pre-existing heart condition constituted the most significant factor affecting the mortality in 50 % of this group.

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“…O impacto do nascimento de uma criança mal formada é profundo, aliado ao problema da imperfuração anal inclui, aos pais e familiares, o desapontamento, a vergonha, os complexos de culpa, acusações mútuas, rejeições, preocupações financeiras e o medo das futuras gestações (3)(4)7) . A imperfuração anal é uma das anomalias anorretais e está associadas aos defeitos em outros sistemas do corpo (3,8) , e estudos mostram a associação mais frequente com o trato urogenital (9)(10)(11)(12)(13)(14) ; a sobrevida depende da severidade das anomalias associadas.…”

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Anomalia anorretal e cuidados maternos

Melo

Kamada

2011

Rev. Bras. Enferm.

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ABSTRACT ABSTRACT ABSTRACT This purpose of the article was to make a bibliographic review about anorectal malformations and maternal cares. The matter was addressed through an integrative review undertaken in consultation of articles published in the databases indexed in the Virtual Health Library. We identified 25 publications that met the inclusion and exclusion criteria pre-established. In the studies reviewed, there were different study designs, demonstrating that some children born with anorectal anomalies requiring urgent surgery. Health professionals, along with the parents, need to develop partnerships that would enable a long-term monitoring and careful guidance. It is necessary to do more research on the subject, with methodological proposals that reflect the essence of the best care of an ostomized child. K K K K Key wor ey wor ey wor ey wor ey words: ds: ds: ds: ds: Ostomy; Infant care; Nursing RESUMEN RESUMEN RESUMEN RESUMEN RESUMEN El objetivo de este artículo fue realizar un estudio de revisión bibliográfica sobre anomalía ano retal y cuidados maternos. El asunto fue abordado por medio de una revisión integral realizada por consulta de artículos publicados en las bases de datos indexados en la Biblioteca Virtual en Salud. Fueron identificadas 25 publicaciones que atendieron a los criterios de inclusión y exclusión pre-establecidos. En los estudios analizados se observaron distintos dibujos metodológicos demostrando que algunos niños nacidos con anomalía ano retal necesitan de cirugía de urgencia. Los profesionales de salud, juntamente con los padres, necesitan desarrollar grupos que posibiliten un acompañamiento a largo plazo y orientaciones cuidadosas. Se hace necesario que nuevos estudios sean realizados sobre el tema, con propuestas metodológicas que retraten mejor la esencia del cuidado con los niños con ostomía.

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Anorectal malformations and their impact on survival

Cited by 21 publications

References 20 publications

Anorectal Malformations Associated with Esophageal Atresia in Neonates

Anorectal Malformations Associated with Esophageal Atresia in Neonates

Descriptive Epidemiology of Anorectal Malformations in Chinese Population

Anomalia anorretal e cuidados maternos

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