Early reported rectal sensation predicts continence in anorectal anomalies

Skerritt, Clare; Tyraskis, Athanasios; Rees, Clare M.; Cockar, Iram; Kiely, Edward M.

doi:10.1016/j.jpedsurg.2015.09.025

Cited by 8 publications

(5 citation statements)

References 16 publications

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“…found that postoperative fecal continence varied between patients with different ARM classifications. The self‐control rate of patients with recto‐perineal fistula was the highest and that of patients with cloacal ectopia was the lowest 23 . This is the same as most of the previous studies that the more complex and higher location ARM, the poorer postoperative bowel movement autonomy 24–27 …”

Section: Risk Factors Of Postoperative Fddsupporting

confidence: 79%

“…The self-control rate of patients with rectoperineal fistula was the highest and that of patients with cloacal ectopia was the lowest. 23 This is the same as most of the previous studies that the more complex and higher location ARM, the poorer postoperative bowel movement autonomy. [24][25][26][27] For low-type ARMs (recto-perineal fistula and rectovestibular fistula), the patients often have more severe constipation.…”

Section: Pathological Classificationsupporting

confidence: 79%

“…However, some studies have concluded that the spinal/spinal cord malformations and other related malformations have no significant effect on intestinal functions. 3,23 Therefore, larger sample sizes or further studies are needed to determine the specific effects between other systemic malformations and bowel functions.…”

Section: Associated Spinal Cord Abnormalizesmentioning

confidence: 99%

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Research progress on risk factors of postoperative functional defecation disorder in anorectal malformation

Xiang,

Feng

et al. 2023

Pediatric Discovery

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Anorectal malformation (ARM) is a common congenital gastrointestinal malformation in neonates, which has complex pathological changes and unclear etiology. The only treatment modality currently available for ARMs is through surgical treatment to correct the deformity of the anal morphology and restore normal defecation function. In addition, the mortality rates of children with ARMs have significantly decreased as a result of recent advances in medical technology. It is important to note that despite the treatment of perianal anatomical deformities, approximately one‐third of ARM patients continue to experience functional defecation disorder (FDD), which includes fecal incontinence and constipation and negatively impacts the patient's quality of life. There are still numerous questions regarding the exact cause of FDD in ARM patients following surgery. It is generally accepted that the occurrence of FDD may be related to clinical staging, structural changes in the perianal rectal muscles, anomalies of the enteric nervous system, surgical injury, etc. However, some of these factors are still controversial and require additional study to be confirmed. In this paper, we review the risk factors for FDD following surgery in ARMs, which will help us to subsequently develop appropriate interventions to enhance the anal function and improve quality of life of children with ARMs.

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Section: Risk Factors Of Postoperative Fddsupporting

confidence: 79%

Section: Pathological Classificationsupporting

confidence: 79%

Section: Associated Spinal Cord Abnormalizesmentioning

confidence: 99%

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Research progress on risk factors of postoperative functional defecation disorder in anorectal malformation

Xiang,

Feng

et al. 2023

Pediatric Discovery

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“…Knowing the anatomic subtype of anorectal malformation along with the quality of the sacrum and the spine allows for an understanding of future continence, the key question on parents' and their family's minds. These factors, when considered, have improved the clinician's ability to explain things to families even in the newborn period [35]. For patients with Hirschsprung disease, surgery that preserves the anal canal and the sphincter mechanism should allow for voluntary bowel movements in the future.…”

Section: Continence Potentialmentioning

confidence: 99%

“…In most females, except for those with a cloaca, a primary operation without the need for a stoma, even in the newborn period, is possible. This decision must be based on the surgeon's experience and the clinical circumstances in which they find themselves [34][35][36]. In the case of Hirschsprung disease, a primary repair is usually possible, either in the newborn period or delayed for several months with the patient carrying out daily colonic irrigations at home.…”

Section: Newborn Surgical Interventionsmentioning

confidence: 99%

Is Collaborative Care the Future of Medicine? Lessons Learned from the Care of Children with Colorectal Conditions

Choueiki,

Sales,

Callicott

et al. 2024

Children

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The treatment of patients with colorectal disorders requires care from a wide variety of medical and surgical specialties over the course of their lifetime. This is ideally handled by a collaborative center which facilitates the assessment and development of patient care among multiple specialties which can enhance the quality and implementation of treatment plans, improve communication among different specialties, decrease morbidity, and improve patient satisfaction and outcomes. This collaborative approach can serve as a model for other parts of medicine requiring a similar multi-disciplinary and integrated method of care delivery. We describe the process, as well as the lessons learned in developing such a program.

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