Short-term ν long-term quality of life in children following repair of high imperforate anus

Ditesheim, Jeffrey A.; Templeton, John Y.

doi:10.1016/s0022-3468(87)80103-3

Cited by 71 publications

(61 citation statements)

References 16 publications

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“…Early efforts to describe and measure quality of life in children focused on functional problems and relied on assessments made by clinicians (Ditesheim & Templeton, 1987;Eiser & Morse, 2001;Herndon et al, 1986). Herndon (1986) and associates examined quality of life in 12 children who survived major burn injuries, ranging in age from 9 months to 12 years.…”

Section: Quality Of Life and Childrenmentioning

confidence: 99%

“…The researchers found that one third of the children had excessive fear, regression, and neurotic and somatic complaints, but all showed remarkable energy in adjusting and adapting to their disabilities despite major physical and psychological traumas (Herndon et al, 1986). Another early study of quality of life in children, which focused on functional problems, was conducted by Ditesheim & Templeton (1987), who examined short and long-term quality of life in 120 children following repair of high imperforate anus. The researchers evaluated quality of life based on school attendance, social relations, and physical capabilities centered on their fecal incontinence.…”

Section: Quality Of Life and Childrenmentioning

confidence: 99%

“…The main criticism of these early examples of quality of life studies conducted with children by Herndon et al (1986) and Ditesheim & Templeton (1987) is that they do not attempt to define quality of life and often quality of life was used interchangeably with "social and psychological problems" or was restricted to demographic or clinical indicators (Eiser & Morse, 2001). However, the findings from these early studies did help to lead the way for modern quality of life work involving children by emphasizing that children have the ability to adapt even after a major injury or surgery and that children's views about their disability are important (Eiser & Morse, 2001).…”

Section: Quality Of Life and Childrenmentioning

confidence: 99%

See 2 more Smart Citations

Quality of Life and Health Outcomes in Overweight and Non-Overweight Children With Asthma

Manion¹,

Velsor-Friedrich²

2017

Journal of Pediatric Health Care

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Section: Quality Of Life and Childrenmentioning

confidence: 99%

Section: Quality Of Life and Childrenmentioning

confidence: 99%

Section: Quality Of Life and Childrenmentioning

confidence: 99%

See 1 more Smart Citation

Quality of Life and Health Outcomes in Overweight and Non-Overweight Children With Asthma

Manion¹,

Velsor-Friedrich²

2017

Journal of Pediatric Health Care

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“…[36] Following surgery for ARM, all patients should be put through toilet training, and a fecal continence scoring done at 3 years of age. If the score is fair or poor, then the patient should receive dietary management, incentives, pharmacological intervention, and enemas (singly or in combination) till a rescoring at the age of 5 years.…”

Section: Plan Of Managementmentioning

confidence: 99%

Assessment of postoperative results in anorectal malformations

Bhatnagar

2005

J Indian Assoc Pediatr Surg

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ABSTRACT ABSTRACT ABSTRACTSurgery for the correction of anorectal malformations (ARM) is performed by almost all pediatric surgeons. A number of operative procedures are practiced. The posterior sagittal anorectoplasty procedure has found wide acceptability and although it provides the most accurate anatomical reconstruction of the neoanorectum and the sphincters, the results are not in keeping with this technical advantage. In addition, there is no uniformity in describing the results of surgery and hence comparative evaluation of different series is difficult. This review describes the various methods that are available for the assessment of postoperative results following surgery for ARM, with a special emphasis on clinical methods keeping in mind the limitations in various parts of the country. Clinical examination and clinical scoring systems hold an important place in the post-operative evaluation of these patients. Imaging modalities are useful in the diagnosis of misplaced bowel and damage to the muscle complex and are necessary before re-do surgery is planned. Objectivity in the evaluation is provided by anorectal manometry combined with electromyography and these corelate well with clinical scoring systems. A consensus is required for uniformity in the methods of assessment.

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“…6 For most, this means being able to actively participate in their social environment without significant limitations from bowel function, for which fecal continence is a major determinant. [7][8][9] Posterior sagittal anorectoplasty (PSARP), first introduced by De Vries and Peña and followed later by its limited modification anterior sagittal anorectoplasty (ASARP), represents the basis of the modern surgical approach to ARMs with termination of the anal canal outside the voluntary sphincter complex. 10,11 The outcome for patients with ARM is related to the severity of the anomaly.…”

Section: Introductionmentioning

confidence: 99%

Assessment of post-surgical functional outcome in children with anorectal malformation

Patel¹,

Ma²,

Sharma³

et al. 2018

Int Surg J

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Background: Anorectal malformations (ARMs) comprise a spectrum of congenital anomalies that continue to present a challenge for paediatric surgeons. Advances in modern surgical techniques and neonatal care have greatly improved survival among ARM patients over the last decades, and early mortality is now unusual in the absence of fatal associated cardiac or chromosomal defects. The aim of this study is to measure the functional outcome of ARM by most recent krickenburg classification.Methods: The present longitudinal study was conducted in Department of paediatric surgery, Dr. BRAM hospital, Raipur, Chhattisgarh during study period February 2016 to September 2017. Those patients who had completed their all stages of surgery for anorectal malformation at-least 6 months back and arriving at outpatient department of paediatric surgery were included.Results: Maximum number of patients were in age group of 3 to 5 years (77.8%) and minimum were 9 to 11 years (3.7%). A 50.6% male and 49.4% female child were included in the study. Maximum number of patients had vestibular fistula (38.27% followed by perineal fistula (24.69%), rectobulbar (18.51%) then rectovaginal (7.4%) and rectoprostatic (7.4%). Minimum patients had pouch colon (2.4%) and cloaca (1.09%). Voluntary bowel movement was present in 50% of rectoprostatic and 66.6% of rectovaginal fistula. Eighty percentage rectobulbar and 83.87% vestibular fistula had voluntary bowel movement. Cloaca and Pouch colon had no voluntary bowel movement. In recto-vaginal fistula 66.6% had soiling, of which 50% had grade 1 and 16.6% had grade 2 soiling. In recto-bulbar fistula 40% cases had soiling, out of which 20% had grade1 and 20% had grade 2. In recto-vaginal fistula cases 33 % had constipation, of which 16.5% had grade 1 and 16.6 % had grade 2. In recto-prostatic fistula 16% had constipation which was grade1.Conclusions: In this study, author showed that functional outcomes comparable to matched peers are achieved in the majority of low ARMs after minimally invasive, individualized perineal procedures and regular surgical follow-up. In high type of ARM soiling is the prominent feature while in intermediate ARM constipation is more common.

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Short-term ν long-term quality of life in children following repair of high imperforate anus

Cited by 71 publications

References 16 publications

Quality of Life and Health Outcomes in Overweight and Non-Overweight Children With Asthma

Quality of Life and Health Outcomes in Overweight and Non-Overweight Children With Asthma

Assessment of postoperative results in anorectal malformations

Assessment of post-surgical functional outcome in children with anorectal malformation

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