Constipation is a Major Complication after Posterior Sagittal Anorectoplasty for Anorectal Malformations in Children
To assess whether constipation or fecal incontinence is a major late complication after posterior sagittal anorectoplasty in patients with anorectal malformation (ARM). Methods: We retrospectively enrolled 188 children, 85 low-type ARM (L-ARM) and 103 high-type ARM (H-ARM), who had complete medical...
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doaj-dad2f8d5f8de4564aedaf762b0ba22b92020-11-24T23:15:38ZengElsevierPediatrics and Neonatology1875-95722012-08-0153425225610.1016/j.pedneo.2012.06.007Constipation is a Major Complication after Posterior Sagittal Anorectoplasty for Anorectal Malformations in ChildrenChing-Fang Huang0Hung-Chang Lee1Chun-Yan Yeung2Wai-Tao Chan3Chuen-Bin Jiang4Jin-Cherng Sheu5Nien-Lu Wang6Jr-Rung Lin7Department of Pediatrics, Mackay Memorial Hospital, Taipei City, TaiwanDepartment of Pediatrics, Mackay Memorial Hospital, Taipei City, TaiwanDepartment of Pediatrics, Mackay Memorial Hospital, Taipei City, TaiwanDepartment of Pediatrics, Mackay Memorial Hospital, Taipei City, TaiwanDepartment of Pediatrics, Mackay Memorial Hospital, Taipei City, TaiwanDepartment of Pediatrics, Taipei Medical University, Taipei City, TaiwanDepartment of Pediatrics, Taipei Medical University, Taipei City, TaiwanClinical Informatics and Medical Statistics Research Center, Chang Gung University, TaiwanTo assess whether constipation or fecal incontinence is a major late complication after posterior sagittal anorectoplasty in patients with anorectal malformation (ARM). Methods: We retrospectively enrolled 188 children, 85 low-type ARM (L-ARM) and 103 high-type ARM (H-ARM), who had complete medical records of bowel habits and medication histories after posterior sagittal anorectoplasty for anorectal malformation in Mackay Memorial Hospital. Stool characteristics as well as physical and medication history were evaluated. The symptom severity (SS) scoring system was used to assess changes in bowel habits. Results: During a mean follow-up period of 4.3 years, constipation was found to be the most common late complication in both groups of patients (64.5% in the L-ARM group and 78.6% in the H-ARM group). Compared to constipation, stool incontinence was much less frequent, with 4.7% in L-ARM and 3.9% in H-ARM. There was no significant difference in mean SS scores between the two groups. Conclusion: Constipation was the most common late sequela in children after correction of ARM in our study.http://www.sciencedirect.com/science/article/pii/S1875957212000733anorectal malformationconstipationposterior sagittal anorectoplasty procedurestool incontinence |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ching-Fang Huang Hung-Chang Lee Chun-Yan Yeung Wai-Tao Chan Chuen-Bin Jiang Jin-Cherng Sheu Nien-Lu Wang Jr-Rung Lin |
spellingShingle |
Ching-Fang Huang Hung-Chang Lee Chun-Yan Yeung Wai-Tao Chan Chuen-Bin Jiang Jin-Cherng Sheu Nien-Lu Wang Jr-Rung Lin Constipation is a Major Complication after Posterior Sagittal Anorectoplasty for Anorectal Malformations in Children Pediatrics and Neonatology anorectal malformation constipation posterior sagittal anorectoplasty procedure stool incontinence |
author_facet |
Ching-Fang Huang Hung-Chang Lee Chun-Yan Yeung Wai-Tao Chan Chuen-Bin Jiang Jin-Cherng Sheu Nien-Lu Wang Jr-Rung Lin |
author_sort |
Ching-Fang Huang |
title |
Constipation is a Major Complication after Posterior Sagittal Anorectoplasty for Anorectal Malformations in Children |
title_short |
Constipation is a Major Complication after Posterior Sagittal Anorectoplasty for Anorectal Malformations in Children |
title_full |
Constipation is a Major Complication after Posterior Sagittal Anorectoplasty for Anorectal Malformations in Children |
title_fullStr |
Constipation is a Major Complication after Posterior Sagittal Anorectoplasty for Anorectal Malformations in Children |
title_full_unstemmed |
Constipation is a Major Complication after Posterior Sagittal Anorectoplasty for Anorectal Malformations in Children |
title_sort |
constipation is a major complication after posterior sagittal anorectoplasty for anorectal malformations in children |
publisher |
Elsevier |
series |
Pediatrics and Neonatology |
issn |
1875-9572 |
publishDate |
2012-08-01 |
description |
To assess whether constipation or fecal incontinence is a major late complication after posterior sagittal anorectoplasty in patients with anorectal malformation (ARM).
Methods: We retrospectively enrolled 188 children, 85 low-type ARM (L-ARM) and 103 high-type ARM (H-ARM), who had complete medical records of bowel habits and medication histories after posterior sagittal anorectoplasty for anorectal malformation in Mackay Memorial Hospital. Stool characteristics as well as physical and medication history were evaluated. The symptom severity (SS) scoring system was used to assess changes in bowel habits.
Results: During a mean follow-up period of 4.3 years, constipation was found to be the most common late complication in both groups of patients (64.5% in the L-ARM group and 78.6% in the H-ARM group). Compared to constipation, stool incontinence was much less frequent, with 4.7% in L-ARM and 3.9% in H-ARM. There was no significant difference in mean SS scores between the two groups.
Conclusion: Constipation was the most common late sequela in children after correction of ARM in our study. |
topic |
anorectal malformation constipation posterior sagittal anorectoplasty procedure stool incontinence |
url |
http://www.sciencedirect.com/science/article/pii/S1875957212000733 |
work_keys_str_mv |
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