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Bowel symptoms in children with anorectal malformation afollow-up with a gender and age perspective(Journal of Pediatric Surgery-2014

Lund University, SwedenOslo University, Norway

Mosher Munda

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Background

Bowel control in a newbornchild with an

anorectal malformation (ARM)

Bowel function in children with ARM operated on

with posterior sagittal anorectal plasty (PSARP)

different classification and follow up systems

True outcome

The !rickenbeck classification system"##$

none of the pre%ious reports ha%e analy&ed gender'specific outcome

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Aim

Primaryto describe bowel function according

to the !rickenbeck follow'up system separately

for females and males *+" years old with ARM

SecondaryTo e%aluate if fecal incontinence and

constipation were less fre,uent in the older age

group

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Materials and method

Children with anorectal malformation (ARM)referred to two tertiary centers for ediatricsur!ery in two countries durin! the eriods from"anuary #$$% and "anuary &''', resectively,until ecemer &''%

children were etween * and #& years of a!e

+cluded anal stenosis, rectal atresia andcloaca, oerated on at other centers and thosewho had mi!rated

-' and .. children, resectively

#/. children,0- females and %# males

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Materials and method

-peration methods and follow'up

PSARP'procedure. described by /r Pena

-peration methods and follow'up

The anal sphincter comple0 is defined byelectromyostimulation

A di%erting colostomy is used for males with

rectourinary fistulas or no fistula. and for some of

the females with %estibular fistulas and those with

no fistula

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Materials and method

1linical follow'up and is both descripti%e and

comparati%e

!rickenbeck post'operati%e follow'up scheme

the outcome The outcome was measured before bowel

management was introduced

Se%ere incontinence was defined as !rickenbeck

grade " and 2

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Statistical considerations

The e0act !ruskal*3allis test

4enerali&ed 5isher6s e0act test was used for

dichotomous outcomes between all groups

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Results

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Results

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Results

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