Document Detail

Anomalies associated with anorectal malformations according to the Krickenbeck anatomic classification.
MedLine Citation:
PMID:  23217888     Owner:  NLM     Status:  In-Data-Review    
PURPOSE: We evaluated the incidence of congenital anomalies associated with anorectal malformations (ARMs) in relation to the anatomic type of ARM as defined by the Krickenbeck classification.
METHODS: We reviewed 99 children with ARM in our institution from 2002 to 2011. Data were collected on patient demographics, type of ARM, and associated congenital anomalies, which were categorized according to organ systems. Statistical analysis was performed for comparison between groups using 'perineal fistula' as the base group.
RESULTS: There were 62 (63%) male patients. The majority had perineal fistulas (35, 35%). Seventy-seven (78%) had at least one associated malformation. The most frequent malformations seen were genitourinary (28, 28%) and spinal anomalies (26, 26%). Those with rectovesical fistula had the highest proportion of genitourinary malformations (Odds Ratio [OR], 41.3; 95% confidence interval [CI], 4.7-363.4). Those with cloaca (OR, 49.5; 95% CI, 3.4-718.9) and those with rectovestibular fistula (OR, 12.4; 95% CI, 2.3-65.6) were most likely to have major spinal abnormalities, with tethered cord seen in all groups. The rectovestibular group was also most likely to have other associated malformations (OR, 8.6; 95% CI, 2.2-32.8).
CONCLUSION: More than 75% of children with anorectal malformation have other associated malformations. Genitourinary anomalies are the most common. Major spinal anomalies are seen in all groups, affecting nearly half of those with rectovestibular fistula and those without fistula. The incidence of associated malformations in the rectovestibular group is higher than described in the literature. Thorough systematic evaluation of all infants with ARM should be done regardless of type of ARM.
Shireen A Nah; Caroline C P Ong; Narasimhan K Lakshmi; Te-Lu Yap; Anette S Jacobsen; Yee Low
Related Documents :
10731128 - Optimizing therapy: tazarotene in combination with phototherapy.
6338998 - Treatment of anogenital warts. comparison of trichloracetic acid and podophyllin versus...
11703528 - Rediscovering hydroxyurea: its role in recalcitrant psoriasis.
23122768 - Efficacy and safety of a microsomal triglyceride transfer protein inhibitor in patients...
23450838 - Basophilic histamine content and release during venom immunotherapy: insights by flow c...
15947668 - Passerini-glazel feminizing genitoplasty: a long-term followup study.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  47     ISSN:  1531-5037     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-12-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2273-8     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Elsevier Inc. All rights reserved.
Department of Paediatric Surgery, KK Women's & Children's Hospital, Singapore 229899, Singapore.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Managing radiation exposure in children-reexamining the role of ultrasound in the diagnosis of appen...
Next Document:  Transabdominal electrical stimulation increases colonic propagating pressure waves in paediatric slo...