| Postoperative anorectal manometric evaluation of patients with anorectal malformation. | |
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MedLine Citation:
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PMID: 17445040 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Fecal incontinence is a common problem after reconstructive surgery for anorectal malformations. The aim of this study was to investigate the effectiveness of clinical scores and anorectal manometry in patients, who have been operated on for anorectal malformations. METHODS: In total, 18 patients who underwent surgery for anorectal malformation between 1999 and 2004 were investigated for anal continence. For the assessment of the patients' continence, Kelly's clinical scoring, Kiesewetter-Chang scoring, and anorectal manometry were used. RESULTS: In the intermediate level anorectal malformations, average anal resting pressure was found as 58.16 +/- 8.14 cmH(2)O and in high level anorectal malformations was found as 40.16 +/- 17.4 cmH(2)O. In the continence score, good according to Kelly and Kiesewetter-Chang scoring systems was an average anal resting pressure value of 57.92 +/- 8.57 cmH(2)O and in fair or bad was found as 32 +/- 12.83 cmH(2)O. There were significant differences between the scoring systems anorectal malformation level, and average anal resting pressure values (P < 0.05). CONCLUSIONS: Anorectal manometric evaluation of the patients in postoperative period with anorectal malformation can give more realistic information about the patient continence status in anorectal malformations. |
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Authors:
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Emrah Senel; Suzi Demirbag; Tugrul Tiryaki; Derya Erdogan; Salih Cetinkursun; Ozden Cakmak |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Pediatrics international : official journal of the Japan Pediatric Society Volume: 49 ISSN: 1328-8067 ISO Abbreviation: Pediatr Int Publication Date: 2007 Apr |
Date Detail:
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Created Date: 2007-04-20 Completed Date: 2007-06-06 Revised Date: 2008-05-21 |
Medline Journal Info:
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Nlm Unique ID: 100886002 Medline TA: Pediatr Int Country: Australia |
Other Details:
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Languages: eng Pagination: 210-4 Citation Subset: IM |
Affiliation:
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Department of Pediatric Surgery, Diskapi Children Hospital, Ankara, Turkey. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anal Canal
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abnormalities*,
surgery Child Fecal Incontinence / diagnosis*, physiopathology Female Humans Male Manometry* Postoperative Care Prognosis Reconstructive Surgical Procedures Rectal Fistula / rehabilitation*, surgery Rectum / abnormalities*, surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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