Details

Autor(en) / Beteiligte

• Wang, Kai
• Peng, Chunhui
• Pang, Wenbo
• Wang, Zengmeng
• Wu, Dongyang
• Chen, Yajun

Titel

Long-term (> 10 years) bowel function of anorectal malformations: a retrospective single-center study

Ist Teil von

• Pediatric surgery international, 2024-05, Vol.40 (1), p.138-138, Article 138

Ort / Verlag

Berlin/Heidelberg: Springer Berlin Heidelberg

Erscheinungsjahr

2024

Quelle

MEDLINE

Beschreibungen/Notizen

• Purpose To describe the long-term bowel function of anorectal malformation (ARM) patients and explore the potential influence factors. Methods ARM patients with follow-up data > 10 years were included. Cases of cloaca, Currarino syndrome, and VACTERL syndrome were excluded. Rintala score and PedsQL 4.0 were used to assess bowel function score (BFS) and quality of life (QoL). Based on the results, patients were divided into satisfactory group with BFS ≥ 17 and unsatisfactory group with it < 17. Comparisons between the groups were made. Results Among the 81 patients were 44 males and 37 females. Follow-up time was 138 (126,151) months. 16 (19.75%) patients had associated anomalies. 23 (28.40%) patients had reoperations, and fistula recurrence was the most common reason. BFS of the patients was 20 (18,20). QoL score was 100 (100,100), which correlated positively with BFS ( r  = 0.648, P  < 0.001). The satisfactory and the unsatisfactory groups had 69 and 12 cases, and their BFS were 20 (20,20) and 11 (8,15) respectively, which had statistical difference ( P  < 0.001). Total QoL score and psycho-social health score of the unsatisfactory group were lower ( P  < 0.001). Only reoperations were statistically different between the groups ( P  < 0.001). Conclusions Long-term (> 10 years) bowel function of ARM patients is good in this study. Defecation problems have negative impacts on QoL and mainly affects their psycho-social health. Primary anorectoplasty is extremely important. Reoperations, which are most commonly seen in recto-urethral fistula recurrence, adversely affect the outcome.