Management Of Anorectal Malformation In Children: A 10 Year Experience In Sokoto, Nigeria

Ntia, IO; Mungadi, Ismaila Arzika; Agwu, Ngwobia Peter

doi:10.4314/smj2.v10i4.12954

Cited by 3 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similarly, 33 of 37 patients (89.2%) available for long-term follow-up in Ile Ife, Nigeria had “good outcome”; with occasional soiling in four and incontinence in one patient ( 9 ). Others also reported similar outcome with “good bowel motion” or fecal continence in 62.5–90.1% ( 21 , 64 , 65 ) following surgery for children with ARM. In addition, prognosis for continence tends to be better in children who had surgical interventions earlier than later ( 18 , 22 ).…”

Section: Special Considerations In Managementmentioning

confidence: 66%

See 1 more Smart Citation

Overview of Anorectal Malformations in Africa

Lawal

2019

Front. Surg.

View full text Add to dashboard Cite

Anorectal malformation is one of the most common structural congenital malformations treated by pediatric surgeons globally. The outcome of care is largely dependent on the spectrum, clinical features, associated malformations, expertise of the surgeons, and available perioperative facilities. Africa has a large burden of unmet surgical needs in children, and as in other low resource settings, local pediatric surgeons are faced with different and challenging clinical scenarios, hence, adopt various measures to enable children with surgically correctable congenital malformations to survive. There are increasing collaborations between local surgeons and experts in other continents, which often involves surgeons traveling to Africa on missions or well-structured partnerships. It is highly beneficial for the physician who is interested in global-surgery to understand the terrain in low resource settings and prepare for possible changes in management plan. This review highlights the epidemiology, clinical presentation, treatment, and outcome of care of children with anorectal malformations in Africa and provides options adopted by pediatric surgeons working with limited resources.

show abstract

Section: Special Considerations In Managementmentioning

confidence: 66%

“…The overall mortality in children with ARM range from 4.3 to 31.0% ( 9 , 14 , 18 , 21 , 63 , 65 ). The mortality rate is higher in children with associated malformations ( 9 , 14 ), those with “higher” malformations ( 11 ) and in the neonatal period ( 9 ).…”

Section: Special Considerations In Managementmentioning

confidence: 99%

Overview of Anorectal Malformations in Africa

Lawal

2019

Front. Surg.

View full text Add to dashboard Cite

show abstract

“…Overall, five patients died without operation due to serious anomalies, whereas in other studies, the overall mortality in children with the ARM range from 4.3 to 31.0%. The mortality rate is higher in children with associated malformations than those with "higher" malformations and in the neonatal period [14][15][16][17][18][19][20].…”

Section: Arm: Anorectal Malformationmentioning

confidence: 99%

A Study of the Clinical Profile and Management of Children With Anorectal Malformations

Chanchlani¹,

Budhwani²

2023

Cureus

View full text Add to dashboard Cite

The diagnosis of anorectal malformations (ARMs) antenatally is rare, and most of these cases are diagnosed in the neonatal period. The defects range from easily treated minor anomalies with good prognosis to those that are difficult and complex. The associated anomalies in these malformations are important determinants for the prognosis and outcome of these cases. Material and methodsThe present study was carried out in the department of pediatric surgery in a tertiary care institute. Patients presenting with ARMs in the neonatal period, those reported for definitive surgery, and patients for colostomy closure surgery were included. Patients who died before surgical treatment were excluded from the study. Convenience sampling of 100 patients who met the inclusion criteria was performed until the sample size was reached. ResultsOut of 63 cases of high variety, 84.12% were males and 15.87% were females. Out of 37 patients of low variety, 43.24% were males and 56.75% were females. The anomalies of the urogenital system were present in 22 (34.92%) out of 63 cases of high ARMs and 10 (27.02%) out of 37 cases of low ARMs. In the male patients, anocutaneous fistula was in 16 (23.18%) of cases. Out of 31 females in the present study, anorectal agenesis with anovestibular fistula was seen in 19 (61.29%) cases. In the early complications, significant bleeding and urethral injury were seen in one (2.63%) patient each. However, among the late complications, anal stenosis, mucosal prolapse, and wound infection were seen in seven (18.42%), five (13.15%), and four (10.52%) patients, respectively. ConclusionA holistic approach to the management of ARMs is needed with a long-term goal of achieving urinary and fecal continence with good quality of life. The outcome of surgery is dependent on the specific type of malformation, but the results are better when intervention is done early.

show abstract

Anorectal Malformations: A Review of 10-Year Experience in Sulaimani (Kurdistan Region/Iraq) Pediatric Surgical Center

Ameen¹,

Ali²

2017

JSMC

View full text Add to dashboard Cite

Background Anorectal Malformation (ARM) is a well recognized condition that involves congenital anomalies of the anus and rectum. It may present as a single or as a combination of abnormalities. Objectives The aim of this study is to describe some epidemiologic data on anorectal malformation, estimating it’s prevalence in Sulaimani province, and characterizing the cases with regards to age at presentation, gender, pathological classification, associated anomalies, postoperative complication, and mortality rate. Materials and Methods This descriptive epidemiological study extended from Mach 2006 to March 2016, including all of patients presented with ARM in pediatric surgical unit at Sulaimani Teaching Hospital. Results The total cases were 194 patients (122 male and 72 females). 92% presented on the first week of life. 44.2% had associated anomalies. The prevalence rate is 6.4 cases per 10 000 live birth. Stomal complications are the most common post operative complication. The mortality rate is 8.24%. The relation between mortality and associated anomalies was statistically analyzed. Conclusion The associated malformations rate and types are almost the same as in the literatures; however the prevalence rate was higher. This confirms the presence of geographic variation in ARM incidence, but could not confirm that the chemical attack or environmental impact of wars in this region had effects on increasing the rate of ARM due to lack of previous studies.

show abstract

Management Of Anorectal Malformation In Children: A 10 Year Experience In Sokoto, Nigeria

Cited by 3 publications

References 0 publications

Overview of Anorectal Malformations in Africa

Overview of Anorectal Malformations in Africa

A Study of the Clinical Profile and Management of Children With Anorectal Malformations

Anorectal Malformations: A Review of 10-Year Experience in Sulaimani (Kurdistan Region/Iraq) Pediatric Surgical Center

Contact Info

Product

Resources

About