Vitellointestinal (omphalomesenteric) duct anomalies

doi:10.1201/b13237-56

Cited by 10 publications

(12 citation statements)

References 4 publications

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“…A similar lack of association for sacral abnormalities existed. These are very similar results to those recently reported by Stathopoulos et al (21). They evaluated 80 children with MRI imaging of the spine and preoperative urodynamics to assess for presence of neuropathic bladder and, if identified, whether any association between vertebral or spinal cord anomalies could be discovered.…”

Section: Discussionsupporting

confidence: 78%

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Epididymitis in Patients with Anorectal Malformations: A Cause for Urologic Concern

et al. 2014

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ARTICLE INfO ______________________________________________________________ ______________________Introduction: Epididymitis in patients with anorectal malformation (ARM) represents a unique problem because unlike the general population, an underlying urinary tract problem is frequently identified. We review our experience with epididymitis in ARM population with an emphasis on examining urologic outcomes. Materials and Methods:We performed a retrospective review of male patients with ARM cared for from 1980 to 2010. Clinical and pathologic variables recorded included age at presentation, recurrence, associated urologic anomalies, incidence of ureteral fusion with mesonephric ductal structures, glomerular filtration rate and urodynamic parameters.Results: Twenty-six patients were identified with documented episodes of epididymitis.Renal injury was noted in five patients (19%), all of whom were diagnosed with neurogenic bladder (NGB) several years after anorectoplasty. NGB was found in ten patients (38%) in our series. Ectopic insertion of ureter into a mesonephric ductal structure was discovered in five patients (19%). Twelve patients (46%) had recurrent episodes of epididymitis, with seven of these patients (58%) being diagnosed with NGB. Two patients in the pubertal group presented with a history of epididymitis and complained of ejaculatory pain. Conclusion: Epididymitis in a patient with ARM warrants a comprehensive urologic investigation, particularly in recurrent episodes. Attempts at surgical intervention (e.g. vasectomy) should be avoided until functional assessment of the urinary tract has occurred. Failure to recognize this association may lead to potentially avoidable complications and morbidity. Long term urological follow up of these patients is warranted to identify at risk patients and minimize renal deterioration

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Section: Discussionsupporting

confidence: 78%

“…Conflicting reports exist when using these radiographic characteristics to predict lower urinary tract dysfunction in ARM (21)(22)(23)(24). In our select series of males with epididymitis we did not see an association between the existence of neurogenic bladder and either sacral or spinal cord radiographic abnormality.…”

Section: Discussionmentioning

confidence: 53%

Epididymitis in Patients with Anorectal Malformations: A Cause for Urologic Concern

et al. 2014

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“…The study was limited to intermediate anomalies because almost all cases could be managed definitively by posterior sagittal operation, whereas certain categories of high anomalies may need laparotomy in addition to the posterior sagittal anorectoplasty. 2 Ethical approval was obtained for the study.…”

Section: Introductionmentioning

confidence: 99%

One-stage correction of intermediate imperforate anus in males: preliminary results

Adeniran¹,

Abdur-Rahman²,

Bolaji³

2010

Nigerian Journal of Surgical Research

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Background: This prospective study was designed to assess the safety, cost effectiveness, and advantages of performing posterior sagittal anorectoplasty without colostomy on males with intermediate imperforate anus. Method: Five consecutive males with intermediate imperforate anus were entered into the study. Chest and abdominal x-rays, skeletal surveys, renal ultrasound scans, and invertograms were done. Patients were resuscitated, and Pena's posterior sagittal anorectoplasty (PSARP) done in prone positions. Two-ml syringe vents were inserted into the new anus for 10 days. Cephalosporin and metronidazole were given as peri-operative antibiotics. Results: All patients had intermediate anomalies. There were no other major associated congenital anomalies. Urethral catheter could not be inserted in one patient. One patient presented with septicaemia and jaundice. He was deemed too ill to withstand a major operation. These 2 patients therefore had diverting colostomies. There were no problems with posterior sagittal anorectoplasty in the other 3 patients. The father of one patient discharged him against medical advice on the 5 th postoperative day. The mother had post-partum haemorrhage and they went for traditional treatment because they could not provide blood donors. The skin wound of 2 patients healed completely at removal of stitches. Both are having monthly dilatations 9months and 1 year post-operatively.Conclusion: This preliminary study shows that it is feasible for males with intermediate imperforate anus to have safe posterior sagittal anorectoplasty without colostomy. The advantages of one, instead of 3 major operations, are many, especially in developing countries. If this result can be reproduced in high anomalies colostomy may be unnecessary in many cases of anorectal malformations with a lot of benefits to these unfortunate children and their poor families.

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“…The system of Peña importantly brought in the concept of voluntary bowel movements (VBMs) as one of its major criteria of assessment. 16 VBMs, defined as the ability to recognise the urge to defecate, the…”

Section: Discussionmentioning

confidence: 99%

Assessment of post-surgical functional outcome in children with anorectal malformation

Patel¹,

Ma²,

Sharma³

et al. 2018

Int Surg J

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Background: Anorectal malformations (ARMs) comprise a spectrum of congenital anomalies that continue to present a challenge for paediatric surgeons. Advances in modern surgical techniques and neonatal care have greatly improved survival among ARM patients over the last decades, and early mortality is now unusual in the absence of fatal associated cardiac or chromosomal defects. The aim of this study is to measure the functional outcome of ARM by most recent krickenburg classification.Methods: The present longitudinal study was conducted in Department of paediatric surgery, Dr. BRAM hospital, Raipur, Chhattisgarh during study period February 2016 to September 2017. Those patients who had completed their all stages of surgery for anorectal malformation at-least 6 months back and arriving at outpatient department of paediatric surgery were included.Results: Maximum number of patients were in age group of 3 to 5 years (77.8%) and minimum were 9 to 11 years (3.7%). A 50.6% male and 49.4% female child were included in the study. Maximum number of patients had vestibular fistula (38.27% followed by perineal fistula (24.69%), rectobulbar (18.51%) then rectovaginal (7.4%) and rectoprostatic (7.4%). Minimum patients had pouch colon (2.4%) and cloaca (1.09%). Voluntary bowel movement was present in 50% of rectoprostatic and 66.6% of rectovaginal fistula. Eighty percentage rectobulbar and 83.87% vestibular fistula had voluntary bowel movement. Cloaca and Pouch colon had no voluntary bowel movement. In recto-vaginal fistula 66.6% had soiling, of which 50% had grade 1 and 16.6% had grade 2 soiling. In recto-bulbar fistula 40% cases had soiling, out of which 20% had grade1 and 20% had grade 2. In recto-vaginal fistula cases 33 % had constipation, of which 16.5% had grade 1 and 16.6 % had grade 2. In recto-prostatic fistula 16% had constipation which was grade1.Conclusions: In this study, author showed that functional outcomes comparable to matched peers are achieved in the majority of low ARMs after minimally invasive, individualized perineal procedures and regular surgical follow-up. In high type of ARM soiling is the prominent feature while in intermediate ARM constipation is more common.

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Vitellointestinal (omphalomesenteric) duct anomalies

Cited by 10 publications

References 4 publications

Epididymitis in Patients with Anorectal Malformations: A Cause for Urologic Concern

Epididymitis in Patients with Anorectal Malformations: A Cause for Urologic Concern

One-stage correction of intermediate imperforate anus in males: preliminary results

Assessment of post-surgical functional outcome in children with anorectal malformation

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