Anorectal Malformations: Ideal Surgery Timing to Reduce Incontinence and Optimize QoL

Author:

Pelizzo Gloria12,Canonica Carlotta Paola Maria2,Destro Francesca2ORCID,Meroni Milena2,Rizzo Dario2,Canazza Lorena2,Selvaggio Giorgio Giuseppe Orlando2,Durante Eleonora2,Zuccotti Gianvincenzo13ORCID,Calcaterra Valeria34ORCID

Affiliation:

1. Department of Biomedical and Clinical Science, University of Milan, 20157 Milan, Italy

2. Pediatric Surgery Department, Buzzi Children’s Hospital, 20154 Milan, Italy

3. Pediatric Department, “Vittore Buzzi” Children’s Hospital, 20154 Milan, Italy

4. Pediatrics and Adolescentology Unit, Department of Internal Medicine, University of Pavia, 27100 Pavia, Italy

Abstract

Anorectal malformations (ARMs) are rare and involve a wide spectrum of malformations. Prenatal diagnosis is often incomplete, and the diagnostic pathway is started during the newborn period to identify the type of malformation and the correct treatment. This retrospective study included patients between 8 and 18 y.o. diagnosed with ARM, referring to Our Clinic. We proposed two questionnaires, Rintala Bowel Function Score and the Fecal Incontinence Quality of Life Scale, and we defined four groups referring to surgical timing (age in months < 3, 3–6, 6–9, >9). In total, 74 patients were recruited (mean age 13.05 ± 2.80 y.o.), and data analysis showed a significant relationship between comorbidity and surgical timing. Moreover, timing was related to outcome in terms of fecal continence (better if surgery performed before 3 months) and Quality of Life (QoL). QoL, however, is influenced by other factors (emotional and social life, psychological sphere and take of care of chronic disease). We considered rehabilitation programs, more often practiced by children who underwent surgery after 9 months, to maintain an appropriate relational life. This study highlights the importance of surgical timing as the first step of a multidisciplinary follow-up, taking care of the child in every phase of his growth, tailored to the single patient.

Publisher

MDPI AG

Subject

Pediatrics, Perinatology and Child Health

Reference34 articles.

1. Anorectal malformations;Levitt;Orphanet J. Rare Dis.,2007

2. Visualization of the fetal anus by prenatal ultrasound for the diagnosis of anorectal malformations: Is it feasible?;Bischoff;Pediatr. Surg. Int.,2021

3. Shah, A.N., and Islam, S. (2014). Pediatric Gastroenterology, CRC Press.

4. Anorectal malformations;Semin Pediatr. Surg.,1995

5. Advances in the management of anorectal malformations;Hong;Am. J. Surg.,2000

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3