HOMEPRODUCTSCOMPANYCONTACTFAQResearchDictionaryPharmaSign Up FREE or Login

Unexpected megarectum: A potential hidden source of complications in patients with anorectal malformation.

AbstractBACKGROUND:
Primary posterior sagittal anorectoplasty is recommended to repair anorectal malformations with rectoperineal or rectovestibular fistula. The aim of this study was to identify the impact of the presence of megarectum on the relative frequency of complications related to posterior sagittal anorectoplasty.
METHODS:
We performed a cross-sectional retrospective study including patients with anorectal malformation, preoperative rectogram and surgically treated with primary or staged posterior sagittal anorectoplasty. Only complications related to anorectoplasty were analyzed and compared with the presence of megarectum.
RESULTS:
Thirty patients aged 1 day to 7 years were included, 60% had megarectum. Sixteen patients had primary repair: 6 with megarectum and 10 without megarectum; complications occurred in four of the six with megarectum, 66.7%, and no complication were observed in the 10 patients without megarectum (F p=0.008). Fourteen patients had staged repair and no complications related to posterior sagittal anorectoplasty occurred in these patients.
CONCLUSIONS:
Comprehensive preoperative evaluation in patients with anorectal malformation with rectoperineal or rectovestibular fistula could include a rectogram. Awareness of the presence of megarectum could be useful information in the decision to create a colostomy or perform a primary posterior sagittal anorectoplasty.
AuthorsLuis De la Torre-Mondragón, Claudia Bañuelos-Castañeda, Karla Santos-Jasso, Alejandro Ruiz-Montañez
JournalJournal of pediatric surgery (J Pediatr Surg) Vol. 50 Issue 9 Pg. 1560-2 (Sep 2015) ISSN: 1531-5037 [Electronic] United States
PMID26071179 (Publication Type: Journal Article)
CopyrightCopyright © 2015 Elsevier Inc. All rights reserved.
Topics
  • Anal Canal (abnormalities, surgery)
  • Anorectal Malformations
  • Anus, Imperforate (complications, surgery)
  • Child
  • Child, Preschool
  • Colostomy (methods)
  • Cross-Sectional Studies
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Megacolon (etiology, surgery)
  • Plastic Surgery Procedures (methods)
  • Rectum (abnormalities, surgery)
  • Retrospective Studies

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.
Realize the full power of the drug-disease research graph!


Choose Username:
Email:
Password:
Verify Password:
Enter Code Shown: