Okur, Mehmet Hanifi Dicle University - Faculty of Medicine - Department of Paediatric Surgery, Turkey , Çiğdem, Murat Kemal Dicle Üniversitesi - Tıp Fakültesi - çocuk cerrahi AD Çocuk Ürolojisi Bilim Dalı, Türkiye , Önen, Abdurrahman Dicle Üniversitesi - Tıp Fakültesi - Çocuk Cerrahi Anabilim Dalı, Türkiye , Otçu, Selçuk Dicle Üniversitesi - Tıp Fakültesi - Çocuk Cerrahi Anabilim Dalı, Türkiye

Our clinical experience on anorectal malformations: Analysis of 115 cases

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Objective: In this study, we aimed to evaluate our results on children with anorectal malformations (ARM) and associated anomalies. Methods: A total of 115 children who treated and followed in our clinic between 2000 and 2006 were retrospectively evaluated. Physical examination including perineal region, laboratory exams, abdominal X-ray, ultrasonography, echocardiography, and voiding cystourethrography when necessary were done to determine the type of ARM and associated anomalies. The patients were classified according to type of ARM and other pathologies. Results: Of the patients, 40.8% had high type ARM, 31.3% had low type, 17.3% had intermediate type, 9.5% had ectopic anterior located anus, and 0.86% had cloacal malformation. Associated anomalies were seen in 48.6% of patients. Associated anomalies were most commonly seen in high type of ARM patients (59.5%). Colostomy was performed in 80 patients; right transverse loop colostomy was performed in 56 (70%) cases, while high sigmoid colostomy was performed in 24 remaining cases. Stoma prolapse was developed in 17.8% of patients who underwent right transverse loop colostomy. Conclusion: It is crucial to examine perineal area carefully during the first admission and follow-up to determine the type of ARM and associated anomalies. It is beneficial to perform ultrasonography, echocardiography, distal colostogram, X-ray, and voiding cystourethrography when necessary. High divergent sigmoid colostomy may decrease complication rate in ARM patients.

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Anorectal malformation , associated anomalies , colostomy , children.

Dicle Medical Journal

297