How much do we know about constipation after surgery for anorectal malformation?
Background: To evaluate the occurrence of constipation after anorectal malformations (ARM) repair and the results of laxative treatment. Methods: Between August 2012 and July 2017, the clinical data of patients with ARMs was prospectively collected. The patients were divided into two groups, good ty...
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| Format: | Article |
| Language: | English |
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Elsevier
2020-02-01
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| Series: | Pediatrics and Neonatology |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1875957218307654 |
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| author | Paul Chia-Yu Chang Yih-Cherng Duh Yu-Wei Fu Yao-Jen Hsu Chin-Hung Wei Hsuan Huang |
| author_facet | Paul Chia-Yu Chang Yih-Cherng Duh Yu-Wei Fu Yao-Jen Hsu Chin-Hung Wei Hsuan Huang |
| author_sort | Paul Chia-Yu Chang |
| collection | DOAJ |
| description | Background: To evaluate the occurrence of constipation after anorectal malformations (ARM) repair and the results of laxative treatment. Methods: Between August 2012 and July 2017, the clinical data of patients with ARMs was prospectively collected. The patients were divided into two groups, good types and poor types. Good types included rectoperineal, rectovestibular, rectourethral bulbar, and no fistula. Risk factors were defined as spinal cord anomalies, sacral ratio <0.4, or cognitive impairment. Success was defined as that laxative could be tapered. Results: Eighty-four patients were enrolled with mean age of 6.3 ± 7.8 (0.6–59.9) years. The mean age of onset of constipation was 12.8 ± 8.3 months and the mean interval was 5.9 ± 5.1 months after reconstructions. The interval was not significantly different between patients with good types and poor types. In 23 patients with severe constipation being treated for >6 months, 14 of 18 (77.8%) patients with good types were classified as success, whereas only 1 of 5 (20%) patients with poor types was (p = 0.02). In patients with good types, 9 of 9 (100%) patients with no risk factors were successful; however, only 5 out of 9 (55.6%) patients with risk factors were successful (p = 0.02). Conclusion: Constipation occurs shortly after operations. Patients with good types and no risk factors are susceptible to weaning laxatives. Key Words: anorectal malformation, bowel function, constipation, laxative, megarectosigmoid |
| format | Article |
| id | doaj-art-ad6ae5b8cfd04d0abcadf34ef370fd0d |
| institution | Kabale University |
| issn | 1875-9572 |
| language | English |
| publishDate | 2020-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Pediatrics and Neonatology |
| spelling | doaj-art-ad6ae5b8cfd04d0abcadf34ef370fd0d2025-08-20T03:52:07ZengElsevierPediatrics and Neonatology1875-95722020-02-01611586210.1016/j.pedneo.2019.05.010How much do we know about constipation after surgery for anorectal malformation?Paul Chia-Yu Chang0Yih-Cherng Duh1Yu-Wei Fu2Yao-Jen Hsu3Chin-Hung Wei4Hsuan Huang5Division of Pediatric Surgery, Department of Surgery, Mackay Memorial Hospital, Taipei, Taiwan; School of Medicine, Mackay Medical College, New Taipei City, TaiwanDivision of Pediatric Surgery, Department of Surgery, Mackay Memorial Hospital, Hsinchu, TaiwanDepartment of Pediatric Surgery, Changhua Christian Hospital, Changhua, TaiwanDepartment of Pediatric Surgery, Changhua Christian Hospital, Changhua, TaiwanDivision of Pediatric Surgery, Department of Surgery, Shuang Ho Hospital, New Taipei City, Taiwan; Department of Surgery, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan; Corresponding author. No. 291, Zhongzheng Rd., Zhonghe Dist., New Taipei City, 235, Taiwan.Division of Pediatric Surgery, Department of Surgery, Mackay Memorial Hospital, Taipei, TaiwanBackground: To evaluate the occurrence of constipation after anorectal malformations (ARM) repair and the results of laxative treatment. Methods: Between August 2012 and July 2017, the clinical data of patients with ARMs was prospectively collected. The patients were divided into two groups, good types and poor types. Good types included rectoperineal, rectovestibular, rectourethral bulbar, and no fistula. Risk factors were defined as spinal cord anomalies, sacral ratio <0.4, or cognitive impairment. Success was defined as that laxative could be tapered. Results: Eighty-four patients were enrolled with mean age of 6.3 ± 7.8 (0.6–59.9) years. The mean age of onset of constipation was 12.8 ± 8.3 months and the mean interval was 5.9 ± 5.1 months after reconstructions. The interval was not significantly different between patients with good types and poor types. In 23 patients with severe constipation being treated for >6 months, 14 of 18 (77.8%) patients with good types were classified as success, whereas only 1 of 5 (20%) patients with poor types was (p = 0.02). In patients with good types, 9 of 9 (100%) patients with no risk factors were successful; however, only 5 out of 9 (55.6%) patients with risk factors were successful (p = 0.02). Conclusion: Constipation occurs shortly after operations. Patients with good types and no risk factors are susceptible to weaning laxatives. Key Words: anorectal malformation, bowel function, constipation, laxative, megarectosigmoidhttp://www.sciencedirect.com/science/article/pii/S1875957218307654 |
| spellingShingle | Paul Chia-Yu Chang Yih-Cherng Duh Yu-Wei Fu Yao-Jen Hsu Chin-Hung Wei Hsuan Huang How much do we know about constipation after surgery for anorectal malformation? Pediatrics and Neonatology |
| title | How much do we know about constipation after surgery for anorectal malformation? |
| title_full | How much do we know about constipation after surgery for anorectal malformation? |
| title_fullStr | How much do we know about constipation after surgery for anorectal malformation? |
| title_full_unstemmed | How much do we know about constipation after surgery for anorectal malformation? |
| title_short | How much do we know about constipation after surgery for anorectal malformation? |
| title_sort | how much do we know about constipation after surgery for anorectal malformation |
| url | http://www.sciencedirect.com/science/article/pii/S1875957218307654 |
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