Imperforate anus: long- and short-term outcome.
Anorectal malformations are common anomalies observed in neonates. Survival of these babies is currently achieved in most cases and improvements in operative technique, patient care, and better follow-up have led to improved functional results. A new, simplified classification system (Krickenbeck classification) and method of functional assessment has led to an improved understanding of these anomalies and has allowed for a better comparison of outcomes. Following successful anatomical repair and appropriate programs of bowel care, socially acceptable continence can be achieved in a majority of patients, especially those with an intact sacrum.
Rintala
Risto J
RJ
Hospital for Children and Adolescents, University of Helsinki, Helsinki, Finland. risto.rintala@hus.fi
Pakarinen
Mikko P
MP
D000015:Abnormalities, Multiple / Q000401:mortality / Q000601:surgery; D000293:Adolescent; D000328:Adult; D001003:Anal Canal / Q000601:surgery; D001006:Anus, Imperforate / Q000401:mortality / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005242:Fecal Incontinence / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D017063:Outcome Assessment, Health Care; D011183:Postoperative Complications / Q000209:etiology*; D011379:Prognosis; D012007:Rectum / Q000601:surgery; D012307:Risk Factors