title: PATTERN OF ANORECTAL MALFORMATIONS AND EARLY OUTCOMES OF MANAGEMENT AT MOI TEACHING AND REFERRAL HOSPITAL ELDORET-KENYA.
abstract: Objectives: To describe the anatomical sub-types of Anorectal malformations, their management and the early outcome at Moi Teaching and Referral Hospital (MTRH) over a 16 month period. Design: A prospective study.
  
  
  METHODS
  MTRH, in the neonatal Unit and paediatric surgical wards for theinitial capture of patients and initial follow up. The Paediatric Surgical out-patient clinic was used for the subsequent follow ups.
  
  
  METHODS
  All infants diagnosed with ARM (Anorectal malformations) at MTRH from November 2011 to April 2013.
  
  
  METHODS
  Sub-types of the Anorectal malformations, coexisting abnormalities morbidity and mortality rates.
  
  
  RESULTS
  There were 42 participants including 24 (57%) males and 18 (43%) females. Neonates presented at an average age of 4 ± 3, three days and older children presented on average age of 152 ± 118, three days. There were 30 (71%) neonates and 12 (29%) older infants. In males, the predominant sub-type was imperforate anus without a fistula found in ten participants (42% of males). In females, the predominant sub-type was recto-vestibular fistula found in 14 participants (78% of females). Mortality occurred in 13 (31%) participants among them ten (24%) had coexisting abnormalities. The main causes of morbidity were: colostomy complications in four (9.5%); wound,infections in one (5%); and wound dehiscence in one (5%).
  
  
  CONCLUSIONS
  Patients with Anorectal malformations presented late at MTRH. The diagnosis at birth was missed in babies born at home as well as those delivered in health institutions.
authors: P
authors: P
authors: Kuradusenge
authors: R T
authors: RT
authors: Kuremu
authors: G
authors: G
authors: Jumbi
authors: P W
authors: PW
authors: Saula
mesh_terms: D001003:Anal Canal / Q000002:abnormalities* / Q000601:surgery; D000071056:Anorectal Malformations; D001006:Anus, Imperforate / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D005260:Female; D006784:Hospitals, Teaching; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007630:Kenya; D008297:Male; D011446:Prospective Studies; D012007:Rectum / Q000002:abnormalities* / Q000601:surgery; D016896:Treatment Outcome