Yıl: 2023 Cilt: 13 Sayı: 1 Sayfa Aralığı: 37 - 42 Metin Dili: İngilizce DOI: 10.4274/buchd.galenos.2022.08076 İndeks Tarihi: 24-05-2023

Evaluation of Long-term Results and Stool Incontinence of Patients with Operated Anorectal Malformations

Öz:
Objective: Anorectal malformations (ARMs) are a group of anomalies with a wide spectrum, from simple types requiring minimal surgery to complex anomalies requiring complex surgical interventions. Constipation and inability to achieve stool continence are the leading problems in the late postoperative period for patients with ARMs. Method: This study aimed to evaluate and compare the long-term results and stool continence status of the patients with ARMs who had undergone a definitive surgery in our clinic between January 1996 and December 2009, according to anal atresia types. The patients were evaluated in terms of anomaly type, additional organ anomaly, surgeries performed, and postoperative complications. Results: A total of 68 patients including 40 (58.82%) male, and 28 (41.18%) female cases who had undergone definitive surgery were examined. Considering all patients, the most common anomaly was anocutaneous fistula detected in 20 patients (29.4%), and the least common one was rectovesical fistula detected in 1 (1.5%) patient. When the definitive surgeries performed on patients with ARM are evaluated according to the type of ARM, most frequently anoplasty (n=20) had been performed. The most common complaint of the patients was constipation (n=20). A statistically significant relationship was found between the type of anomaly, the type of the definitive surgery performed, constipation and stool incontinence (p<0.05). Conclusion: Patients should be followed up in the postoperative period for problems such as anal stenosis and constipation, and treatment should be initiated before formation of fecalith in patients with constipation.
Anahtar Kelime:

Opere Anorektal Malformasyonlu Hastaların Uzun Dönem Sonuçlarının ve Fekal İnkontinanslarının Değerlendirilmesi

Öz:
Amaç: Anorektal malformasyonlar (ARM) minimal cerrahi gerektiren basit tipten, kompleks cerrahi girişim gerektiren karmaşık anomalilere kadar geniş bir spektruma sahip anomali grubudur. ARM’li hastaları bekleyen postoperatif geç dönem problemlerin başında konstipasyon ve gaita kontinansının sağlanamaması gelir. Yöntem: Bu çalışma kliniğimizde Ocak 1996-Aralık 2009 yılları arasında definitif operasyonu tamamlanmış olan ARM’li hastaların uzun dönem sonuçlarının ve gaita kontinans durumlarının anal atrezi tiplerine göre değerlendirilip, karşılaştırılması amaç edinilmiştir. Hastalar anomali tipi, ek organ anomalisi, yapılan ameliyat ve postoperatif komplikasyonlar açısından değerlendirilmiştir. Bulgular: Definitif operasyon uygulanan 68 hasta incelendiğinde 40 hastanın erkek (%58,82) ve 28 hastanın ise kız (%41,18) olduğu görülmüştür. Tüm hastalar ele alındığında en çok karşılaşılan anomalinin 20 hastada (%29,4) tespit edilen anokutanöz fistül olup en az karşılaşılan anomali 1 hastada (%1,5) tespit edilen rektovezikal fistül olmuştur. ARM’li hastalara uygulanan definitif operasyonlar ARM tipine göre değerlendirildiğinde, en çok yapılan ameliyat (n=20) anoplasti operasyonudur. Hastalar en çok kabızlıktan şikayet etmekteydi (n=20). Anomali tipi, uygulanan definitif ameliyat ile kabızlık ve gaita kaçırma arasında istatistiksel olarak anlamlı ilişki tespit edilmiştir (p<0,05). Sonuç: Hastalar postoperatif dönemde anal darlık ve kabızlık gibi problemler yönüyle takip edilmeli, kabızlık tespit edilen hastalarda dışkı taşlaşması oluşmadan tedavi başlanılmalıdır.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA fırıncı b, Salman A (2023). Evaluation of Long-term Results and Stool Incontinence of Patients with Operated Anorectal Malformations. , 37 - 42. 10.4274/buchd.galenos.2022.08076
Chicago fırıncı binali,Salman Ahmet Bedii Evaluation of Long-term Results and Stool Incontinence of Patients with Operated Anorectal Malformations. (2023): 37 - 42. 10.4274/buchd.galenos.2022.08076
MLA fırıncı binali,Salman Ahmet Bedii Evaluation of Long-term Results and Stool Incontinence of Patients with Operated Anorectal Malformations. , 2023, ss.37 - 42. 10.4274/buchd.galenos.2022.08076
AMA fırıncı b,Salman A Evaluation of Long-term Results and Stool Incontinence of Patients with Operated Anorectal Malformations. . 2023; 37 - 42. 10.4274/buchd.galenos.2022.08076
Vancouver fırıncı b,Salman A Evaluation of Long-term Results and Stool Incontinence of Patients with Operated Anorectal Malformations. . 2023; 37 - 42. 10.4274/buchd.galenos.2022.08076
IEEE fırıncı b,Salman A "Evaluation of Long-term Results and Stool Incontinence of Patients with Operated Anorectal Malformations." , ss.37 - 42, 2023. 10.4274/buchd.galenos.2022.08076
ISNAD fırıncı, binali - Salman, Ahmet Bedii. "Evaluation of Long-term Results and Stool Incontinence of Patients with Operated Anorectal Malformations". (2023), 37-42. https://doi.org/10.4274/buchd.galenos.2022.08076
APA fırıncı b, Salman A (2023). Evaluation of Long-term Results and Stool Incontinence of Patients with Operated Anorectal Malformations. Journal of Behçet Uz children's hospital (Online), 13(1), 37 - 42. 10.4274/buchd.galenos.2022.08076
Chicago fırıncı binali,Salman Ahmet Bedii Evaluation of Long-term Results and Stool Incontinence of Patients with Operated Anorectal Malformations. Journal of Behçet Uz children's hospital (Online) 13, no.1 (2023): 37 - 42. 10.4274/buchd.galenos.2022.08076
MLA fırıncı binali,Salman Ahmet Bedii Evaluation of Long-term Results and Stool Incontinence of Patients with Operated Anorectal Malformations. Journal of Behçet Uz children's hospital (Online), vol.13, no.1, 2023, ss.37 - 42. 10.4274/buchd.galenos.2022.08076
AMA fırıncı b,Salman A Evaluation of Long-term Results and Stool Incontinence of Patients with Operated Anorectal Malformations. Journal of Behçet Uz children's hospital (Online). 2023; 13(1): 37 - 42. 10.4274/buchd.galenos.2022.08076
Vancouver fırıncı b,Salman A Evaluation of Long-term Results and Stool Incontinence of Patients with Operated Anorectal Malformations. Journal of Behçet Uz children's hospital (Online). 2023; 13(1): 37 - 42. 10.4274/buchd.galenos.2022.08076
IEEE fırıncı b,Salman A "Evaluation of Long-term Results and Stool Incontinence of Patients with Operated Anorectal Malformations." Journal of Behçet Uz children's hospital (Online), 13, ss.37 - 42, 2023. 10.4274/buchd.galenos.2022.08076
ISNAD fırıncı, binali - Salman, Ahmet Bedii. "Evaluation of Long-term Results and Stool Incontinence of Patients with Operated Anorectal Malformations". Journal of Behçet Uz children's hospital (Online) 13/1 (2023), 37-42. https://doi.org/10.4274/buchd.galenos.2022.08076