TY  - JOUR
TI  - Evaluation of Long-term Results and Stool Incontinence of Patients with Operated Anorectal Malformations
AB  - 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.
AU  - fırıncı, binali
AU  - Salman, Ahmet Bedii
DO  - 10.4274/buchd.galenos.2022.08076
PY  - 2023
JO  - Journal of Behçet Uz children's hospital (Online)
VL  - 13
IS  - 1
SN  - 2822-4469
SP  - 37
EP  - 42
DB  - TRDizin
UR  - http://search/yayin/detay/1174768
ER  -