Anorectal malformations treatment results: Multicentric research on 32 cases in Abidjan
Abstract
Objective: Evaluate results of treatment of anorectal malformations (ARM).
Methods: Mmulti-centric research on results of treatment of ARM in two university teaching hospital centres of Abidjan, from the period of January 2000 to December 2010. Sixty-three children operated for an anorectal malformation have been recorded. Thirty two of these children have been re-examined at an average age of 4 years old. The clinical evaluation was on anorectal function, physical condition of anorectal complex, urinary continence and quality of life according to the Ditehseim’s score.
Results: Sixteen patients (50%) out of the 32, had normal faecal continence; 4 had severe constipation; 10 cases (31.25%) were of complete soiling and 8 cases (25%) were of faecal incontinence. The clinical examination of anorectal complex was normal for 22 patients (68.75%). For the other 10 we could notice 5 cases of anal stricture and 2 cases of mucous ectropium. The urinary incontinence was associated with 2 cases. The low form has been observed as a factor of good prognosis for those operated of ARM (p = .04). During the evaluation of quality of life, 4 out of 12 patients aged of more than 5 years old, had a bad score in it.
Conclusions: The improvement of the medium and long term results of treatment of ARM in our context requires the setting up of a multidisciplinary follow-up (paediatric surgeons, gastro-enterology paediatrics and paediatric psychologists) and raising the consciousness of parents to ensure an adapted nursing.
Methods: Mmulti-centric research on results of treatment of ARM in two university teaching hospital centres of Abidjan, from the period of January 2000 to December 2010. Sixty-three children operated for an anorectal malformation have been recorded. Thirty two of these children have been re-examined at an average age of 4 years old. The clinical evaluation was on anorectal function, physical condition of anorectal complex, urinary continence and quality of life according to the Ditehseim’s score.
Results: Sixteen patients (50%) out of the 32, had normal faecal continence; 4 had severe constipation; 10 cases (31.25%) were of complete soiling and 8 cases (25%) were of faecal incontinence. The clinical examination of anorectal complex was normal for 22 patients (68.75%). For the other 10 we could notice 5 cases of anal stricture and 2 cases of mucous ectropium. The urinary incontinence was associated with 2 cases. The low form has been observed as a factor of good prognosis for those operated of ARM (p = .04). During the evaluation of quality of life, 4 out of 12 patients aged of more than 5 years old, had a bad score in it.
Conclusions: The improvement of the medium and long term results of treatment of ARM in our context requires the setting up of a multidisciplinary follow-up (paediatric surgeons, gastro-enterology paediatrics and paediatric psychologists) and raising the consciousness of parents to ensure an adapted nursing.
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PDFDOI: https://doi.org/10.5430/css.v3n2p1
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Case Studies in Surgery ISSN 2377-7311(Print) ISSN 2377-732X(Online)
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