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Experience with the management of anorectal malformations in Ibadan, Nigeria

Olakayode Olaolu Ogundoyin1, Dare Isaac Olulana1, Taiwo Akeem Lawal1

  • 1Department of Surgery, College of Medicine, University of Ibadan, Ibadan, Nigeria.

The Pan African Medical Journal
|May 28, 2021
PubMed

Insights

Anorectal malformations are complex birth defects requiring surgical management. While immediate outcomes are good, long-term functional success for anorectal malformations depends on consistent follow-up care.

Area of Science:

  • Pediatric Surgery
  • Congenital Malformations
  • Gastrointestinal Development

Background:

  • Anorectal malformation (ARM) is a complex, multi-systemic birth defect affecting the distal gastrointestinal tract.
  • Associated congenital anomalies can complicate ARM management and impact patient and parental psychosocial well-being.
  • This study presents characteristics, management challenges, and outcomes of ARM.

Purpose of the Study:

  • To analyze the characteristics of anorectal malformations.
  • To evaluate the management strategies and outcomes for patients with ARM.
  • To identify challenges in the treatment of anorectal malformations.

Main Methods:

  • A retrospective study of patients managed for anorectal malformations between January 2003 and December 2017.
  • Data collected included demography, clinical presentation, malformation type, associated anomalies, surgical procedures, complications, and outcomes.
  • Analysis of patient data to understand management effectiveness.

Main Results:

  • Eighty-eight children with ARM were studied; 86.3% presented within the first year of life.
  • Intermediate/high ARM (80.7%) and associated urogenital anomalies (13.6%) were common.
  • Posterior sagittal anorectoplasty was the most frequent procedure (76.1%); 6.8% of neonates died.

Conclusions:

  • Immediate post-operative outcomes for anorectal malformations were favorable.
  • Achieving good long-term functional outcomes necessitates robust follow-up, which remains a challenge in the study environment.
Abstract

Keywords:
Associated anomalieschallengesfollow-upmanagement outcome

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