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Related Experiment Videos

Do children with repaired low anorectal malformations have normal bowel function?

R J Rintala1, H G Lindahl, M Rasanen

  • 1Children's Hospital, University of Helsinki, Finland.

Journal of Pediatric Surgery
|June 1, 1997
PubMed
Summary
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Only half of children with low anorectal malformation achieve normal bowel function. Long-term management of constipation is crucial for these patients.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Urology

Background:

  • Anorectal malformations (ARMs) are congenital anomalies affecting the terminal part of the gastrointestinal tract.
  • Surgical repair is the primary treatment for ARM, but long-term functional outcomes, particularly bowel function, require thorough evaluation.

Purpose of the Study:

  • To compare bowel function in children treated for low anorectal malformations (ARMs) with that of healthy children.
  • To assess the prevalence of constipation and soiling in this patient cohort.

Main Methods:

  • A multivariate scoring system based on a questionnaire was used to evaluate bowel function in 40 toilet-trained patients (median age 7 years) with low ARMs.
  • Clinical outcomes were graded as excellent, good, fair, or poor.

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  • Fifty-four healthy children served as controls.

    • Main Results:

    • 52% of patients with low ARMs had normal bowel function comparable to controls.
    • Constipation was reported in 42% of patients versus 7% of controls.
    • Daily soiling due to fecal overflow occurred in 10% of patients, with no controls reporting this issue.

    Conclusions:

    • Approximately half of children with low ARMs achieve age-appropriate bowel function.
    • Constipation is a significant long-term issue requiring ongoing management in this population.
    • Further long-term follow-up is essential for optimizing bowel management in pediatric ARM patients.