Long-term (> 10 years) bowel function of anorectal malformations: a retrospective single-center study
Topic overview
This retrospective study of 81 ARM patients with >10-year follow-up demonstrates generally favorable long-term bowel function (85% satisfactory outcomes) and quality of life. Reoperations, particularly for fistula recurrence, were the primary factor associated with poor outcomes, emphasizing the critical importance of successful primary anorectoplasty.
Key takeaways
- 85% of ARM patients achieved satisfactory bowel function (Rintala score ≥17) at >10 years post-repair, indicating favorable long-term outcomes.
- Reoperations, most commonly for recto-urethral fistula recurrence, significantly correlate with poor bowel function scores.
- Defecation problems primarily impact psycho-social health rather than physical health in ARM patients with long-term follow-up.
- Quality of life correlates positively with bowel function scores (r=0.648), emphasizing the importance of achieving continence.
- Primary anorectoplasty quality is critical—avoiding reoperations is key to optimizing long-term functional outcomes in ARM.
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How to cite: GlobalCastMD. Long-term (> 10 years) bowel function of anorectal malformations: a retrospective single-center study. GlobalCastMD Medical Library. 2024-05-25. https://dev.library.globalcastmd.com/article/8655?via_space=staycurrentmd
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