Anorectal Malformations: Diagnosis and Management in Neonatal Period.
- Author:
Nam Hyuk LEE
1
Author Information
1. Department of Surgery, College of Medicine, Yeungnam University Daegu, Korea. nhlee@med.yu.ac.kr
- Publication Type:Original Article
- Keywords:
Anorectal malformation;
Diagnosis;
Management;
Newborn
- MeSH:
Colon, Sigmoid;
Colostomy;
Diagnosis*;
Female;
Humans;
Infant, Newborn;
Male
- From:Journal of the Korean Association of Pediatric Surgeons
2006;12(1):99-106
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Anorectal malformations comprise a spectrum of disease and the majority of patients have one or more abnormalities that affect other systems. In evaluating a newborn with anorectal malformation, the decision regarding the need for a colostomy and detection and management of any life threatening associated anomalies are thetwo most important considerations. Perineal inspection provides the clue to the surgical approach in about 80-90% of male and 90% of female newborn baby. The remaining patients who do not show any clinical evidence need radiologic evaluation to decide whether a colostomy should be performed. In most cases the decision to make a colostomy should not be made until the baby is 20 to 24 hours old and evaluation to rule out the presence of associated anomalies completed. A divided colostomy at the junction of the descending and sigmoid colon is recommended for anorectal malformations.
