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Current practice regarding the diagnosis and treatment of anorectal malformations in female patients: a multicenter questionnaire survey in Japan.
Surg Today
December 2024
Department of Pediatric Surgery, Research Field in Medicine and Health Sciences, Medical and Dental Sciences, Research and Education Assembly, Kagoshima University, Kagoshima, Japan.
Purpose: This study aimed to investigate the current practices in the diagnosis and surgical management of anorectal malformations (ARMs) in female patients in Japan, specifically focusing on anovestibular fistula (AVF), rectovaginal fistula (RVF), and persistent cloaca (PC).
Methods: An anonymous online survey was conducted with 61 institutional members of the Japanese Study Group for Anorectal Anomalies.
Results: Sixty-one institutions (100%) completed the survey.
Infracoccygeal/transperineal window: new method to prenatally diagnose and classify level of anal atresia.
Ultrasound Obstet Gynecol
October 2024
Obstetrics and Gynecology Ultrasound Unit, Maternity Hospital, Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel.
Objectives: To introduce a two-dimensional sonographic method to assess the fetal anus, and to evaluate the feasibility of this method to diagnose anal atresia prenatally and identify the presence or absence of anoperineal fistula (in males) and anovestibular fistula (in females).
Methods: This was an observational study of suspected cases of anal atresia referred to a single center in Israel between August 2018 and October 2023. In addition to conventional evaluation of the perineum in the axial plane, fetuses referred to our center for suspected malformation were scanned with a new method termed the 'infracoccygeal/transperineal window'.
Change over time in the postoperative defecation function in female patients with anovestibular fistula at a single institution: focus on the comparison of anal transposition with anterior sagittal anorectoplasty.
Pediatr Surg Int
September 2023
Department of Pediatric Surgery, Medical and Dental Sciences Area, Research and Education Assembly, Research Field in Medicine and Health Sciences, Kagoshima University, Kagoshima, Japan.
Article Synopsis
- Anovestibular fistula (AVF) is the most common type of anorectal malformation (ARM) in females, and a study analyzed the long-term defecation function in 88 female patients post-surgery.* -
- The research evaluated patient outcomes based on surgeries (anal transposition and anterior sagittal anorectoplasty) and found that overall, patients achieved “excellent” bowel function by age nine, though the type of surgery influenced results.* -
- Ultimately, while most AVF patients experienced positive bowel function outcomes, the study highlighted the importance of individualized long-term management based on surgical approach and specific complications.*
Unclassified bronchopulmonary foregut malformation in a 2-year-old girl.
Gen Thorac Cardiovasc Surg Cases
August 2023
Department of Radiology, Shizuoka Children's Hospital, Aoi-Ku, Shizuoka-Shi, Shizuoka, 860, Urushiyama, 420-8660, Japan.
Background: Bronchopulmonary foregut malformation (BPFM) is a rare congenital anomaly characterized by a fistula between an isolated portion of respiratory tissue and the esophagus or stomach. Srikanth et al. reported that BPFMs can be categorized into four groups, and that an unclassified BPFM is extremely rare.
View Article and Find Full Text PDFA Study of the Clinical Profile and Management of Children With Anorectal Malformations.
Cureus
March 2023
Paediatric Surgery, Gandhi Medical College, Bhopal, IND.
Introduction The diagnosis of anorectal malformations (ARMs) antenatally is rare, and most of these cases are diagnosed in the neonatal period. The defects range from easily treated minor anomalies with good prognosis to those that are difficult and complex. The associated anomalies in these malformations are important determinants for the prognosis and outcome of these cases.
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