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ERN eUROGEN Guidelines on the Management of Anorectal Malformations Part I: Diagnostics.
Eur J Pediatr Surg
October 2024
Department of Pediatric Surgery, University Hospital Leipzig, Leipzig, Germany.
Article Synopsis
- - Anorectal malformations (ARMs) are uncommon congenital issues affecting the anus and rectum, which require complicated management; European experts are working on unified guidelines for better care.
- - The guidelines were created based on the Dutch Quality Standard for ARMs and involved a literature review and evaluation by a panel of experts from several European countries, leading to adaptations and new recommendations.
- - Emphasizing the need for specialized care throughout a patient's life, the guidelines outline essential diagnostic and follow-up processes for children with ARMs to ensure comprehensive management.
ERN eUROGEN Guidelines on the Management of Anorectal Malformations, Part IV: Organization of Care and Communication between Providers.
Eur J Pediatr Surg
October 2024
Department of Pediatric Surgery, University Hospital Leipzig, Leipzig, Germany.
Introduction: Being born with an anorectal malformation (ARM) can have profound and lifelong implications for patients and parents. Organization of care and communication between health care providers is an overlooked area of patient care. The European Reference Network eUROGEN for rare and complex urogenital conditions assembled a panel of experts to address these challenges and develop comprehensive guidelines for the management of ARM.
View Article and Find Full Text PDFEuropean Reference Network eUROGEN Guidelines on the Management of Anorectal Malformations, Part II: Treatment.
Eur J Pediatr Surg
September 2024
Department of Pediatric Surgery, University Hospital Leipzig, Leipzig, Germany.
Article Synopsis
- * A group of 15 experts from Europe created guidelines to help doctors and hospitals properly treat patients with ARMs based on new research and existing standards.
- * The guidelines cover treatments, after-surgery care, toilet training, and managing issues like incontinence, emphasizing the need for a well-coordinated healthcare team.
ERN eUROGEN Guidelines on the Management of Anorectal Malformations Part III: Lifelong Follow-up and Transition of Care.
Eur J Pediatr Surg
September 2024
Department of Pediatric Surgery, University Hospital Leipzig, Leipzig, Germany.
Introduction: Anorectal malformations (ARMs) are complex congenital anomalies of the anorectal region, oftentimes also affecting the genitourinary system. Although successful surgical correction can often be achieved in the neonatal period, many children will experience functional problems in the long term. The European Reference Network for rare and complex urogenital conditions (eUROGEN) assembled a panel of experts to address these challenges and develop comprehensive guidelines for the management of ARM.
View Article and Find Full Text PDFFetal bradycardia and acidosis during maternal parenteral iron: Case reports and literature review.
Int J Gynaecol Obstet
January 2025
Department of Obstetrics and Gynaecology, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong.
Article Synopsis
- Iron deficiency anemia is a significant concern for pregnant women, leading to the increased use of intravenous (IV) iron infusions, despite debate over the need for fetal monitoring during treatment.
- Two cases were reported where pregnant women experienced fetal bradycardia shortly after receiving iron isomaltoside infusions, along with respiratory issues, which necessitated emergency cesarean sections.
- The research indicates that while fetal bradycardia related to IV iron is rare, it is a potential risk even in healthy pregnancies, suggesting that fetal monitoring during infusions should be reconsidered.
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