Incontinence results of patients with anorectal malformation and their response to treatment Anorektal malformasyonlu hastalari{dotless}n İnkontinans sonuçlari{dotless} ve tedaviye cevaplari{dotless}
Turkiye Klinikleri Journal of Medical Sciences, cilt.33, sa.6, ss.1366-1370, 2013 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 33 Sayı: 6
- Basım Tarihi: 2013
- Doi Numarası: 10.5336/medsci.2012-32789
- Dergi Adı: Turkiye Klinikleri Journal of Medical Sciences
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.1366-1370
- Anahtar Kelimeler: Anorectal atresia, Child, Congenital abnormalities, Fecal incontinence, Treatment outcome, Turkey
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: Our aim was to evaluate the incontinence results of anorectal malformation (ARM) patients according to Krickenbeck criteria and their response to treatment. Material and Methods: We evaluated the postoperative results of ARM patients who were followed up between April 2009 and 2012. The investigations of patients who were not fully continent were performed. They were evaluated again after treatment. The expected age for potty training and stopping diaper use was three years. Results: A total of 37 ARM patients were actively followed up. Nineteen patients over 3 years of age were included in the evaluation. The mean age was 86 (37-146) months. Voluntary intestinal movements were present in 89.5% patients. Soiling was absent in 26.3%, grade 1 in 10.5%, grade 2 in 10.2% and grade 3 in 52.6% of the patients. Constipation was not present in 21.1% of patients while 68.4% had grade 2 and 10.5% had grade 3 constipation. Of patients, 57.9% were wearing underwears and 42.1% were using diapers. The median duration between evaluations was 7 (1-25) weeks. For the 10 patients with grade 3 soiling at the beginning, there was no soiling in three, and grade 1 in four patients while two were fully clean with a bowel management program. Only one patient had continued soiling in the same way on the second evaluation. Seven of the 8 patients who were wearing diapers in the first evaluation started wearing underwears. Conclusion: After initiation of laxative treatment in patients with pseudoincontinence, their soiling was improved. Although the number of patients in our study group was small for evaluation, we saw that constipation was an important problem in ARM patients, and it was possible to create a marked difference in these patients' lives with the proper approach. © 2013 by Türkiye Klinikleri.