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Posterior sagittal anorectoplasty results in better bowel function and quality of life in adulthood than pull-through procedures

Danielson, Johan (författare)
Uppsala universitet,Kolorektalkirurgi,Barnkirurgi
Karlbom, Urban (författare)
Uppsala universitet,Kolorektalkirurgi
Graf, Wilhelm (författare)
Uppsala universitet,Kolorektalkirurgi
visa fler...
Olsen, Leif (författare)
Akad Sjukhuset, Dept Pediat Surg, S-75185 Uppsala, Sweden.
Wester, Tomas (författare)
Karolinska Univ Hosp, Dept Pediat Surg, Stockholm, Sweden.;Karolinska Inst, Stockholm, Sweden.
Danielson, J (författare)
Wester, T (författare)
Karolinska Institutet
Olsen, L (författare)
Karlbom, U (författare)
Graf, W (författare)
visa färre...
 (creator_code:org_t)
2015
2015
Engelska.
Ingår i: Journal of Pediatric Surgery. - 0022-3468 .- 1531-5037. ; 50:9, s. 1556-1559
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • Background/purpose: The short-term outcome of posterior sagittal anorectoplasty (PSARP) procedure has been reported to be better than after abdominoperineal or abdominosacroperineal (AP) procedures. This study aimed to investigate the long-term functional outcome and quality of life after PSARP in adulthood and compare with the outcome after AP procedures. Methods: Twenty-four patients operated with PSARP at the Department of Pediatric Surgery, Uppsala, Sweden, from 1984 to 1993 were identified. They were compared with 20 patients that underwent AP pull-through procedures from 1974 to 1983. The patients were sent validated bowel function and quality of life (SF-36) questionnaires. Sixteen PSARP (median age 21, five females) patients and fourteen AP patients (seven abdominosacroperineal and seven abdominoperineal pull-throughs, median age 32, seven females) responded and were included in the study. Results: The median Miller incontinence score was 1 (range 0-13) in the PSARP group and 10 (range 3-16) in the pull-through group (P = 0.0042). The use of underwear protection and oral loperamide was significantly less frequent in the PSARP group (P = 0.0096 and 0.0021 respectively). The SF-36 scores of Vitality, Mental health and Mental Cluster Scale were higher in the PSARP group (P = 0.0291, 0.0500, 0.0421 respectively). Conclusions: PSARP results in superior bowel function and better quality of life in adulthood compared with AP procedures for the repair of anorectal malformations.

Ämnesord

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Surgery (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kirurgi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Pediatrics (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Pediatrik (hsv//swe)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine (hsv//eng)

Nyckelord

Anorectal malformation
Posterior sagittal anorectoplasty
Functional outcome
Quality of life

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