onr:"swepub:oai:DiVA.org:uu-133075"
Search: onr:"swepub:oai:DiVA.org:uu-133075" > Long-term outcome a...
- 1 of 1
- Previous record
- Next record
- To hitlist
- Danielson, JohanUppsala universitet,Institutionen för kvinnors och barns hälsa,Barnkirurgi/Christoffersson (author)
Long-term outcome after free autogenous muscle transplantation for anal incontinence in children with anorectal malformations
- Article/chapterEnglish2010
Publisher, publication year, extent ...
- Elsevier BV,2010
- printrdacarrier
Numbers
- LIBRIS-ID:oai:DiVA.org:uu-133075
- https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-133075URI
- https://doi.org/10.1016/j.jpedsurg.2010.06.009DOI
- http://kipublications.ki.se/Default.aspx?queryparsed=id:121395728URI
Supplementary language notes
- Language:English
- Summary in:English
Part of subdatabase
- SwePubSwePub
Classification
Notes
- PURPOSE: Patients with high anorectal anomalies are often incontinent after reconstruction, particularly with the older forms of surgical treatment, that is, anorectal pull-through or Stephen's operations. In 1974, a new treatment for anal incontinence in children was introduced at the Akademiska Hospital: free autogenous muscle transplantation (FAMT) to the perirectal area. All the patients receiving FAMT were totally incontinent before the procedure and had no rectal sensitivity. The aim of this study was to evaluate the long-term functional outcome of this procedure. METHODS: Twenty-two patients (17 males) operated on with FAMT below the age of 15 years were identified through records. One of the patients had died, and 2 were not available for follow-up. The remaining 19 were sent a validated bowel function questionnaire, and 15 (78.9%) of 19 patients responded (12 males). These 15 patients were compared with 15 patients with the same sex, age, and a similar malformation from our patient database. RESULTS: At follow-up, after an average of 30 years postoperatively, 2 of 15 patients with FAMT had a stoma compared with 3 of 15 in the control group. The Miller incontinence score had a mean of 6.2 (median, 6; range, 0-15) in the FAMT group and 3.7 (median, 4; range, 0-12) in the control group. All patients in both groups could sense stool, and 11 of 13 patients in the FAMT group could distinguish between feces and flatus. CONCLUSIONS: The patients with FAMT had a slightly inferior anorectal function compared with the controls. Considering they were all totally incontinent before FAMT, we conclude that FAMT has an acceptable effect 30 years postoperatively. Therefore, we find that FAMT could be an alternative for anorectal malformation patients who are totally incontinent.
Subject headings and genre
- ARM; Anal incontinence; Long-term follow-up; Free muscle transplant
- MEDICINE
- MEDICIN
Added entries (persons, corporate bodies, meetings, titles ...)
- Karlbom, UrbanUppsala universitet,Kolorektalkirurgi(Swepub:uu)urbakarl (author)
- Graf, WilhelmUppsala universitet,Kolorektalkirurgi(Swepub:uu)wilhgraf (author)
- Wester, TomasKarolinska Institutet (author)
- Uppsala universitetInstitutionen för kvinnors och barns hälsa (creator_code:org_t)
Related titles
- In:Journal of Pediatric Surgery: Elsevier BV45:10, s. 2036-20400022-34681531-5037
Internet link
Find in a library
- Journal of Pediatric Surgery (Search for host publication in LIBRIS)
To the university's database
- 1 of 1
- Previous record
- Next record
- To hitlist
Find more in SwePub
- By the author/editor
- Danielson, Johan
- Karlbom, Urban
- Graf, Wilhelm
- Wester, Tomas
- Articles in the publication
- Journal of Pedia ...
- By the university
- Uppsala University
- Karolinska Institutet
Search outside SwePub
- Extend your search to:
- Google Book Search
- Google Scholar
Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.
- Copyright © LIBRIS - National Library Systems
- LIBRIS.kb.se
