Bowel management outcomes in anorectal malformations: a comparative study between two referral centers in a high- and a low/middle-income country.

IF 1.5 3区医学 Q2 PEDIATRICS

Pediatric Surgery International Pub Date : 2025-06-19 DOI:10.1007/s00383-025-06078-8

Giulia Del Re, Anna Morandi, Catterina Bebington, Chris Westgarth-Taylor, Ernesto Leva, Giulia Brisighelli

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引用次数: 0

Abstract

Purpose: To compare functional bowel outcomes between patients followed-up at two referral centers in a high-income country and a low/middle-income country after anorectal malformation repair (ARM).

Methods: Cross-sectional study using Krickenbeck, Rintala and Baylor Continence Scale questionnaires. Patients below three years of age, with developmental delay, or incomplete questionnaires were excluded. Associated malformations, surgical notes, toilet training, treatment and toilet setting were considered. Results were analyzed according to age and type of ARM.

Results: 68 patients from Milan and 65 from Johannesburg were included. Johannesburg population was younger (mean age 10.7 ± 6.1 years old vs 7.1 ± 4.7, p < 0.001). Perineal fistula was the most common ARM type in Milan (32/68, 47%), whereas vestibular in Johannesburg (17/65, 26%). Age at toilet training was younger in Milan (33.4 ± 13.6 months vs 43.9 ± 36.0, p = 0.02). Laxatives were more used in Milan (27/68, 40%), while enemas in Johannesburg (24/65, 37%). Mean total scores were, respectively, 4.9 ± 1.5 and 5.2 ± 1.6 with Krickenbeck (p = 0,16), 14.8 ± 4.2 and 15.5 ± 3.8 with Rintala (p = 0.28), 15.4 ± 9.3 and 12.6 ± 7.6 with BCS (p = 0.06).

Conclusion: Despite different bowel management programs, outcomes appear similar. We recommend the active participation of health workers in questionnaire's compilation.

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肛肠畸形的肠管理结果：高收入国家和低收入/中等收入国家两个转诊中心的比较研究。

目的：比较高收入国家和低收入/中等收入国家两个转诊中心随访的肛肠畸形修复（ARM）患者的功能肠结局。方法：采用Krickenbeck、Rintala和Baylor自制量表问卷进行横断面研究。3岁以下、发育迟缓或问卷不完整的患者被排除在外。相关的畸形，手术记录，如厕训练，治疗和厕所设置被考虑。结果根据年龄和类型进行分析。结果：米兰68例，约翰内斯堡65例。约翰内斯堡人群更年轻(平均年龄为10.7±6.1岁vs 7.1±4.7岁，p结论：尽管肠道管理方案不同，但结果相似。我们建议卫生工作者积极参与问卷的编制。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Surgery International 医学-外科

CiteScore

3.00

自引率

5.60%

发文量

215

审稿时长

3-6 weeks

期刊介绍： Pediatric Surgery International is a journal devoted to the publication of new and important information from the entire spectrum of pediatric surgery. The major purpose of the journal is to promote postgraduate training and further education in the surgery of infants and children. The contents will include articles in clinical and experimental surgery, as well as related fields. One section of each issue is devoted to a special topic, with invited contributions from recognized authorities. Other sections will include: -Review articles- Original articles- Technical innovations- Letters to the editor