Advances in the Management of the Neonate Born with an Anorectal Malformation

Sebastian K King; Marc A Levitt

doi:10.1016/j.clp.2022.08.002

Advances in the Management of the Neonate Born with an Anorectal Malformation

Clin Perinatol. 2022 Dec;49(4):965-979. doi: 10.1016/j.clp.2022.08.002. Epub 2022 Oct 9.

Authors

Sebastian K King¹, Marc A Levitt²

Affiliations

¹ Colorectal and Pelvic Reconstruction Service, Department of Paediatric Surgery, The Royal Children's Hospital, Melbourne 3052, Australia; Department of Paediatrics, University of Melbourne, Australia; F. Douglas Stephens Surgical Research Group, Murdoch Children's Research Institute, Melbourne, Australia. Electronic address: sebastian.king@rch.org.au.
² Division of Colorectal and Pelvic Reconstruction, Children's National Hospital, Washington, DC, USA; The George Washington School of Medicine, Washington, DC, USA.

PMID: 36328611
DOI: 10.1016/j.clp.2022.08.002

Abstract

Anorectal malformations occur in 1 in 3000 to 5000 children, and present with a marked variety in type and severity. Most of the malformations are diagnosed in the early neonatal period, as an antenatal diagnosis remains relatively elusive. Following diagnosis, an accurate assessment and focused management is crucial to reduce the potential for morbidity and mortality. This review focuses on the investigation and management of newborns with anorectal malformations, and the introduction of novel assessment tools for the more complex malformation types.

Keywords: Anorectal malformations; Anorectoplasty; Newborn; Pediatric.

Publication types

Review
Research Support, Non-U.S. Gov't

MeSH terms

Anal Canal / abnormalities
Anorectal Malformations* / diagnosis
Anorectal Malformations* / therapy
Child
Female
Humans
Infant, Newborn
Morbidity
Parturition
Pregnancy
Prenatal Diagnosis
Rectum / diagnostic imaging