Optimal management of the newborn with an anorectal malformation and evaluation of their continence potential

Sebastian K King; Wilfried Krois; Martin Lacher; Payam Saadai; Yaron Armon; Paola Midrio

doi:10.1016/j.sempedsurg.2020.150996

Optimal management of the newborn with an anorectal malformation and evaluation of their continence potential

Semin Pediatr Surg. 2020 Dec;29(6):150996. doi: 10.1016/j.sempedsurg.2020.150996. Epub 2020 Nov 10.

Authors

Sebastian K King¹, Wilfried Krois², Martin Lacher³, Payam Saadai⁴, Yaron Armon⁵, Paola Midrio⁶

Affiliations

¹ 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 Department of Pediatric Surgery, Medical University of Vienna, Vienna, Austria.
³ Department of Pediatric Surgery, University of Leipzig, Germany.
⁴ Division of Pediatric Surgery, Department of Surgery, University of California, Davis, USA; Pediatric Colorectal Center, Shriners Hospital for Children, Northern California, Sacramento, USA.
⁵ Department of Pediatric Surgery, Shaare Zedek Medical Center, Jerusalem, Israel.
⁶ Pediatric Surgery Unit, Cà Foncello Hospital, Treviso, Italy.

PMID: 33288137
DOI: 10.1016/j.sempedsurg.2020.150996

Abstract

Anorectal malformations affect 1 in 3000-5000 children, with varied incidences dependent upon geographical location. Accurate assessment, and subsequent targeted management in the newborn is critical to reducing potential morbidity and mortality. We have focused in this review upon the management of newborns with anorectal malformations, and the evaluation of the potential for long-term fecal continence.

Keywords: Anorectal malformations; Fecal continence; Imperforate anus; Newborn; Pediatric.

Publication types

Review

MeSH terms

Abnormalities, Multiple / diagnosis
Abnormalities, Multiple / surgery
Anorectal Malformations / diagnosis*
Anorectal Malformations / surgery*
Digestive System Surgical Procedures / methods*
Fecal Incontinence / diagnosis
Fecal Incontinence / etiology
Fecal Incontinence / prevention & control*
Humans
Infant, Newborn
Plastic Surgery Procedures / methods*
Postoperative Complications / diagnosis
Postoperative Complications / prevention & control*
Reoperation / methods
Treatment Outcome