Anorectal Malformations: Diagnosis and Management in Neonatal Period
Journal of the Korean Association of Pediatric Surgeons
;
: 99-106, 2006.
Article
in Korean
| WPRIM
| ID: wpr-46446
ABSTRACT
Anorectal malformations comprise a spectrum of disease and the majority of patients have one or more abnormalities that affect other systems. In evaluating a newborn with anorectal malformation, the decision regarding the need for a colostomy and detection and management of any life threatening associated anomalies are thetwo most important considerations. Perineal inspection provides the clue to the surgical approach in about 80-90% of male and 90% of female newborn baby. The remaining patients who do not show any clinical evidence need radiologic evaluation to decide whether a colostomy should be performed. In most cases the decision to make a colostomy should not be made until the baby is 20 to 24 hours old and evaluation to rule out the presence of associated anomalies completed. A divided colostomy at the junction of the descending and sigmoid colon is recommended for anorectal malformations.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Colon, Sigmoid
/
Colostomy
/
Diagnosis
Type of study:
Diagnostic study
/
Prognostic study
Limits:
Female
/
Humans
/
Male
/
Infant, Newborn
Language:
Korean
Journal:
Journal of the Korean Association of Pediatric Surgeons
Year:
2006
Type:
Article
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