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Bowel symptoms in children with anorectal malformation : A follow-up with a gender and age perspective.

Stenström, Pernilla LU ; Clementson Kockum, Christina LU ; Emblem, Ragnhild; Arnbjörnsson, Einar LU and Bjørnland, Kristin (2014) In Journal of Pediatric Surgery 49(7). p.1122-1130
Abstract
Abstract

Background

Gender specific outcome for children with anorectal malformations (ARM) is rarely reported although it is important for medical care and in parent counseling.



Purpose

To assess bowel function according to the Krickenbeck system in relation to ARM-subtype, gender and age.



Method

All children born with ARM in 1998–2008 and referred to two centers in two different countries were followed up. The bowel function in 50 girls and 71 boys, median age 8years, was analyzed.



Results

Among those with a perineal fistula, incontinence occurred in 42% of the females and in 10% of the males (p=0.005) whereas constipation occurred in... (More)
Abstract

Background

Gender specific outcome for children with anorectal malformations (ARM) is rarely reported although it is important for medical care and in parent counseling.



Purpose

To assess bowel function according to the Krickenbeck system in relation to ARM-subtype, gender and age.



Method

All children born with ARM in 1998–2008 and referred to two centers in two different countries were followed up. The bowel function in 50 girls and 71 boys, median age 8years, was analyzed.



Results

Among those with a perineal fistula, incontinence occurred in 42% of the females and in 10% of the males (p=0.005) whereas constipation occurred in 62% of the females and 35% of the males (p<0.001). No bowel symptoms differed between the females with perineal and vestibular fistulas (p>0.3 for every symptom). Sacral malformations were associated with incontinence only in males with rectourethral fistulas. Constipation among the males differed between the age groups: 58% versus 26% (p=0.013). Bowel symptoms did not change with age among the females.



Conclusion

Gender differences in outcome for children with ARM must be considered. Males with perineal fistulas had less incontinence and constipation than the females with perineal fistulas. The females with perineal and vestibular fistulas had similar outcomes. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
anorectal malformations, fecal incontinence, Krickenbeck, sacral malformation, gender, age
in
Journal of Pediatric Surgery
volume
49
issue
7
pages
1122 - 1130
publisher
Elsevier
external identifiers
  • pmid:24952801
  • wos:000337368900015
  • scopus:84902970324
ISSN
1531-5037
DOI
10.1016/j.jpedsurg.2013.10.022
language
English
LU publication?
yes
id
01439647-fbd3-4051-9a00-b47453023d6a (old id 4527130)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/24952801?dopt=Abstract
date added to LUP
2016-02-02 11:42:39
date last changed
2017-01-24 09:19:44
@article{01439647-fbd3-4051-9a00-b47453023d6a,
  abstract     = {Abstract <br/><br>
Background<br/><br>
Gender specific outcome for children with anorectal malformations (ARM) is rarely reported although it is important for medical care and in parent counseling.<br/><br>
<br/><br>
Purpose<br/><br>
To assess bowel function according to the Krickenbeck system in relation to ARM-subtype, gender and age.<br/><br>
<br/><br>
Method<br/><br>
All children born with ARM in 1998–2008 and referred to two centers in two different countries were followed up. The bowel function in 50 girls and 71 boys, median age 8years, was analyzed.<br/><br>
<br/><br>
Results<br/><br>
Among those with a perineal fistula, incontinence occurred in 42% of the females and in 10% of the males (p=0.005) whereas constipation occurred in 62% of the females and 35% of the males (p&lt;0.001). No bowel symptoms differed between the females with perineal and vestibular fistulas (p&gt;0.3 for every symptom). Sacral malformations were associated with incontinence only in males with rectourethral fistulas. Constipation among the males differed between the age groups: 58% versus 26% (p=0.013). Bowel symptoms did not change with age among the females.<br/><br>
<br/><br>
Conclusion<br/><br>
Gender differences in outcome for children with ARM must be considered. Males with perineal fistulas had less incontinence and constipation than the females with perineal fistulas. The females with perineal and vestibular fistulas had similar outcomes.},
  author       = {Stenström, Pernilla and Clementson Kockum, Christina and Emblem, Ragnhild and Arnbjörnsson, Einar and Bjørnland, Kristin},
  issn         = {1531-5037},
  keyword      = {anorectal malformations,fecal incontinence,Krickenbeck,sacral malformation,gender,age},
  language     = {eng},
  number       = {7},
  pages        = {1122--1130},
  publisher    = {Elsevier},
  series       = {Journal of Pediatric Surgery},
  title        = {Bowel symptoms in children with anorectal malformation : A follow-up with a gender and age perspective.},
  url          = {http://dx.doi.org/10.1016/j.jpedsurg.2013.10.022},
  volume       = {49},
  year         = {2014},
}