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:
https://lup.lub.lu.se/record/4527130
- author
- Stenström, Pernilla
LU
; Clementson Kockum, Christina
LU
; Emblem, Ragnhild
; Arnbjörnsson, Einar
LU
and Bjørnland, Kristin
- organization
- publishing date
- 2014
- 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
- pmid:24952801
- 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
- 2016-04-01 10:00:39
- date last changed
- 2022-11-08 19:51:57
@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<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.<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}},
keywords = {{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 = {{https://lup.lub.lu.se/search/files/1476671/5050918}},
doi = {{10.1016/j.jpedsurg.2013.10.022}},
volume = {{49}},
year = {{2014}},
}