VACTERL association in anorectal malformation: effect on the outcome

Giorgia Totonelli; Vincenzo Davide Catania; Francesco Morini; Fabio Fusaro; Giovanni Mosiello; Barbara Daniela Iacobelli; Pietro Bagolan

doi:10.1007/s00383-015-3745-5

VACTERL association in anorectal malformation: effect on the outcome

Giorgia Totonelli, Vincenzo Davide Catania, Francesco Morini, Fabio Fusaro, Giovanni Mosiello, Barbara Daniela Iacobelli, Pietro Bagolan

Ospedale Pediatrico Bambino Gesu

Research output: Contribution to journal › Article › peer-review

Abstract

Purpose: Anorectal malformations (ARM) can commonly occur in association with other congenital anomalies or as part of the combined anomaly. The present study aims to assess the outcome of patients with ARM and patients with ARM in VACTERL association. Methods: A 12-year retrospective analysis of all patients treated at a single tertiary children’s institution with a diagnosis of ARM. We identified and compared patients with ARM to those with ARM in VACTERL association (3 or more anomalies). Data were collected for both groups to assess type of ARM, urinary incontinence (UI), constipation, soiling, dietary/laxative treatment, bowel management (BM) and surgical complications. Type of lesion and clinical outcomes were classified according to Krickenbeck International classification. Patients lost to follow-up, dead or not yet toilet-trained (or

Original language	English
Pages (from-to)	805-808
Number of pages	4
Journal	Pediatric Surgery International
Volume	31
Issue number	9
DOIs	https://doi.org/10.1007/s00383-015-3745-5
Publication status	Published - Jul 5 2015

Keywords

Anorectal malformations
Bowel management
Spinal dysraphism
Surgical complications
VACTERL

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Surgery

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title = "VACTERL association in anorectal malformation: effect on the outcome",

abstract = "Purpose: Anorectal malformations (ARM) can commonly occur in association with other congenital anomalies or as part of the combined anomaly. The present study aims to assess the outcome of patients with ARM and patients with ARM in VACTERL association. Methods: A 12-year retrospective analysis of all patients treated at a single tertiary children{\textquoteright}s institution with a diagnosis of ARM. We identified and compared patients with ARM to those with ARM in VACTERL association (3 or more anomalies). Data were collected for both groups to assess type of ARM, urinary incontinence (UI), constipation, soiling, dietary/laxative treatment, bowel management (BM) and surgical complications. Type of lesion and clinical outcomes were classified according to Krickenbeck International classification. Patients lost to follow-up, dead or not yet toilet-trained (or ",

keywords = "Anorectal malformations, Bowel management, Spinal dysraphism, Surgical complications, VACTERL",

author = "Giorgia Totonelli and Catania, {Vincenzo Davide} and Francesco Morini and Fabio Fusaro and Giovanni Mosiello and Iacobelli, {Barbara Daniela} and Pietro Bagolan",

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AU - Totonelli, Giorgia

AU - Catania, Vincenzo Davide

AU - Morini, Francesco

AU - Fusaro, Fabio

AU - Mosiello, Giovanni

AU - Iacobelli, Barbara Daniela

AU - Bagolan, Pietro

PY - 2015/7/5

Y1 - 2015/7/5

N2 - Purpose: Anorectal malformations (ARM) can commonly occur in association with other congenital anomalies or as part of the combined anomaly. The present study aims to assess the outcome of patients with ARM and patients with ARM in VACTERL association. Methods: A 12-year retrospective analysis of all patients treated at a single tertiary children’s institution with a diagnosis of ARM. We identified and compared patients with ARM to those with ARM in VACTERL association (3 or more anomalies). Data were collected for both groups to assess type of ARM, urinary incontinence (UI), constipation, soiling, dietary/laxative treatment, bowel management (BM) and surgical complications. Type of lesion and clinical outcomes were classified according to Krickenbeck International classification. Patients lost to follow-up, dead or not yet toilet-trained (or

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