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

Research output: Contribution to journalArticlepeer-review


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 languageEnglish
Pages (from-to)805-808
Number of pages4
JournalPediatric Surgery International
Issue number9
Publication statusPublished - Jul 5 2015


  • Anorectal malformations
  • Bowel management
  • Spinal dysraphism
  • Surgical complications

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery


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