Midterm postoperative clinicoradiologic analysis of surgery for high/intermediate-type imperforate anus: prospective comparative study between laparoscopy-assisted and posterior sagittal anorectoplasty

Journal of Pediatric Surgery
Chizue IchijoAtsuyuki Yamataka

Abstract

The objective of this study is to analyze the outcome of surgery for high/intermediate-type imperforate anus using anal endosonography (AES), magnetic resonance imaging (MRI), and a continence evaluation questionnaire (CEQ). In this study, 24 cases of high/intermediate-type imperforate anus were studied. Fifteen of 24 had Georgeson's laparoscopy-assisted anorectoplasty (GLA), and 9 of 24 had Pena's posterior sagittal anorectoplasty (PPA). All subjects had AES and MRI postoperatively. On AES, differences in thickness of the external sphincter (ES) and puborectalis (PR) at 3 and 9 o'clock were compared, and if pull-through colon was central, AES was 0. On MRI, differences in thickness were analyzed semiquantitatively and scored; if muscles were of even thickness, the score was 0; slight difference was 1, and marked difference was 2. A 5-parameter CEQ questionnaire (maximum score, 10) was administered to 16 of 24 subjects followed up for more than 3 years (9 GLA, 7 PPA). Surgical stress was assessed using mean febrile period, duration of raised white blood cell count, and peak C-reactive protein level. Mean age at surgery and mean postoperative period for both groups were not statistically different. There were no differences in m...Continue Reading

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Citations

Oct 20, 2011·Pediatric Surgery International·Takanori OchiAtsuyuki Yamataka
Sep 4, 2012·Pediatric Surgery International·Atsuyuki YamatakaTadaharu Okazaki
Aug 31, 2013·Pediatric Surgery International·Atsuyuki YamatakaHiroyuki Koga
Nov 1, 2008·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Guillaume PodevinYves Heloury
Mar 12, 2011·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Satish Kumar AggarwalGaurav Nirwal
Dec 21, 2010·Journal of Indian Association of Pediatric Surgeons·V Raveenthiran
Dec 10, 2013·Journal of Pediatric Surgery·UNKNOWN Japanese multicenter study group on male high imperforate anus
Aug 17, 2011·Journal of Pediatric Surgery·Andrea BischoffAlberto Peña
Aug 17, 2011·Journal of Pediatric Surgery·Qiang-song TongQing-lan Ruan
Dec 29, 2015·Asian Journal of Endoscopic Surgery·Tadashi IwanakaToshihiko Watanabe
Jan 23, 2009·Journal of Pediatric Surgery·Michael D RollinsEric R Scaife
Mar 13, 2016·Seminars in Pediatric Surgery·Alberto Peña
Mar 17, 2016·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Giovanni RuggeriMario Lima
Sep 16, 2008·The Surgical Clinics of North America·Emily T Durkin, Aimen F Shaaban
Mar 3, 2015·Pediatric Surgery International·Andrea BischoffAlberto Peña
Aug 3, 2016·Pediatric Surgery International·Yuta YazakiAtsuyuki Yamataka
Sep 30, 2016·Journal of Pediatric Surgery·Jessie L LeungKenneth K Y Wong
Nov 11, 2016·World Journal of Gastrointestinal Surgery·Ashwath S BandiStefano Giuliani
Sep 28, 2020·Pediatric Surgery International·Manish Pathak, Amulya K Saxena
Oct 8, 2019·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Quynh Anh TranXuyen Van Nguyen
Oct 9, 2020·Asian Journal of Endoscopic Surgery·Tetsuya IshimaruMaho Inoue

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