Patterns and treatment outcomes of anorectal malformations in Mbarara Regional Referral Hospital, Uganda

Journal of Pediatric Surgery
Peter KayimaMartin Situma

Abstract

Anorectal malformation (ARM) is a common condition. Owing to scarcity of pediatric surgery services in Uganda, however, relatively little is known about this condition. This was a retrospective review of medical records of all patients admitted to Mbarara Regional Referral Hospital (MRRH) from January 2014 to May 2016. MRRH serves 3-8 million people in southwest Uganda. We also enrolled patients prospectively from June 2016 to December 2016. 78 patients were enrolled in the study. 63.38% had delayed diagnosis (presenting >48 h after birth), and most of these were self-referrals from home. The most common malformation was a vestibular fistula. Associated congenital anomalies were seen in 20% of patients, and this was associated with increased mortality. These anomalies included limb, eye, ear and genitourinary anomalies as well as ventricular septal defects, patent ductus arteriosus, spina bifida and tracheoesophageal fistula. Posterior sagittal anorectoplasty (PSARP) was the definitive surgery used. It was performed in 58.97% of the patients. Median age of patients who underwent PSARP was 11 months. 73.91% of PSARP patients had their colostomies closed and 62.5% of these who were ≥3 years old had good continence outcomes. Overa...Continue Reading

References

Jan 4, 2001·American Journal of Surgery·A Peña, A Hong
May 18, 2001·Archives of Pediatrics & Adolescent Medicine·S ChoT Fangman
May 18, 2004·Pediatric Surgery International·G ChalapathiP Menon
Nov 27, 2004·Pediatric Surgery International·O AdejuyigbeA F Uba
Jan 3, 2006·Indian Journal of Pediatrics·A KumarD K Mitra
Jul 27, 2007·Orphanet Journal of Rare Diseases·Marc A Levitt, Alberto Peña
Dec 18, 2007·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·N Haider, R Fisher
Apr 4, 2008·Pediatric Surgery International·S W MooreK Lakhoo
Jan 29, 2010·Journal of Pediatric Surgery·Mohamed S HashishDaniel H Teitelbaum
Mar 27, 2010·Journal of Paediatrics and Child Health·Brooke E WilsonAndrew J A Holland
Dec 25, 2010·Journal of Indian Association of Pediatric Surgeons·Gavneet K Pruthi, Anup Mohta
Feb 18, 2011·World Journal of Surgery·Alessandro CalistiClaudio Olivieri
Oct 19, 2011·African Journal of Paediatric Surgery : AJPS·Bilal MirzaAfzal Sheikh
Dec 10, 2013·Journal of Pediatric Surgery·Ivo de BlaauwIris A L M van Rooij
Jan 29, 2014·African Journal of Paediatric Surgery : AJPS·Nikki BeudekerHugo A Heij
Jan 2, 2015·Journal of Indian Association of Pediatric Surgeons·Ajay Narayan Gangopadhyay, Vaibhav Pandey
Feb 2, 2015·Journal of Pediatric Surgery·John Sekabira
Feb 29, 2016·Journal of Pediatric Surgery·H J J van der SteegI de Blaauw
Oct 25, 2016·The Journal of Urology·Kristiina KyrklundMikko P Pakarinen
Sep 12, 2016·Pediatric Surgery International·Elissa K ButlerEmily R Smith
Jan 13, 2017·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·Andre Theron, Alp Numanoglu
Jun 15, 2017·Pediatric Surgery International·Elmarie Vd MerweA Numanoglu

❮ Previous
Next ❯

Citations

Mar 21, 2019·Frontiers in Surgery·Taiwo A Lawal
Feb 27, 2021·Journal of Medical Case Reports·Felix OyaniaMartin Situma

❮ Previous
Next ❯

Related Concepts

Related Feeds

Anorexia Nervosa

Anorexia nervosa (AN) is a psychiatric condition characterized by severe weight loss and secondary problems associated with malnutrition. Here is the latest research on AN.

Related Papers

Journal of Indian Association of Pediatric Surgeons
Sudhakar JadhavDinesh Kittur
Pediatric Surgery International
Victoria JuliàJosep Maria Ribó
Pediatric Surgery International
Shilpa Sharma, Devendra K Gupta
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
Saqib Hamid QaziUmama Saleem
Kyobu geka. The Japanese journal of thoracic surgery
I FujikuraA Takao
© 2022 Meta ULC. All rights reserved