Clinical Evaluations of Bowel Continence in Post Operative Patients of Distal Large Gut Anomalies and it’s Correlation with Anorectal Manometry
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 1
Abstract
Introduction: Anorectal malformation is a common congenital anomaly. Posterior sagittal ano-recto-plasty (PSARP) is an established technique for repair of these anomalies. Many post operative children have defecation disorders in post operative period. Study aimed to evaluate postoperative patients of anorectal malformations clinically and functionally by using scoring system and manometry. Material and Methods: 33 patients of anorectal malformations underwent PSARP between September 2007 and August 2009. All patients were clinically evaluated for bowel incontinence and underwent anorectal manometry periodically. Results were assessed using Kelly’s scoring system. Results: Out of 33 patients, 16 were male and 17 female. 18 patients were less than 5 years. 15 patients underwent clinical evaluation in less than one and a half years of completion of all stages of surgery. 4 of these patients had Kelly’s score less than 3 and other 11, more than 4. Of the remaining 18 who had evaluation after one and a half years of surgery, 5 had score less than 3 and remaining more than 4. Children with high anomalies had higher Kelly’s scores. As the age increased there was significant change of basal and max squeeze pressures. Conclusions: Patients with ARM, who were operated and assessed post operatively with Kelly’s score and anal canal basal pressures and max squeeze pressure, had direct correlation.
Authors and Affiliations
Manu Arora, AK Gupta, Viking Bhanoo
Keywords
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