Experiences of Rectovaginal Fistula in Anorectal Malformation
- Authors
- Oh, Chaeyoun; Youn, Joong Kee; Han, Ji-Won; Yang, Hee-Beom; Kim, Hyun-Young; Jung, Sung-Eun; Park, Kwi-Won
- Issue Date
- Aug-2020
- Publisher
- W. B. Saunders Co., Ltd.
- Keywords
- Anorectal malformation; Bowel function; Long term; Rectovaginal fistula
- Citation
- Journal of Pediatric Surgery, v.55, no.8, pp 1495 - 1498
- Pages
- 4
- Indexed
- SCIE
SCOPUS
- Journal Title
- Journal of Pediatric Surgery
- Volume
- 55
- Number
- 8
- Start Page
- 1495
- End Page
- 1498
- URI
- https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/33664
- DOI
- 10.1016/j.jpedsurg.2019.06.021
- ISSN
- 0022-3468
1531-5037
- Abstract
- Background: Rectovaginal fistulas (RVFs) are very rare malformations in females with anorectal malformations (ARMs). Here, we share the clinical features of RVF and report the long-term outcomes. Methods: RVF patients were classified using a retrospective analysis of ARM patients who underwent operations at Seoul National University Hospital between January 1999 and May 2017. The Krickenbeck continence scoring system was used to evaluate bowel function 5 and 10 years after surgery. Results: Of the total 460 ARM patients, 203 were female, 7 of whom were diagnosed with RVF. The median age and weight at the time of anorectoplasty were 292 days (range, 140-617 ) and 8.2 kg (range, 5.5-12), respectively. Six patients had associated anomalies and three patients underwent redo-anorectoplasty. Voluntary bowel movements were observed in 6 out of 7 patients at 5 and 10 years of age. Soiling was observed in all patients at the age of five years and in 6 out of 7 patients at the age of ten years. Constipation was observed in 6 out of 7 patients at both five and ten years of age. Conclusions: An RVF is a very rare malformation, accounting for 1.5% of total ARMs and 3.4% of ARMs in females. Long-term counseling, education, and guidance are needed for effective management of patients' bowel movements. Type of study: Prognosis study (c) 2019 Published by Elsevier Inc.
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Collections - 2. Clinical Science > Department of Pediatric Surgery > 1. Journal Articles
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