Clinical and radiological postoperative evaluation of posterior sagittal anorectoplasty in patients with upper and intermediate anorectal malformations

Detalhes bibliográficos
Autor(a) principal: Martins, Jose Luiz [UNIFESP]
Data de Publicação: 1997
Outros Autores: Lederman, Henrique Manoel [UNIFESP], Pinus, José [UNIFESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNIFESP
Texto Completo: http://dx.doi.org/10.1590/S1516-31801997000600002
http://repositorio.unifesp.br/handle/11600/553
Resumo: The PSARP is today the most-used surgical technique for correction of high and intermediary anorectal malformations.There is much controversy in the literature about the post-operative evaluation of these cases. We studied 27 cases of anorectal malformations from clinical and radiological aspects, in order to analyse: 1. Fecal continence 2.Relationship between post-operative fecal continence and the associated sacral anomalies 3.Relationship between the radiological evaluation by defecogram and fecal continence From the analysis of the cases, we concluded: 1. Fecal continence was achieved in 48.14% of the cases; partial continence in 25.92%; and fecal incontinence in 25.92% of the cases. 2.The presence of fecal incontinence was directly related to the associated sacral anomalies.
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spelling Clinical and radiological postoperative evaluation of posterior sagittal anorectoplasty in patients with upper and intermediate anorectal malformationsAnorectal malformationsPosterior sagittal anorectoplastyThe PSARP is today the most-used surgical technique for correction of high and intermediary anorectal malformations.There is much controversy in the literature about the post-operative evaluation of these cases. We studied 27 cases of anorectal malformations from clinical and radiological aspects, in order to analyse: 1. Fecal continence 2.Relationship between post-operative fecal continence and the associated sacral anomalies 3.Relationship between the radiological evaluation by defecogram and fecal continence From the analysis of the cases, we concluded: 1. Fecal continence was achieved in 48.14% of the cases; partial continence in 25.92%; and fecal incontinence in 25.92% of the cases. 2.The presence of fecal incontinence was directly related to the associated sacral anomalies.A ARPSP é atualmente uma das técnicas mais utilizadas na correção cirúrgica das anomalias anorretais altas e intermediárias, existindo muita controvérsia na literatura quanto aos critérios de avaliação desses pacientes no pós-operatório.Foram estudados 27 pacientes do ponto de vista clínico e radiológico pelo defecograma, submetidos à ARPSP, visando avaliar os seguintes parâmetros: 1. Continência fecal; 2. Relação entre a continência fecal e as anomalias sacrais associadas; 3.Relação entre a avaliação radiológica dinâmica pelo defecograma e a continência fecal. Da análise da casuística foram obtidas as seguintes conclusões: 1 .A continência fecal foi obtida em 48,14% dos casos; parcialmente em 25,92% dos casos; e a incontinência fecal foi observada em 25,92% dos casos.2.A ocorrência de incontinência fecal esteve diretamente relacionada com a associação de anomalias sacrais. 3.Nos pacientes com incontinência fecal, a ausência de oclusão do esfíncter externo do ânus no defecograma foi significantemente maior.Universidade Federal de São Paulo (UNIFESP) Department of Imaging DiagnosisUniversidade Federal de São Paulo (UNIFESP) Department of SurgeryUNIFESP, Department of Imaging DiagnosisUNIFESP, Department of SurgerySciELOAssociação Paulista de Medicina - APMUniversidade Federal de São Paulo (UNIFESP)Martins, Jose Luiz [UNIFESP]Lederman, Henrique Manoel [UNIFESP]Pinus, José [UNIFESP]2015-06-14T13:24:40Z2015-06-14T13:24:40Z1997-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion1566-1569application/pdfhttp://dx.doi.org/10.1590/S1516-31801997000600002São Paulo Medical Journal. Associação Paulista de Medicina - APM, v. 115, n. 6, p. 1566-1569, 1997.10.1590/S1516-31801997000600002S1516-31801997000600002.pdf1516-3180S1516-31801997000600002http://repositorio.unifesp.br/handle/11600/553engSão Paulo Medical Journalinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-06T06:29:58Zoai:repositorio.unifesp.br/:11600/553Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-08-06T06:29:58Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv Clinical and radiological postoperative evaluation of posterior sagittal anorectoplasty in patients with upper and intermediate anorectal malformations
title Clinical and radiological postoperative evaluation of posterior sagittal anorectoplasty in patients with upper and intermediate anorectal malformations
spellingShingle Clinical and radiological postoperative evaluation of posterior sagittal anorectoplasty in patients with upper and intermediate anorectal malformations
Martins, Jose Luiz [UNIFESP]
Anorectal malformations
Posterior sagittal anorectoplasty
title_short Clinical and radiological postoperative evaluation of posterior sagittal anorectoplasty in patients with upper and intermediate anorectal malformations
title_full Clinical and radiological postoperative evaluation of posterior sagittal anorectoplasty in patients with upper and intermediate anorectal malformations
title_fullStr Clinical and radiological postoperative evaluation of posterior sagittal anorectoplasty in patients with upper and intermediate anorectal malformations
title_full_unstemmed Clinical and radiological postoperative evaluation of posterior sagittal anorectoplasty in patients with upper and intermediate anorectal malformations
title_sort Clinical and radiological postoperative evaluation of posterior sagittal anorectoplasty in patients with upper and intermediate anorectal malformations
author Martins, Jose Luiz [UNIFESP]
author_facet Martins, Jose Luiz [UNIFESP]
Lederman, Henrique Manoel [UNIFESP]
Pinus, José [UNIFESP]
author_role author
author2 Lederman, Henrique Manoel [UNIFESP]
Pinus, José [UNIFESP]
author2_role author
author
dc.contributor.none.fl_str_mv Universidade Federal de São Paulo (UNIFESP)
dc.contributor.author.fl_str_mv Martins, Jose Luiz [UNIFESP]
Lederman, Henrique Manoel [UNIFESP]
Pinus, José [UNIFESP]
dc.subject.por.fl_str_mv Anorectal malformations
Posterior sagittal anorectoplasty
topic Anorectal malformations
Posterior sagittal anorectoplasty
description The PSARP is today the most-used surgical technique for correction of high and intermediary anorectal malformations.There is much controversy in the literature about the post-operative evaluation of these cases. We studied 27 cases of anorectal malformations from clinical and radiological aspects, in order to analyse: 1. Fecal continence 2.Relationship between post-operative fecal continence and the associated sacral anomalies 3.Relationship between the radiological evaluation by defecogram and fecal continence From the analysis of the cases, we concluded: 1. Fecal continence was achieved in 48.14% of the cases; partial continence in 25.92%; and fecal incontinence in 25.92% of the cases. 2.The presence of fecal incontinence was directly related to the associated sacral anomalies.
publishDate 1997
dc.date.none.fl_str_mv 1997-12-01
2015-06-14T13:24:40Z
2015-06-14T13:24:40Z
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1590/S1516-31801997000600002
São Paulo Medical Journal. Associação Paulista de Medicina - APM, v. 115, n. 6, p. 1566-1569, 1997.
10.1590/S1516-31801997000600002
S1516-31801997000600002.pdf
1516-3180
S1516-31801997000600002
http://repositorio.unifesp.br/handle/11600/553
url http://dx.doi.org/10.1590/S1516-31801997000600002
http://repositorio.unifesp.br/handle/11600/553
identifier_str_mv São Paulo Medical Journal. Associação Paulista de Medicina - APM, v. 115, n. 6, p. 1566-1569, 1997.
10.1590/S1516-31801997000600002
S1516-31801997000600002.pdf
1516-3180
S1516-31801997000600002
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv São Paulo Medical Journal
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 1566-1569
application/pdf
dc.publisher.none.fl_str_mv Associação Paulista de Medicina - APM
publisher.none.fl_str_mv Associação Paulista de Medicina - APM
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
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