Anorectal Malformations: Finding the Pathway out of the Labyrinth.

Détails

ID Serval
serval:BIB_66A40594C1BC
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
Anorectal Malformations: Finding the Pathway out of the Labyrinth.
Périodique
Radiographics : A Review Publication of the Radiological Society of North America, Inc
Auteur(s)
Alamo L., Meyrat B.J., Meuwly J.Y., Meuli R.A., Gudinchet F.
ISSN
1527-1323 (Electronic)
ISSN-L
0271-5333
Statut éditorial
Publié
Date de publication
2013
Volume
33
Numéro
2
Pages
491-512
Langue
anglais
Notes
Publication types: Journal Article Publication Status: ppublish
Résumé
Anorectal malformations (ARMs) are a complex group of congenital anomalies involving the distal anus and rectum, as well as the urinary and genital tracts in a significant number of cases. Most ARMs result from abnormal development of the urorectal septum in early fetal life. In most cases, the anus is not perforated and the distal enteric component ends blindly (atresia) or as a fistula into the urinary tract, genital tract, or perineum. ARMs are also present in a great number of syndromes and associations of congenital anomalies. The classification of ARMs is mainly based on the position of the rectal pouch relative to the puborectal sling, the presence or absence of fistulas, and the types and locations of the fistulas. All of this information is crucial in determining the most appropriate surgical approach for each case. Imaging studies play a key role in evaluation and classification of ARMs. In neonates, clinical and radiologic examinations in the first 3 days of life help determine the type of ARM and the need for early colostomy. In older children, preoperative pelvic magnetic resonance imaging is the most efficient diagnostic method for evaluating the size, morphology, and grade of development of the sphincteric musculature.
Pubmed
Web of science
Création de la notice
21/03/2013 11:04
Dernière modification de la notice
20/08/2019 14:22
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