Anorectal Malformations: Finding the Pathway out of the Labyrinth.

Details

Serval ID
serval:BIB_66A40594C1BC
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Anorectal Malformations: Finding the Pathway out of the Labyrinth.
Journal
Radiographics : A Review Publication of the Radiological Society of North America, Inc
Author(s)
Alamo L., Meyrat B.J., Meuwly J.Y., Meuli R.A., Gudinchet F.
ISSN
1527-1323 (Electronic)
ISSN-L
0271-5333
Publication state
Published
Issued date
2013
Volume
33
Number
2
Pages
491-512
Language
english
Notes
Publication types: Journal Article Publication Status: ppublish
Abstract
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
Create date
21/03/2013 11:04
Last modification date
20/08/2019 14:22
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