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Cho, Sim, and Kim: Function on Defecation after Surgical Correction in Anorectal Malformations: Results of Krickenbeck Assessment
Original Article
Journal of the Korean Surgical Society

Journal of the Korean Surgical Society 2010; 79(3): 223-227.

Published online: 3 September 2010

DOI: https://doi.org/10.4174/jkss.2010.79.3.223

Function on Defecation after Surgical Correction in Anorectal Malformations: Results of Krickenbeck Assessment

Yonghoon Cho, M.D.1, 2, Munsup Sim, M.D.3, Haeyoung Kim, M.D.1, 2

1Department of Surgery, Postgraduate School of Medicine, Pusan National University, Busan, Korea.

2Department of Pediatric Surgery, Pusan National University Children's Hospital, Pusan National University, Busan, Korea.

3Department of Surgery, Pusan National University Hospital, Pusan National University, Busan, Korea.

Corresponding author (haeyoung@pusan.ac.kr)

Received 4 April 2010       Accepted 21 June 2010

Copyright © 2010 The Korean Surgical Society

Abstract

Purpose

The final aim of operation for anorectal malformations (ARMs) is acquisition of normal bowel habit by preserving an anorectal function. This study was performed to assess the functional results after definite correction of the malformations.

Methods

37 patients (Group 1) without rectocutaneous fistula and 23 patients (Group 2) with rectocutaneous fistula were Included in the study. The authors examined functional assessment of children over 3-years-old, according to Krickenbeck classification, and analyzed the results.

Results

Group 1 showed significant soiling in 24.3% and constipation requiring management in 35.1%.But Group 2 showed constipation in only 8.7%. The results of Krickenbeck assessment are as follows: Group 1 showed good results in 64.9% and poor results in 35.1% with improvement over time. Group 2 showed 91.3%, 8.7%, respectively.

Conclusion

Constipation rather than soiling was the main functional problem after surgical repair of anorectal malformations but improved over time. It seems that more aggressive management of constipation warrants good results after definite surgical repair.

Keywords: Anorectal malformations, Defecation, Assessment

Figures and Tables

Table 1
Krickenbeck assessment
jkss-79-223-i001
Table 2
Clinical classification of patients: main group according to Krickenbeck classification
jkss-79-223-i002
Table 3
Results of Krickenbeck assessment in Group 1 (n=37)
jkss-79-223-i003

*VBM = voluntary bowel movements.

Table 4
Results of Krickenbeck assessment in Group 2 (n=23)
jkss-79-223-i004

*VBM = voluntary bowel movements.

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