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Augmented pressure distal colostogram
Author
Source
Journal of the Faculty of Medicine Baghdad
Issue
Vol. 56, Issue 3 (30 Sep. 2014), pp.268-272, 5 p.
Publisher
University of Baghdad Faculty of Medicine
Publication Date
2014-09-30
Country of Publication
Iraq
No. of Pages
5
Main Subjects
Topics
Abstract EN
Background : Anorectal malformations (ARMs) represent a complex group of congenital anomalies resulting from abnormal development of the hindgut, allantois and Mullerian duct, leading to incomplete or partial urorectal septal malformations.
Objectives : The objective of this study is the accurate demonstration of the anatomy of the level of rectal atresia and any associated recto-urinary fistula by using APDC for optimal surgical management using APDC.
Patients and methods : This is a prospective study including sixty-five male patients with high ARMs who were admitted to the department of pediatric surgery in Children Welfare Teaching Hospital in Medical City Complex- Baghdad-Iraq ; during the period from April 2009 to November 2011 ; they were subjected to divided descending colostomy in the postnatal period ; Augmented-Pressure Distal Colostogram (APDC) was performed at a later age for demonstration of the level of rectal atresia and the presence of the recto-urinary fistulas which then were confirmed at operation.
Results : Rectourinary fistulas were demonstrated in 52 patients (80 %) by APDC technique and were confirmed at operation in each case.
In the remaining 13 patients (20 %), this technique failed to demonstrate a fistula, in 8 of them no fistula was identified during operation or thereafter, while in the remaining 5 patients fistulas were detected during operation.
Conclusion : The APDC readily demonstrated the level of the rectal atresia and the associated recto-urinary fistulas in the majority of the patients, providing a road map for definitive surgical repair of ARMs.
American Psychological Association (APA)
Khalaf, Ahmad A.. 2014. Augmented pressure distal colostogram. Journal of the Faculty of Medicine Baghdad،Vol. 56, no. 3, pp.268-272.
https://search.emarefa.net/detail/BIM-526728
Modern Language Association (MLA)
Khalaf, Ahmad A.. Augmented pressure distal colostogram. Journal of the Faculty of Medicine Baghdad Vol. 58, no. 3 (2014), pp.268-272.
https://search.emarefa.net/detail/BIM-526728
American Medical Association (AMA)
Khalaf, Ahmad A.. Augmented pressure distal colostogram. Journal of the Faculty of Medicine Baghdad. 2014. Vol. 56, no. 3, pp.268-272.
https://search.emarefa.net/detail/BIM-526728
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 271-272
Record ID
BIM-526728