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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1995-6-29
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pubmed:abstractText |
The bowel function of 46 patients who had undergone internal sphincter-saving posterior sagittal anorectoplasty (PSARP) was evaluated by a questionnaire 3 to 10 years after the closure of the colostomy. The bowel function was assessed by a multivariate scoring method. All patients had also been followed up clinically and manometrically. Seventy healthy children with a similar age and sex distribution were used as controls. Sixteen (35%) patients had bowel function scores that were within the range of the scores of healthy children (mean score of healthy children +/- SD). Another 16 (35%) patients with intermediate scores had a clinically good continence. Fourteen (30%) patients with low scores had a clinically fair or poor functional result; 3 of them required enemas because of severe constipation and 11 used protective aids or had to change underwear frequently because of daily soiling. There was a correlation between a good continence outcome and the presence of a functional internal sphincter and high anorectal resting pressure. Absence of a functional internal sphincter, severe sacral anomalies, and constipation were associated with poor functional results. It is concluded that normal bowel function after internal sphincter-saving PSARP may be expected in a significant proportion of children with high or intermediate anorectal anomalies.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
0022-3468
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
30
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
491-4
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:7760250-Anal Canal,
pubmed-meshheading:7760250-Case-Control Studies,
pubmed-meshheading:7760250-Child,
pubmed-meshheading:7760250-Congenital Abnormalities,
pubmed-meshheading:7760250-Constipation,
pubmed-meshheading:7760250-Fecal Incontinence,
pubmed-meshheading:7760250-Female,
pubmed-meshheading:7760250-Follow-Up Studies,
pubmed-meshheading:7760250-Humans,
pubmed-meshheading:7760250-Male,
pubmed-meshheading:7760250-Manometry,
pubmed-meshheading:7760250-Postoperative Complications,
pubmed-meshheading:7760250-Questionnaires,
pubmed-meshheading:7760250-Rectum,
pubmed-meshheading:7760250-Time Factors,
pubmed-meshheading:7760250-Urinary Incontinence
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pubmed:year |
1995
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pubmed:articleTitle |
Is normal bowel function possible after repair of intermediate and high anorectal malformations?
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pubmed:affiliation |
Children's Hospital, University of Helsinki, Finland.
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pubmed:publicationType |
Journal Article,
Comparative Study
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