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European consensus meeting of ARM-Net members concerning diagnosis and early management of newborns with anorectal malformations.

van der Steeg, HJ; Schmiedeke, E; Bagolan, P; Broens, P; Demirogullari, B; Garcia-Vazquez, A; Grasshoff-Derr, S; Lacher, M; Leva, E; Makedonsky, I; et al. van der Steeg, HJ; Schmiedeke, E; Bagolan, P; Broens, P; Demirogullari, B; Garcia-Vazquez, A; Grasshoff-Derr, S; Lacher, M; Leva, E; Makedonsky, I; Sloots, CE; Schwarzer, N; Aminoff, D; Schipper, M; Jenetzky, E; van Rooij, IA; Giuliani, S; Crétolle, C; Holland Cunz, S; Midrio, P; de Blaauw, I (2015) European consensus meeting of ARM-Net members concerning diagnosis and early management of newborns with anorectal malformations. Tech Coloproctol, 19 (3). pp. 181-185. ISSN 1128-045X https://doi.org/10.1007/s10151-015-1267-8
SGUL Authors: Giuliani, Stefano

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Abstract

The ARM-Net (anorectal malformation network) consortium held a consensus meeting in which the classification of ARM and preoperative workup were evaluated with the aim of improving monitoring of treatment and outcome. The Krickenbeck classification of ARM and preoperative workup suggested by Levitt and Peña, used as a template, were discussed, and a collaborative consensus was achieved. The Krickenbeck classification is appropriate in describing ARM for clinical use. The preoperative workup was slightly modified. In males with a visible fistula, no cross-table lateral X-ray is needed and an anoplasty or (mini-) posterior sagittal anorectoplasty can directly be performed. In females with a small vestibular fistula (Hegar size <5 mm), a primary repair or colostomy is recommended; the repair may be delayed if the fistula admits a Hegar size >5 mm, and in the meantime, gentle painless dilatations can be performed. In both male and female perineal fistula and either a low birth weight (<2,000 g) or severe associated congenital anomalies, prolonged preoperative painless dilatations might be indicated to decrease perioperative morbidity caused by general anesthesia. The Krickenbeck classification is appropriate in describing ARM for clinical use. Some minor modifications to the preoperative workup by Levitt and Peña have been introduced in order to refine terminology and establish a comprehensive preoperative workup.

Item Type: Article
Additional Information: © The Author(s) 2015 Open Access This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.
Keywords: Anorectal malformation, ARM-Net, Krickenbeck classification, Preoperative workup, Surgery, 1103 Clinical Sciences
SGUL Research Institute / Research Centre: Academic Structure > Infection and Immunity Research Institute (INII)
Journal or Publication Title: Tech Coloproctol
ISSN: 1128-045X
Language: eng
Dates:
DateEvent
March 2015Published
22 January 2015Published Online
29 December 2014Accepted
Publisher License: Creative Commons: Attribution 4.0
PubMed ID: 25609592
Web of Science ID: WOS:000351526700010
Go to PubMed abstract
URI: https://openaccess.sgul.ac.uk/id/eprint/107712
Publisher's version: https://doi.org/10.1007/s10151-015-1267-8

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