Management of Anorectal Malformations and Hirschsprung Disease.
Publication Title
The Surgical clinics of North America
Document Type
Article
Publication Date
10-1-2022
Keywords
oregon; portland; Anal Canal; Anorectal Malformations; Fecal Incontinence; Hirschsprung Disease; Humans; Quality of Life
Abstract
Anorectal malformations (ARM) and Hirschsprung disease (HD) are managed with placement of normal intestine within the anal sphincter complex. Long-term complications specific to ARM include fistula remnants, recurrence, urinary reflux with associated chronic renal insufficiency, sexual dysfunction, and fertility difficulties. Complications specific to HD include enterocolitis, persistent or acquired aganglionosis, and internal sphincter achalasia. ARM and HD patients are both at risk of stricture, bowel dysfunction and incontinence, which can have a severe impact on quality of life. Bowel management strategies should be tailored to the patient's specific category of bowel dysfunction.
Clinical Institute
Women & Children
Clinical Institute
Digestive Health
Specialty/Research Institute
Pediatrics
Specialty/Research Institute
Gastroenterology
Specialty/Research Institute
Surgery
