Our clinical trial in anorectal malformations

Objective: In this study, we evaluated our results on children with anorectal malformations and associated anomalies.Material and methods: A total of 115 children who treated and followed in our clinic during the period of 2000 and 2006 were retrospectively evaluated. Physical examination including perineal region, laboratory exams, abdominal x-ray, ultrasongraphy, echocardiography, and voiding cystourethrography when necessary were done to determine the type of anorectal malformation and associated anomalies. The patients were classified according to type of ARM and other pathologies.Results: Of the patients, 40.8% had high type ARM, 31.3% had low type, 17.3% had intermediate type, 9,5% had ectopic anterior located anus in, and 0,86% had cloaca. Associated anomalies were seen in 48.6% of patients. Associated anomalies were most commonly seen in high type of ARM patients (59.5%). Colostomy was performed in 80 patients; right transverse loop colostomy was performed in 56 (70%) cases, while high sigmioid colostomy was performed in 24 cases. Stomal prolapsus developed in 17.8% of patients who underwent right transverse loop colostomy.Conclusion: It is crucial to examine perineal area carefully during the first admission and follow-up to determine the type of ARM and associated anomalies. It is beneficial to perform ultrasonography, echocardiography, colostogram, x-ray, and voiding cystouretrography when necessary. High sigmoid colostomy may decrease complication rate in ARM patients.Key words: Anorectal malformation, associated anomalies, colostomy, children.