Screening practices and associated anomalies in infants with anorectal malformations: Results from the Midwest Pediatric Surgery Consortium
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Read the article on pubmed.ncbi.nlm.nih.gov ↗Article · Mar 2018 · 1 min read
In brief
In brief
Multi-institutional study of 506 infants with anorectal malformations reveals high rates of associated anomalies across all subtypes, with screening identifying abnormalities in varying proportions by ARM type. Most common findings included tethered cord, sacral dysplasia, and renal hydronephrosis, supporting universal screening protocols for all ARM patients.
Written by the GCMD Library team from the article.
Statements in this article
The most common anorectal malformation subtypes are perineal fistula (40.7%), no fistula (11.5%), and vestibular fistula (10.1%).
At least one screening test was performed in 96.6% of patients with anorectal malformations.
Only 11.3% of patients underwent all recommended screening tests.
The proportion of patients with at least one abnormal finding on any screening test varies significantly by type of anorectal malformation (p<0.001).
Screening rates for associated anomalies range from 15.2% for limb anomalies to 89.7% for renal anomalies.
Tethered cord is the most commonly identified spinal anomaly, found in 20.6% of screened patients.
Sacral dysplasia or hemisacrum is the most commonly identified vertebral anomaly, found in 17.8% of screened patients.
Patent foramen ovale is the most commonly identified cardiac anomaly, found in 58.0% of screened patients.
Hydronephrosis is the most commonly identified renal anomaly, found in 22.7% of screened patients.
Absent radius is the most commonly identified limb anomaly, found in 7.9% of screened patients.
The rate of identifying at least one associated anomaly is high across all anorectal malformation subtypes.
Screening for associated anomalies should be considered standard of care for all patients with anorectal malformations.