J Korean Assoc Pediatr Surg.  2006 Jun;12(1):99-106.

Anorectal Malformations: Diagnosis and Management in Neonatal Period

• Lee NH

Abstract

Anorectal malformations comprise a spectrum of disease and the majority of patients have one or more abnormalities that affect other systems. In evaluating a newborn with anorectal malformation, the decision regarding the need for a colostomy and detection and management of any life threatening associated anomalies are thetwo most important considerations. Perineal inspection provides the clue to the surgical approach in about 80-90% of male and 90% of female newborn baby. The remaining patients who do not show any clinical evidence need radiologic evaluation to decide whether a colostomy should be performed. In most cases the decision to make a colostomy should not be made until the baby is 20 to 24 hours old and evaluation to rule out the presence of associated anomalies completed. A divided colostomy at the junction of the descending and sigmoid colon is recommended for anorectal malformations.

Keyword

Anorectal malformation; Diagnosis; Management; Newborn

MeSH Terms

Colon, Sigmoid
Colostomy
Diagnosis*
Female
Humans
Infant, Newborn
Male