Adv Pediatr Surg.
2022 Dec;28(2):37-46. 10.13029/aps.2022.28.2.37.
A Comparative Study of Two National Surveys of Anorectal Malformations in the Korean Association of Pediatric Surgeons
- Park J
1 - Kim WK1
- Kim IK1
- Kim JE1
- Kim JC1
- Kim HH1
- Kim SY1
- Kim DY1
- Kim SC1
- Kim CS1
- Kim HY1
- Nam SH1
- Park KW1
- Park WH1
- Boo YJ1
- Song YT1
- Oh SM1
- Yoo SY1
- Lee DS1
- Seo JM1
- Oh JT1
- Lee NH1
- Lee MD1
- Lee SK1
- Lee SC1
- Lee JI1
- Chang SI1
- Chung SY1
- Chang HK1
- Jung SE1
- Jeong YJ1
- Chung JH1
- Chung ES1
- Jung PM1
- Cho MH1
- Choi KJ1
- Choi SO1
- Choi SH1
- Choe YM1
- Han SJ1
- Huh YS1
- Hong J1
- Hwang EH1
- Affiliations
-
- 1The Korean Association of Pediatric Surgeons (KAPS), Seoul, Korea
- KMID: 2538288
- DOI: http://doi.org/10.13029/aps.2022.28.2.37
Abstract
- Purpose
Anorectal malformations (ARMs) represent a wide spectrum of anomalies with various presentations and associated anomalies. The management of ARMs is still controversial and various managements for ARMs have been proposed. The aim of this study was to identify the status of ARMs in Korea and to analyze the data regarding classification, treatment and functional outcomes of ARMs among the Korean Association of Pediatric Surgeons (KAPS) members.
Methods
The KAPS has conducted a national survey for ARMs in 1999 and 2015 to analyze the differences and changes in the classification, treatment, and functional outcomes of ARMs.
Results
A total of 295 and 619 ARMs patients were enrolled in the second and third national survey, respectively. The most common type among male and female was the low type in the second national survey and low defects (cutaneous fistula, anal stenosis, membrane) in the third national survey. Most common associated anomalies were genitourinary system in the second national survey and cardiovascular system in the third national survey. Various surgical options including anoplasty, posterior sagittal anorectoplasty (PSARP) and laparoscopic surgery with or without colostomy were performed. Unfortunately, comparison regarding functional outcomes between 2 national surveys was not possible due to the use of different classification and functional assessment criteria.
Conclusion
We suggest making an ARMs registry at a national level so that multicenter functional outcome data can be collected for a better understanding and management of this rare anomaly.
