Edan, O., Al-Hajjar, B., Yehya, A. (2023). The Effect of Post War Limited Resources in Management of Anorectal Malformations in Mosul City. Alustath, 22(2), 143-148. doi: 10.52573/ipmj.2023.180582
Obay Abdulaziz Edan; Bassam Khalid Al-Hajjar; Awss Amjad Yehya. "The Effect of Post War Limited Resources in Management of Anorectal Malformations in Mosul City". Alustath, 22, 2, 2023, 143-148. doi: 10.52573/ipmj.2023.180582
Edan, O., Al-Hajjar, B., Yehya, A. (2023). 'The Effect of Post War Limited Resources in Management of Anorectal Malformations in Mosul City', Alustath, 22(2), pp. 143-148. doi: 10.52573/ipmj.2023.180582
Edan, O., Al-Hajjar, B., Yehya, A. The Effect of Post War Limited Resources in Management of Anorectal Malformations in Mosul City. Alustath, 2023; 22(2): 143-148. doi: 10.52573/ipmj.2023.180582

The Effect of Post War Limited Resources in Management of Anorectal Malformations in Mosul City

Iraqi Postgraduate Medical Journal
Volume 22, Issue 2, April 2023, Pages 143-148    PDF (190.58 K)
Document Type: Research Paper
DOI: 10.52573/ipmj.2023.180582
Authors
Obay Abdulaziz Edan1; Bassam Khalid Al-Hajjar1; Awss Amjad Yehya2
1Department of Surgery, College of Medicine, University of Mosul, Mosul, Iraq.
2Department of Pediatric Surgery, Al-Khansaa Teaching Hospital, Mosul, Iraq.
Abstract
Abstract :



Background: Anorectal malformations (ARMs) include a wide spectrum of diseases affecting male and female neonates and involve the rectum, anal canal, and genitourinary tract.

Objective: To know the actual incidence of anorectal malformations in Mosul city, upgrade clinical knowledge about ARMs between health workers and midwives who look after newborn babies, and assess the related mortality in the limited resources zone.

Method: A closed cohort study was conducted on patients with ARMs admitted to the pediatric surgery centre between January 2018 and January 2019. Patients included in this study are those with ARMs in the neonatal period, those admitted for pull-through or closure colostomy. We excluded from this study any Patients born before 2018 or those not operated.

Results: sixty-two patients were included in this study with a Male: female ratio of 1.3:1. The estimated incidence was 4 per 5000 live birth. Twenty-eight (45.2%) patients presented after 48 hours of birth (Delayed diagnosis), with a median age at diagnosis of two days. Twenty-five (40.3%) from a total of 60 operated patients had associated congenital anomalies. Forty-three (69.3%) patients had colostomy (mainly transverse colostomy), with some cases have completed their three-stage procedure. Mortality was recorded in 5 (8%) cases ( four males and one female, with major congenital anomalies).

Conclusion: ARMs represent one of the stressful GIT anomalies to pediatric surgeons. The overall outcome is greatly influenced by age at diagnosis, surgical experience, and associated anomalies. The major subtypes that need three stages surgeries require great efforts and more hospital resources. We recommend the need for widespread teaching programs for midwives and health workers to diagnose and refer ARMs cases to the tertiary centres as soon as possible to minimize complications and hopping lessen the mortality rate.
Keywords
post war,,; ,،,؛limited,,; ,،,؛resources,,; ,،,؛anorectal malformation
References
REFERENCES:

  1. Marc A Levitt, Alberto Pena .Anorectal malformation. Orphanet Journal of rare disease.2007;2:33.
  2. Mundt E, Bates MD. Genetics of Hirschsprung disease and anorectal malformations. Semin Pediatr Surg. 2010 ;19:107-17. 
  3. Wood RJ, Levitt MA. Anorectal malformations. Clin Colon Rectal Surg2018; 31:61–70.
  4. Byun SY, Lim RK, Park KH, et al. Anorectal malformations associated with esophageal atresia in neonates. Pediatr Gastroenterol Hepatol Nutr 2013;16:28–33.
  5. Hosokawa T, Yamada Y, Tanami Y, Hattori S, Sato Y, Tanaka Y, et al. Sonography for an Imperforate Anus: Approach, Timing of the Examination, and Evaluation of the Type of Imperforate Anus and Associated Anomalies. J Ultrasound Med. 2017 ; 36:1747-58. 
  6. Kraus SJ, Levitt MA, Peña A. Augmented-pressure distal colostogram: the most important diagnostic tool for planning definitive surgical repair of anorectal malformations in boys. Pediatr Radiol. 2018;48 :258-69.
 
 
147
 
 

 

 

  1. N Haider, R. Fisher. Mortality and morbidity associated with late diagnosis of anorectal malformation in children. Surgeon , 2007; 5: 327-30.
  2. Moore, S. et al . The spectrum of anorectal malformation in Africa. Pediatric surgery international.2008; 24:677-83.
  3. Bassam Khalil AL-Abbasi, Abdul Rahman Abdul Aziz AL-Shahwani. Management of anorectal malformation A study of 100 cases.2004; IPMJ 3.
  4. Ramadhan j. et al . Clinical profile and outcome of surgical management of anorectal malformation at a tertiary care hospital in Tanzania. 2018;20.
  5. Bilal Mirza, Lubna Ijaz, Muhammad Saleem, Muhammad Sharif, Afzal Sheikh. Anorectal malformations in neonates. Afr J Paediatr Surg. May-Aug 2011;8:151-54.

12. Rosas-Blum, Eduardo D.; Reddy, Ajay; Shaban, Mohamed A.; Aziz, Sandra; Do, Ailinh; Spurbeck, William; Francis, Denease. Characteristics of Anorectal Malformations in Children at the United States-Mexico Border: A 3-Year Study. Journal of Pediatric Gastroenterology and Nutrition: July 2020;71- e12-e15.

  1. P Kuradusenge, R T Kuremu, G Jumbi, P W Saula. Pattern of anorectal malformations and early outcomes of management at MOI teaching and referral hospital Eldoret-Kenya. East Afr Med J. 2014 Dec;91(12):430-4.
  2. Theron A, Numanoglu A. Birth prevalence of anorectal malformations for the western cape province, South Africa, 2005 to 2012. Eur J Pediatr Surg. 2017; 27:449–54.
  3. Ahmad j. et al. Association of urogenital anomalies with anorectal malformation; a review of 200 cases. Pakistan Journal of Surgery.2005; 21:89-92.
  4. Leva E. et al. single-stage surgical correction of anorectal malformation associated with rectourinary fistula in male neonate. Journal of Neonatal Surgery.2013; 2:3.
  5. Ratan S. K. et al. Associated congenital anomalies in patients with anorectal malformation – a need for developing a uniform practical approach. Journal of Pediatric Surgery.2004;39:1706-11.
 

 

 

 

  1. Birabwa-Male, D. Anorectal malformation in Mulago Hospital, Kampala-Uganda. East and Central African Journal of Surgery.2004; 9:1.
  2. Makanga, M . et al. Anorectal malformation at university teaching hospital of Butare in Rwanda: A review of 46 operative cases. East and Central African Journal of Surgery .2007;12:110-115.

20. S. Govender, R Wiersma. Delayed diagnosis of anorectal malformations (ARM): causes and consequences in a resource-constrained environment. Pediatric Surgery International.2016;  32:369-75.

  1. Amer abd allah ejrish .Medical Journal of Babylon .2016;13 : 294-306.
  2. Murtadha Abdul Kadhim, Kawther Fakhri, Hassan k Gatea. Iraqi Academic Scientific Journal. 2017;: 438-43.
  3. Ahmad Z. Zain , Salah S. Mahmood , Raghad J. Aboalhab. Congenital pouch colon: A rare presentation of Anorectal malformation. Journal of the Faculty of medicine .2015;57: 193-97.
Statistics
Article View: 78
PDF Download: 76


Journal Management System. Powered by ejournalplus.com