European consensus meeting of ARM-Net members concerning diagnosis and early management of newborns with anorectal malformations

The ARM-Net (anorectal malformation network) consortium held a consensus meeting in which the classification of ARM and preoperative workup were evaluated with the aim of improving monitoring of treatment and outcome. The Krickenbeck classification of ARM and preoperative workup suggested by Levitt...

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Veröffentlicht in:Techniques in coloproctology 2015-03, Vol.19 (3), p.181-185
Hauptverfasser: van der Steeg, H. J. J., Schmiedeke, E., Bagolan, P., Broens, P., Demirogullari, B., Garcia–Vazquez, A., Grasshoff-Derr, S., Lacher, M., Leva, E., Makedonsky, I., Sloots, C. E. J., Schwarzer, N., Aminoff, D., Schipper, M., Jenetzky, E., van Rooij, I. A. L. M., Giuliani, S., Crétolle, C., Holland Cunz, S., Midrio, P., de Blaauw, I.
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container_issue 3
container_start_page 181
container_title Techniques in coloproctology
container_volume 19
creator van der Steeg, H. J. J.
Schmiedeke, E.
Bagolan, P.
Broens, P.
Demirogullari, B.
Garcia–Vazquez, A.
Grasshoff-Derr, S.
Lacher, M.
Leva, E.
Makedonsky, I.
Sloots, C. E. J.
Schwarzer, N.
Aminoff, D.
Schipper, M.
Jenetzky, E.
van Rooij, I. A. L. M.
Giuliani, S.
Crétolle, C.
Holland Cunz, S.
Midrio, P.
de Blaauw, I.
description The ARM-Net (anorectal malformation network) consortium held a consensus meeting in which the classification of ARM and preoperative workup were evaluated with the aim of improving monitoring of treatment and outcome. The Krickenbeck classification of ARM and preoperative workup suggested by Levitt and Peña, used as a template, were discussed, and a collaborative consensus was achieved. The Krickenbeck classification is appropriate in describing ARM for clinical use. The preoperative workup was slightly modified. In males with a visible fistula, no cross-table lateral X-ray is needed and an anoplasty or (mini-) posterior sagittal anorectoplasty can directly be performed. In females with a small vestibular fistula (Hegar size 5 mm, and in the meantime, gentle painless dilatations can be performed. In both male and female perineal fistula and either a low birth weight (
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The Krickenbeck classification of ARM and preoperative workup suggested by Levitt and Peña, used as a template, were discussed, and a collaborative consensus was achieved. The Krickenbeck classification is appropriate in describing ARM for clinical use. The preoperative workup was slightly modified. In males with a visible fistula, no cross-table lateral X-ray is needed and an anoplasty or (mini-) posterior sagittal anorectoplasty can directly be performed. In females with a small vestibular fistula (Hegar size &lt;5 mm), a primary repair or colostomy is recommended; the repair may be delayed if the fistula admits a Hegar size &gt;5 mm, and in the meantime, gentle painless dilatations can be performed. In both male and female perineal fistula and either a low birth weight (&lt;2,000 g) or severe associated congenital anomalies, prolonged preoperative painless dilatations might be indicated to decrease perioperative morbidity caused by general anesthesia. 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J. J.</creatorcontrib><creatorcontrib>Schmiedeke, E.</creatorcontrib><creatorcontrib>Bagolan, P.</creatorcontrib><creatorcontrib>Broens, P.</creatorcontrib><creatorcontrib>Demirogullari, B.</creatorcontrib><creatorcontrib>Garcia–Vazquez, A.</creatorcontrib><creatorcontrib>Grasshoff-Derr, S.</creatorcontrib><creatorcontrib>Lacher, M.</creatorcontrib><creatorcontrib>Leva, E.</creatorcontrib><creatorcontrib>Makedonsky, I.</creatorcontrib><creatorcontrib>Sloots, C. E. J.</creatorcontrib><creatorcontrib>Schwarzer, N.</creatorcontrib><creatorcontrib>Aminoff, D.</creatorcontrib><creatorcontrib>Schipper, M.</creatorcontrib><creatorcontrib>Jenetzky, E.</creatorcontrib><creatorcontrib>van Rooij, I. A. L. 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Some minor modifications to the preoperative workup by Levitt and Peña have been introduced in order to refine terminology and establish a comprehensive preoperative workup.</description><subject>Abdominal Surgery</subject><subject>Abnormalities, Multiple - surgery</subject><subject>Anorectal Malformations</subject><subject>Anus, Imperforate - classification</subject><subject>Anus, Imperforate - diagnosis</subject><subject>Anus, Imperforate - surgery</subject><subject>Colorectal Surgery</subject><subject>Controversies in Colorectal Surgery</subject><subject>Europe</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Proctology</subject><subject>Reconstructive Surgical Procedures - standards</subject><subject>Rectal Fistula - surgery</subject><subject>Surgery</subject><issn>1123-6337</issn><issn>1128-045X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kU1rFjEQx4Mo9kU_QC9lwYuX1LxsspuLUEptC1WhVPAWstnJNmU3eUx2Lb31o5v1qaUKXiZh_r_5zwyD0AElR5SQ5kOmhAqKS8CUyQa3L9AupazFpBbfX_7-cyw5b3bQXs63hNCmEfQ12mFCEiUU20UPp0uKGzChsjFkCHnJ1QQw-zBU0VXHV5_xF5hLauog5RWykMKq9t4MIWafKxP6Ckwa76vJBDPABGFeiwPcdTGFXN35-aZQMYGdzVio0cU0mdmXlm_QK2fGDG8f33307dPp9ck5vvx6dnFyfImtqMmMFRdOuq4H6I2gpq07yxjhsul50QGslARM71qnrORtXfK0E8Q63jvGgfN99HHru1m6CXpbZkxm1JvkJ5PudTRe_60Ef6OH-FPXXCrR1sXg_aNBij8WyLOefLYwjiZAXLKmUkqmOFOqoO_-QW_jkkJZb6Ua1dIyc6HolrIp5pzAPQ1DiV7vq7f31SXo9b66LTWHz7d4qvhz0AKwLZCLFAZIz1r_1_UXBna0Yw</recordid><startdate>20150301</startdate><enddate>20150301</enddate><creator>van der Steeg, H. 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The Krickenbeck classification is appropriate in describing ARM for clinical use. Some minor modifications to the preoperative workup by Levitt and Peña have been introduced in order to refine terminology and establish a comprehensive preoperative workup.</abstract><cop>Milan</cop><pub>Springer Milan</pub><pmid>25609592</pmid><doi>10.1007/s10151-015-1267-8</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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subjects Abdominal Surgery
Abnormalities, Multiple - surgery
Anorectal Malformations
Anus, Imperforate - classification
Anus, Imperforate - diagnosis
Anus, Imperforate - surgery
Colorectal Surgery
Controversies in Colorectal Surgery
Europe
Female
Gastroenterology
Humans
Infant, Newborn
Male
Medicine
Medicine & Public Health
Proctology
Reconstructive Surgical Procedures - standards
Rectal Fistula - surgery
Surgery
title European consensus meeting of ARM-Net members concerning diagnosis and early management of newborns with anorectal malformations
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