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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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 ( |
doi_str_mv | 10.1007/s10151-015-1267-8 |
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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.</creator><creatorcontrib>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.</creatorcontrib><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), a primary repair or colostomy is recommended; the repair may be delayed if the fistula admits a 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 (<2,000 g) or severe associated congenital anomalies, prolonged preoperative painless dilatations might be indicated to decrease perioperative morbidity caused by general anesthesia. 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.</description><identifier>ISSN: 1123-6337</identifier><identifier>EISSN: 1128-045X</identifier><identifier>DOI: 10.1007/s10151-015-1267-8</identifier><identifier>PMID: 25609592</identifier><identifier>CODEN: TECOFO</identifier><language>eng</language><publisher>Milan: Springer Milan</publisher><subject>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</subject><ispartof>Techniques in coloproctology, 2015-03, Vol.19 (3), p.181-185</ispartof><rights>The Author(s) 2015</rights><rights>Springer-Verlag Italia Srl 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c540t-935f6fbdeeda51a84bc220367d3540eec660eadf8f9c63847d31b50cf3df23e33</citedby><cites>FETCH-LOGICAL-c540t-935f6fbdeeda51a84bc220367d3540eec660eadf8f9c63847d31b50cf3df23e33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10151-015-1267-8$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10151-015-1267-8$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,309,310,314,776,780,785,786,881,23909,23910,25118,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25609592$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van der Steeg, H. 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. M.</creatorcontrib><creatorcontrib>Giuliani, S.</creatorcontrib><creatorcontrib>Crétolle, C.</creatorcontrib><creatorcontrib>Holland Cunz, S.</creatorcontrib><creatorcontrib>Midrio, P.</creatorcontrib><creatorcontrib>de Blaauw, I.</creatorcontrib><title>European consensus meeting of ARM-Net members concerning diagnosis and early management of newborns with anorectal malformations</title><title>Techniques in coloproctology</title><addtitle>Tech Coloproctol</addtitle><addtitle>Tech Coloproctol</addtitle><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), a primary repair or colostomy is recommended; the repair may be delayed if the fistula admits a 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 (<2,000 g) or severe associated congenital anomalies, prolonged preoperative painless dilatations might be indicated to decrease perioperative morbidity caused by general anesthesia. 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.</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 & 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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J. J.</au><au>Schmiedeke, E.</au><au>Bagolan, P.</au><au>Broens, P.</au><au>Demirogullari, B.</au><au>Garcia–Vazquez, A.</au><au>Grasshoff-Derr, S.</au><au>Lacher, M.</au><au>Leva, E.</au><au>Makedonsky, I.</au><au>Sloots, C. E. J.</au><au>Schwarzer, N.</au><au>Aminoff, D.</au><au>Schipper, M.</au><au>Jenetzky, E.</au><au>van Rooij, I. A. L. M.</au><au>Giuliani, S.</au><au>Crétolle, C.</au><au>Holland Cunz, S.</au><au>Midrio, P.</au><au>de Blaauw, I.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>European consensus meeting of ARM-Net members concerning diagnosis and early management of newborns with anorectal malformations</atitle><jtitle>Techniques in coloproctology</jtitle><stitle>Tech Coloproctol</stitle><addtitle>Tech Coloproctol</addtitle><date>2015-03-01</date><risdate>2015</risdate><volume>19</volume><issue>3</issue><spage>181</spage><epage>185</epage><pages>181-185</pages><issn>1123-6337</issn><eissn>1128-045X</eissn><coden>TECOFO</coden><abstract>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), a primary repair or colostomy is recommended; the repair may be delayed if the fistula admits a 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 (<2,000 g) or severe associated congenital anomalies, prolonged preoperative painless dilatations might be indicated to decrease perioperative morbidity caused by general anesthesia. 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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