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Article dans une revue

The impact of anorectal malformations on anorectal function and social integration in adulthood: report from a national database.

Abstract :

AIM: The impact of anorectal malformation (ARM) on bowel function and social, educational and occupational end-points was investigated in adult patients entered on a national database.

METHOD: Data from a national database of adult patients operated on between 1962 and 1999 for ARM were analysed. The database Malformations Ano-rectales et Pelviennes rares (MAREP) was part of a common information system, CEMARA, on rare congenital disorders. A self-administered questionnaire regarding bowel function, academic qualifications, employment and family status was mailed to patients. The type of ARM, subsequent follow-up and management including surgical interventions were retrospectively retrieved from medical records.

RESULTS: Of 210 adult patients on the registry since 2008, 68 were included in this study. Only three (8.5%) had had regular follow-up. All reported some disturbance in bowel function. The fertility rate of 1.5 children per woman did not differ from the general population.

CONCLUSION: Anorectal malformation ARM often leads to suboptimal bowel function in adulthood. This has an impact on social integration.

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https://hal.univ-angers.fr/hal-03329110
Contributeur : Okina Université d'Angers <>
Soumis le : lundi 30 août 2021 - 15:56:48
Dernière modification le : vendredi 3 septembre 2021 - 03:32:34

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S Mantoo, Guillaume Meurette, Vincent Wyart, Jean-Benoit Hardouin, Célia Crétolle, et al.. The impact of anorectal malformations on anorectal function and social integration in adulthood: report from a national database.. Colorectal Disease, Wiley, 2013, 15 (6), pp.e330-5. ⟨10.1111/codi.12186⟩. ⟨hal-03329110⟩

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