Long-Term evaluation of fecal continence and quality of life in patients operated for anorectal malformations
Revista da Associacao Medica Brasileira, ISSN: 0104-4230, Vol: 62, Issue: 6, Page: 544-552
2016
- 16Citations
- 4,086Usage
- 51Captures
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Metrics Details
- Citations16
- Citation Indexes16
- 16
- Usage4,086
- Full Text Views3,705
- 3,705
- Abstract Views381
- 381
- Captures51
- Readers51
- 51
Article Description
Introduction: Patients operated for correction of anorectal malformations (ARM) can develop fecal incontinence, constipation, and soiling, with loss in quality of life. Objective: To evaluate, through the use of questionnaires, fecal continence, and quality of life of children in the late postoperative follow-up of ARM correction, both high and low. In addition, the levels of fecal continence and quality of life were compared with those of a control group. Method: A Fecal Continence Index Questionnaire (ICF) and a Questionnaire for Assessment of Quality of Life Related to Fecal Continence in Children and Adolescents (QQVCFCA) were administered to 63 patients with ARM, aged from 7 to 19 years, whose surgical treatment had been completed for at least 6 months. The patients were compared to a control group of 59 children. Results: In the control group, 25 (42.4%) patients had good continence and 34 (57.6%), normal continence. We found that the quality of life in children with ARM is compromised globally, in all areas and in the ICF questionnaire, compared to controls (p<0.001). There was no difference between patients with high and low defects. Thirty-Two (50.8%) patients had other associated anomalies. Conclusion: In patients operated for ARM correction, quality of life and ICF were compromised, and there was no difference between patients with high-Type and low-Type of the disease. In about half the cases there are other associated malformations.
Bibliographic Details
http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=84995450867&origin=inward; http://dx.doi.org/10.1590/1806-9282.62.06.544; http://www.ncbi.nlm.nih.gov/pubmed/27849232; http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302016000600544&lng=en&tlng=en; http://www.scielo.br/scielo.php?script=sci_abstract&pid=S0104-42302016000600544&lng=en&tlng=en; http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302016000600544; http://www.scielo.br/scielo.php?script=sci_abstract&pid=S0104-42302016000600544; https://dx.doi.org/10.1590/1806-9282.62.06.544; https://www.scielo.br/j/ramb/a/VkT7s6nptX6ZfZ6ffXfd9Qm/?lang=en
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