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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Experience with anorectal malformations in Ile-Ife, Nigeria
Pediatric Surgery International, Volume 20, No. 11-12, Year 2004
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Description
The study was carried out to determine the characteristics and outcome of management of anorectal malformations (ARM) in Nigerian children at the Obafemi Awolowo University Teaching Hospitals Complex (OAUTHC) in Ile-Ife, Nigeria, between January 1986 and December 2002. Eighty-six children with ARM were studied, 48 males and 38 females. Only 12 (13.9%) presented to the hospital within 24 h of birth. Twenty-four (27.9%) patients had one or more associated congenital anomalies, with oesophageal atresia with tracheo-oesophageal fistula being the most common associated malformation. A low variety was identified in 26 (30.2%) cases, while 60 (69.8%) had intermediate or high lesions. Twenty-two patients with the low type of anomaly were offered primary anoplasty in the neonatal period, whereas 59 patients with intermediate or high malformations were offered a preliminary colostomy. A definitive pull-through procedure was ultimately performed in 27 of these 59 cases. Twenty-six patients (30.2%) died. Infection and severe associated malformations were responsible for most (65%) of the deaths. Early results of definitive surgery among survivors were generally good after a mean follow-up period of 13 months. Late presentation, inadequate facilities for neonatal intensive care, and paucity of specialist supportive personnel appear to have negatively influenced the outcome of treatment in our environment. Increasing awareness and availability of medical facilities and specialists are needed. © Springer-Verlag 2004.
Authors & Co-Authors
Adejuyigbe, Olusanya A.
Nigeria, Ife
Obafemi Awolowo University
Abubakar, Auwal Mohammed
Nigeria, Ife
Obafemi Awolowo University
Sowande, Oludayo Adedapo
Nigeria, Ife
Obafemi Awolowo University
Olayinka, O. S.
Nigeria, Ife
Obafemi Awolowo University
Uba, Aba F.
Nigeria, Ife
Obafemi Awolowo University
Statistics
Citations: 37
Authors: 5
Affiliations: 1
Identifiers
Doi:
10.1007/s00383-004-1297-1
ISSN:
01790358
Research Areas
Health System And Policy
Maternal And Child Health
Study Design
Cohort Study
Study Locations
Nigeria
Participants Gender
Female