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Long-term evaluation of fecal continence and quality of life in patients operated for anorectal malformations.
Tannuri, Ana Cristina Aoun; Ferreira, Mariana Aparecida Elisei; Mathias, Arthur Loguetti; Tannuri, Uenis.
Afiliação
  • Tannuri AC; Associate Professor, Faculdade de Medicina, Universidade de São Paulo (FMUSP). Physician, Service of Pediatric Surgery and Liver Transplantation, Instituto da Criança, Hospital das Clínicas, FMUSP, São Paulo, SP, Brazil.
  • Ferreira MA; Medical Student, FMUSP, São Paulo, SP, Brazil.
  • Mathias AL; Physician, Service of Pediatric Surgery and Liver Transplantation, Instituto da Criança, Hospital das Clínicas, FMUSP, São Paulo, SP, Brazil.
  • Tannuri U; Full Professor, Department of Pediatric Surgery and Liver Transplantation, FMUSP. Head of the Service of Pediatric Surgery and Liver Transplantation, Instituto da Criança, Hospital das Clínicas, FMUSP, São Paulo, SP, Brazil.
Rev Assoc Med Bras (1992) ; 62(6): 544-552, 2016 Sep.
Article em En | MEDLINE | ID: mdl-27849232
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.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Qualidade de Vida / Incontinência Fecal / Malformações Anorretais Tipo de estudo: Etiology_studies / Observational_studies / Qualitative_research / Risk_factors_studies Aspecto: Patient_preference Limite: Adolescent / Adult / Child / Female / Humans / Male Idioma: En Revista: Rev Assoc Med Bras (1992) Ano de publicação: 2016 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Qualidade de Vida / Incontinência Fecal / Malformações Anorretais Tipo de estudo: Etiology_studies / Observational_studies / Qualitative_research / Risk_factors_studies Aspecto: Patient_preference Limite: Adolescent / Adult / Child / Female / Humans / Male Idioma: En Revista: Rev Assoc Med Bras (1992) Ano de publicação: 2016 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil