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KMID : 0605920060120010099
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Journal of Korean Association of Pediatric Surgeons
2006 Volume.12 No. 1 p.99 ~ p.106
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Anorectal Malformations: Diagnosis and Management in Neonatal Period
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Lee Nam-Hyuk
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Abstract
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Anorectal malformations comprise a spectrum of disease and the majority of patients have one or more abnormalities that affect other systems. In evaluating a newborn with anorectal malformation, the decision regarding the need for a colostomy and detection and management of any life threatening associated anomalies are thetwo most important considerations. Perineal inspection provides the clue to the surgical approach in about 80-90% of male and 90% of female newborn baby. The remaining patients who do not show any clinical evidence need radiologic evaluation to decide whether a colostomy should be performed. In most cases the decision to make a colostomy should not be made until the baby is 20 to 24 hours old and evaluation to rule out the presence of associated anomalies completed. A divided colostomy at the junction of the descending and sigmoid colon is recommended for anorectal malformations.
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KEYWORD
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Anorectal malformation, Diagnosis, Management, Newborn
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