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KMID : 1152420220280020037
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Advances in Pediatric Surgery
2022 Volume.28 No. 2 p.37 ~ p.46
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A Comparative Study of Two National Surveys of Anorectal Malformations in the Korean Association of Pediatric Surgeons
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Park Jin-Young
Kim Woo-Ki
Kim In-Gu
Kim Jae-Eok
Kim Jae-Chun
Kim Hyun-Hak
Kim Sang-Youn
Kim Dae-Yeon
Kim Seong-Chul
Kim Chong-Suk
Kim Hyun-Young
Nam So-Hyun
Park Kwi-Won
Park Woo-Hyun
Boo Yoon-Jung
Song Young-Tack
Oh Soo-Myung
Yoo Soo-Young
Lee Doo-Sun
Seo Jeong-Meen
Oh Jung-Tak
Lee Nam-Hyuk
Lee Myung-Duk
Lee Suk-Koo
Lee Seong-Cheol
Lee Jong-In
Chang Soo-Il
Chung Sang-Young
Chang Hye Kyung
Jung Sung-Eun
Jeong Yeon-Jun
Chung Jae-Hee
Chung Eul-Sam
Jung Poong-Man
Cho Ma-Hae
Choi Kum-Ja
Chio Soon-Ok
Choi Seung-Hoon
Choe Yun-Mee
Han Seok-Joo
Heo Young-Soo
Hong Jeong
Hwang Eui-Ho
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Abstract
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Purpose: Anorectal malformations (ARMs) represent a wide spectrum of anomalies with various presentations and associated anomalies. The management of ARMs is still controversial and various managements for ARMs have been proposed. The aim of this study was to identify the status of ARMs in Korea and to analyze the data regarding classification, treatment and functional outcomes of ARMs among the Korean Association of Pediatric Surgeons (KAPS) members.
Methods: The KAPS has conducted a national survey for ARMs in 1999 and 2015 to analyze the differences and changes in the classification, treatment, and functional outcomes of ARMs.
Results: A total of 295 and 619 ARMs patients were enrolled in the second and third national survey, respectively. The most common type among male and female was the low type in the second national survey and low defects (cutaneous fistula, anal stenosis, membrane) in the third national survey. Most common associated anomalies were genitourinary system
in the second national survey and cardiovascular system in the third national survey. Various surgical options including anoplasty, posterior sagittal anorectoplasty (PSARP) and laparoscopic surgery with or without colostomy were performed. Unfortunately, comparison regarding functional outcomes between 2 national surveys was not possible due to the use of
different classification and functional assessment criteria.
Conclusion: We suggest making an ARMs registry at a national level so that multicenter functional outcome data can be collected for a better understanding and management of this rare anomaly.
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KEYWORD
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Anorectal malformations, Pediatrics, Survey
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