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한국의 항문-직장 기형 : 1999년도 대한소아외과학회 회원 대상 전국 조사

Other Titles
 Anorectal Malformations In Korea - A Clinical Survey by the Korean Association of Pediatric Surgeons, 1999 
Authors
 이명덕  ;  김상윤  ;  김우기  ;  김인구  ;  김재억  ;  김재천  ;  김현학  ;  박귀원  ;  박우현  ;  송영택  ;  오수명  ;  유수영  ;  이두선  ;  이석구  ;  이성철  ;  장수일  ;  정상영  ;  정성은  ;  정을삼  ;  정풍만  ;  조마해  ;  최금자  ;  최순옥  ;  최승훈  ;  허영수  ;  홍정  ;  황의호 
Citation
 Journal of the Korean Association of Pediatric Surgeons (소아외과), Vol.12(2) : 106-123, 2000 
Journal Title
Journal of the Korean Association of Pediatric Surgeons(소아외과)
ISSN
 1225-9047 
Issue Date
2000
Keywords
Anorectal malformation ; Imperforate anus ; National survery ; Korea ; National surgery
Abstract
The purpose of the survey was to clarify the clinical features and management of the anorectal malformations (ARM) in Korea. Twenty-seven members of the Korean Association of Pediatric Surgeons were surveyed. The members completed a case registration form for each patient during the two years period of 1996-1997, and a questionnaire that contained their management preferences for primary and complicated patients. Twenty-four members of the 22 institutions registered 295 cases of the ARM, and 27 out of 34 members (77.1 %) responded to the questionnaire. The patients were classified by the Wingspread classification of ARM(1984). The case registration form was a modification of Wingspread workshop for the postoperative assessment and case registration. The male to female ratio was 1.7 : 1. The average number of patients per surgeon was 6.1 cases per year. Prematurity(< 36 weeks) was present in 1.9 % of cases and low birth weight (< 2.6 Kg) in 12.1 %. Among 187 male patients, 62 were high(H) type, 29 intermediate(l) type, 88 low(L), and 8 unclassified. In female, there were 2 cases of cloacal anomalies(C), 4 H type, 30 I type, 66 L type and 6 unclass ified. For male, 87.9 % of H and I type were operated by the Pena procedure, but only 7.9 % in L types. In female, all of C, H and I types, and 40.9 % of L type were done by the Pena procedure. One case expired (MR; 0.003%) as a result of surgical complication. Over-all complication rate was 12.5 %. Among 6 cases of reoperation, 4 were failed Pena procedures. Among 140 colostomies sigmoid colon was utilized in 75.7%, and loop colostomy was commonly used. Ten surgeons prefered primary maturation of the stoma. In conclusion, posterior sagittal anorectoplasty is popular for high types of ARM in this country, but considerable number of patients are still suffering from failed operations. For better understanding and analysis, necessity of prospective study by new classification was discussed.
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Choi, Seung Hoon(최승훈)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/172169
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