ARM Diagnosis with Distal Colostography on Anorectal Malformations

Authors

  • Naely Rahma1 , Bambang Seprijanto2

DOI:

https://doi.org/10.37506/mlu.v20i3.1444

Keywords:

Anorectal Malformation (ARM),ARM types, distal colostography, congenital disorder

Abstract

Background: Anorectal Malformation (ARM) is a common congenital disorder and clinically recognizable,

however, there has been no successful therapy. Establishment of ARM diagnostic is based on clinical and

radiological of perineum USG, invertogram and distal colostography. A low-ARM handling requires an

immediate post-natal repair and a high position requires a preliminary colostomy to prevent intestinal

obstruction.

Objectives:To determine the establishment of ARM diagnosis with distal colostography, evaluate the ARM

management, and its accompanying complications.

Methods: This study used secondary data that derived from medical records. Consecutive sampling obtained

38 medical records that fulfilled the inclusion criteria from July 2012 to June 2013. Then samples were

analyzed statistically.

Results: The number of ARM referrals from other hospitals was 92.1%. The number of ARM which

performed by preliminary colostomy was 89.5% and 26.5% of it was accompanied by complications. Based

on the distal colostographic results, the number of high ARM location was 54.1% and the low location was

45.9%. The number of low-ARMwhich performed by preliminary colostomies was 88.2%. Twenty-eight

subjects who had performed anorectoplasty obtained suitable colostographic results of 71.4% and unsuitable

results of 28.6%.

Conclusion: Distal colostographic results obtained by high-ARM by 54.1% and low location by 45.9%. The

number of low-ARM that has been performed of colostomy by 88.2%. The number of distal colostographic

results that in accordance to the findings of anorectoplasty was 71.4% and unsuitable was 28.6%.

Author Biography

Naely Rahma1 , Bambang Seprijanto2

Department of Radiology,Faculty of Medicine, Universitas Airlangga, Dr. Soetomo Teaching Hospital, Surabaya,

Indonesia

Published

2020-07-24

How to Cite

Naely Rahma1 , Bambang Seprijanto2. (2020). ARM Diagnosis with Distal Colostography on Anorectal Malformations. Medico Legal Update, 20(3), 486-490. https://doi.org/10.37506/mlu.v20i3.1444