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

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Author(s)
이명덕김상윤김우기김인구김재억김재천김현학박귀원박우현송영택오수명유수영이두선이석구이성철장수일정상영정성은정을삼정풍만조마해최금자최순옥최승훈허영수홍정황의호
Keimyung Author(s)
Park, Woo HyunChoi, Soon Ok
Department
Dept. of Surgery (외과학)
Journal Title
소아외과
Issued Date
2000
Volume
6
Issue
2
Keyword
Anorectal malformationImperforate anusNational surveyKorea
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.
Alternative Title
Anorectal Malformations In Korea - A Clinical Survey by the Korean Association of Pediatric Surgeons, 1999 -
Keimyung Author(s)(Kor)
최순옥
박우현
Publisher
School of Medicine
Citation
이명덕 et al. (2000). 한국의 항문-직장 기형 -1999년도 대한소아외과학회 회원 대상 전국 조사. 소아외과, 6(2), 106–123.
Type
Article
ISSN
1225-9047
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/36372
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
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