Unexpected results of a nationwide, treatment-independent assessment of fecal incontinence in patients with anorectal anomalies

Purpose: To determine the anorectal function in patients with anorectal malformations (ARM) in order to facilitate patient counseling and follow-up.MethodsData were collected by the German network for urorectal malformations (CURE-Net) according to the International Krickenbeck consensus. Questionna...
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Gespeichert in:

Autor*in:	Schmiedeke, Eberhard [verfasserIn] Zwink, Nadine - 1983- [verfasserIn] Holland-Cunz, Stefan [verfasserIn] Jenetzky, Ekkehart - 1972- [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	22 July 2012

Anmerkung:	Gesehen am 05.06.2018
Umfang:	6

Übergeordnetes Werk:	Enthalten in: Pediatric surgery international - Berlin : Springer, 1986, 28(2012), 8, Seite 825-830
Übergeordnetes Werk:	volume:28 ; year:2012 ; number:8 ; pages:825-830 ; extent:6

Links:	Volltext Volltext

DOI / URN:	10.1007/s00383-012-3127-1

Katalog-ID:	1575990784

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245	1	0	\|a Unexpected results of a nationwide, treatment-independent assessment of fecal incontinence in patients with anorectal anomalies \|c Eberhard Schmiedeke, Nadine Zwink, Nicole Schwarzer, Enrika Bartels, Dominik Schmidt, Sabine Grasshoff-Derr, Stefan Holland-Cunz, Stuart Hosie, Karsten Jablonka, Stefanie Maerzheuser, Heiko Reutter, Christian Lorenz, Ekkehart Jenetzky
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520			\|a Purpose: To determine the anorectal function in patients with anorectal malformations (ARM) in order to facilitate patient counseling and follow-up.MethodsData were collected by the German network for urorectal malformations (CURE-Net) according to the International Krickenbeck consensus. Questionnaires on bowel function and a defecation protocol were completed by the families/patients. The clinical findings were assessed from the patients’ clinical records. Results: Two hundred and ninety-seven patients with ARM were assessed, 175 patients gave complete data on continence, 52 of them were excluded due to mental retardation, age, and earlier type of pullthrough. Complete continence was found in 27 %, perineal fistula in 40 %, rectourethral/vesical in 10 %, vestibular in 24 %, cloaca in 0 %. Krickenbeck grade 1 soiling: 42 %, grade 2 and 3: 31 %. Forty-nine percent of the incontinent patients practiced bowel management, reaching continence in 19 %. The statement of constipation (67 %) was validated with the last clinical findings, showing coprostasis in 46 %, “Not suffering constipation” was confirmed in 61 % and falsified in 29 %.ConclusionARM patients in Germany, as assessed by independent researchers, show a high rate of fecal incontinence and insufficiently treated constipation. Parents should be counseled accordingly and motivated to engage in consequent follow-up. Intensified efforts in the conservative treatment of constipation and fecal incontinence are crucial to improvement.
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matchkey_str	article:14379813:2012----::nxetdeutoaainieramnidpnetsesetfeaicnieci
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publishDate	2012
allfields	10.1007/s00383-012-3127-1 doi (DE-627)1575990784 (DE-576)505990784 (DE-599)BSZ505990784 (OCoLC)1341010563 DE-627 ger DE-627 rda eng Schmiedeke, Eberhard verfasserin (DE-588)1160547297 (DE-627)1023818841 (DE-576)505991209 aut Unexpected results of a nationwide, treatment-independent assessment of fecal incontinence in patients with anorectal anomalies Eberhard Schmiedeke, Nadine Zwink, Nicole Schwarzer, Enrika Bartels, Dominik Schmidt, Sabine Grasshoff-Derr, Stefan Holland-Cunz, Stuart Hosie, Karsten Jablonka, Stefanie Maerzheuser, Heiko Reutter, Christian Lorenz, Ekkehart Jenetzky 22 July 2012 6 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Gesehen am 05.06.2018 Purpose: To determine the anorectal function in patients with anorectal malformations (ARM) in order to facilitate patient counseling and follow-up.MethodsData were collected by the German network for urorectal malformations (CURE-Net) according to the International Krickenbeck consensus. Questionnaires on bowel function and a defecation protocol were completed by the families/patients. The clinical findings were assessed from the patients’ clinical records. Results: Two hundred and ninety-seven patients with ARM were assessed, 175 patients gave complete data on continence, 52 of them were excluded due to mental retardation, age, and earlier type of pullthrough. Complete continence was found in 27 %, perineal fistula in 40 %, rectourethral/vesical in 10 %, vestibular in 24 %, cloaca in 0 %. Krickenbeck grade 1 soiling: 42 %, grade 2 and 3: 31 %. Forty-nine percent of the incontinent patients practiced bowel management, reaching continence in 19 %. The statement of constipation (67 %) was validated with the last clinical findings, showing coprostasis in 46 %, “Not suffering constipation” was confirmed in 61 % and falsified in 29 %.ConclusionARM patients in Germany, as assessed by independent researchers, show a high rate of fecal incontinence and insufficiently treated constipation. Parents should be counseled accordingly and motivated to engage in consequent follow-up. Intensified efforts in the conservative treatment of constipation and fecal incontinence are crucial to improvement. Zwink, Nadine 1983- verfasserin (DE-588)1032032529 (DE-627)737846658 (DE-576)379777592 aut Holland-Cunz, Stefan verfasserin (DE-588)1032370440 (DE-627)73838397X (DE-576)171623428 aut Jenetzky, Ekkehart 1972- verfasserin (DE-588)129730637 (DE-627)569704634 (DE-576)297808249 aut Enthalten in Pediatric surgery international Berlin : Springer, 1986 28(2012), 8, Seite 825-830 Online-Ressource (DE-627)254638937 (DE-600)1463010-2 (DE-576)074531700 1437-9813 nnns volume:28 year:2012 number:8 pages:825-830 extent:6 http://dx.doi.org/10.1007/s00383-012-3127-1 Verlag Resolving-System Volltext https://link.springer.com/article/10.1007/s00383-012-3127-1 Verlag Volltext GBV_USEFLAG_U GBV_ILN_2013 ISIL_DE-16-250 SYSFLAG_1 GBV_KXP GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 28 2012 8 825-830 6 2013 01 DE-16-250 301152114X 00 --%%-- --%%-- --%%-- --%%-- l01 05-06-18 2013 01 DE-16-250 00 s hd2012 2013 01 DE-16-250 01 s (DE-627)1410508463 wissenschaftlicher Artikel (Zeitschrift) 2013 01 DE-16-250 02 s per_13 2013 01 DE-16-250 03 s s_6 2013 01 DE-16-250 04 p (DE-627)149568072X Zwink, Nadine 2013 01 DE-16-250 04 k (DE-627)1416466967 Medizinische Fakultät Heidelberg 2013 01 DE-16-250 04 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 04 s pos_2 2013 01 DE-16-250 05 p (DE-627)1450001181 Holland-Cunz, Stefan 2013 01 DE-16-250 05 k (DE-627)1416740848 Chirurgische Universitätsklinik 2013 01 DE-16-250 05 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 05 s pos_7 2013 01 DE-16-250 06 p (DE-627)1435625617 Jenetzky, Ekkehart 2013 01 DE-16-250 06 k (DE-627)1416466967 Medizinische Fakultät Heidelberg 2013 01 DE-16-250 06 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 06 s pos_13
spelling	10.1007/s00383-012-3127-1 doi (DE-627)1575990784 (DE-576)505990784 (DE-599)BSZ505990784 (OCoLC)1341010563 DE-627 ger DE-627 rda eng Schmiedeke, Eberhard verfasserin (DE-588)1160547297 (DE-627)1023818841 (DE-576)505991209 aut Unexpected results of a nationwide, treatment-independent assessment of fecal incontinence in patients with anorectal anomalies Eberhard Schmiedeke, Nadine Zwink, Nicole Schwarzer, Enrika Bartels, Dominik Schmidt, Sabine Grasshoff-Derr, Stefan Holland-Cunz, Stuart Hosie, Karsten Jablonka, Stefanie Maerzheuser, Heiko Reutter, Christian Lorenz, Ekkehart Jenetzky 22 July 2012 6 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Gesehen am 05.06.2018 Purpose: To determine the anorectal function in patients with anorectal malformations (ARM) in order to facilitate patient counseling and follow-up.MethodsData were collected by the German network for urorectal malformations (CURE-Net) according to the International Krickenbeck consensus. Questionnaires on bowel function and a defecation protocol were completed by the families/patients. The clinical findings were assessed from the patients’ clinical records. Results: Two hundred and ninety-seven patients with ARM were assessed, 175 patients gave complete data on continence, 52 of them were excluded due to mental retardation, age, and earlier type of pullthrough. Complete continence was found in 27 %, perineal fistula in 40 %, rectourethral/vesical in 10 %, vestibular in 24 %, cloaca in 0 %. Krickenbeck grade 1 soiling: 42 %, grade 2 and 3: 31 %. Forty-nine percent of the incontinent patients practiced bowel management, reaching continence in 19 %. The statement of constipation (67 %) was validated with the last clinical findings, showing coprostasis in 46 %, “Not suffering constipation” was confirmed in 61 % and falsified in 29 %.ConclusionARM patients in Germany, as assessed by independent researchers, show a high rate of fecal incontinence and insufficiently treated constipation. Parents should be counseled accordingly and motivated to engage in consequent follow-up. Intensified efforts in the conservative treatment of constipation and fecal incontinence are crucial to improvement. Zwink, Nadine 1983- verfasserin (DE-588)1032032529 (DE-627)737846658 (DE-576)379777592 aut Holland-Cunz, Stefan verfasserin (DE-588)1032370440 (DE-627)73838397X (DE-576)171623428 aut Jenetzky, Ekkehart 1972- verfasserin (DE-588)129730637 (DE-627)569704634 (DE-576)297808249 aut Enthalten in Pediatric surgery international Berlin : Springer, 1986 28(2012), 8, Seite 825-830 Online-Ressource (DE-627)254638937 (DE-600)1463010-2 (DE-576)074531700 1437-9813 nnns volume:28 year:2012 number:8 pages:825-830 extent:6 http://dx.doi.org/10.1007/s00383-012-3127-1 Verlag Resolving-System Volltext https://link.springer.com/article/10.1007/s00383-012-3127-1 Verlag Volltext GBV_USEFLAG_U GBV_ILN_2013 ISIL_DE-16-250 SYSFLAG_1 GBV_KXP GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 28 2012 8 825-830 6 2013 01 DE-16-250 301152114X 00 --%%-- --%%-- --%%-- --%%-- l01 05-06-18 2013 01 DE-16-250 00 s hd2012 2013 01 DE-16-250 01 s (DE-627)1410508463 wissenschaftlicher Artikel (Zeitschrift) 2013 01 DE-16-250 02 s per_13 2013 01 DE-16-250 03 s s_6 2013 01 DE-16-250 04 p (DE-627)149568072X Zwink, Nadine 2013 01 DE-16-250 04 k (DE-627)1416466967 Medizinische Fakultät Heidelberg 2013 01 DE-16-250 04 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 04 s pos_2 2013 01 DE-16-250 05 p (DE-627)1450001181 Holland-Cunz, Stefan 2013 01 DE-16-250 05 k (DE-627)1416740848 Chirurgische Universitätsklinik 2013 01 DE-16-250 05 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 05 s pos_7 2013 01 DE-16-250 06 p (DE-627)1435625617 Jenetzky, Ekkehart 2013 01 DE-16-250 06 k (DE-627)1416466967 Medizinische Fakultät Heidelberg 2013 01 DE-16-250 06 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 06 s pos_13
allfields_unstemmed	10.1007/s00383-012-3127-1 doi (DE-627)1575990784 (DE-576)505990784 (DE-599)BSZ505990784 (OCoLC)1341010563 DE-627 ger DE-627 rda eng Schmiedeke, Eberhard verfasserin (DE-588)1160547297 (DE-627)1023818841 (DE-576)505991209 aut Unexpected results of a nationwide, treatment-independent assessment of fecal incontinence in patients with anorectal anomalies Eberhard Schmiedeke, Nadine Zwink, Nicole Schwarzer, Enrika Bartels, Dominik Schmidt, Sabine Grasshoff-Derr, Stefan Holland-Cunz, Stuart Hosie, Karsten Jablonka, Stefanie Maerzheuser, Heiko Reutter, Christian Lorenz, Ekkehart Jenetzky 22 July 2012 6 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Gesehen am 05.06.2018 Purpose: To determine the anorectal function in patients with anorectal malformations (ARM) in order to facilitate patient counseling and follow-up.MethodsData were collected by the German network for urorectal malformations (CURE-Net) according to the International Krickenbeck consensus. Questionnaires on bowel function and a defecation protocol were completed by the families/patients. The clinical findings were assessed from the patients’ clinical records. Results: Two hundred and ninety-seven patients with ARM were assessed, 175 patients gave complete data on continence, 52 of them were excluded due to mental retardation, age, and earlier type of pullthrough. Complete continence was found in 27 %, perineal fistula in 40 %, rectourethral/vesical in 10 %, vestibular in 24 %, cloaca in 0 %. Krickenbeck grade 1 soiling: 42 %, grade 2 and 3: 31 %. Forty-nine percent of the incontinent patients practiced bowel management, reaching continence in 19 %. The statement of constipation (67 %) was validated with the last clinical findings, showing coprostasis in 46 %, “Not suffering constipation” was confirmed in 61 % and falsified in 29 %.ConclusionARM patients in Germany, as assessed by independent researchers, show a high rate of fecal incontinence and insufficiently treated constipation. Parents should be counseled accordingly and motivated to engage in consequent follow-up. Intensified efforts in the conservative treatment of constipation and fecal incontinence are crucial to improvement. Zwink, Nadine 1983- verfasserin (DE-588)1032032529 (DE-627)737846658 (DE-576)379777592 aut Holland-Cunz, Stefan verfasserin (DE-588)1032370440 (DE-627)73838397X (DE-576)171623428 aut Jenetzky, Ekkehart 1972- verfasserin (DE-588)129730637 (DE-627)569704634 (DE-576)297808249 aut Enthalten in Pediatric surgery international Berlin : Springer, 1986 28(2012), 8, Seite 825-830 Online-Ressource (DE-627)254638937 (DE-600)1463010-2 (DE-576)074531700 1437-9813 nnns volume:28 year:2012 number:8 pages:825-830 extent:6 http://dx.doi.org/10.1007/s00383-012-3127-1 Verlag Resolving-System Volltext https://link.springer.com/article/10.1007/s00383-012-3127-1 Verlag Volltext GBV_USEFLAG_U GBV_ILN_2013 ISIL_DE-16-250 SYSFLAG_1 GBV_KXP GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 28 2012 8 825-830 6 2013 01 DE-16-250 301152114X 00 --%%-- --%%-- --%%-- --%%-- l01 05-06-18 2013 01 DE-16-250 00 s hd2012 2013 01 DE-16-250 01 s (DE-627)1410508463 wissenschaftlicher Artikel (Zeitschrift) 2013 01 DE-16-250 02 s per_13 2013 01 DE-16-250 03 s s_6 2013 01 DE-16-250 04 p (DE-627)149568072X Zwink, Nadine 2013 01 DE-16-250 04 k (DE-627)1416466967 Medizinische Fakultät Heidelberg 2013 01 DE-16-250 04 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 04 s pos_2 2013 01 DE-16-250 05 p (DE-627)1450001181 Holland-Cunz, Stefan 2013 01 DE-16-250 05 k (DE-627)1416740848 Chirurgische Universitätsklinik 2013 01 DE-16-250 05 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 05 s pos_7 2013 01 DE-16-250 06 p (DE-627)1435625617 Jenetzky, Ekkehart 2013 01 DE-16-250 06 k (DE-627)1416466967 Medizinische Fakultät Heidelberg 2013 01 DE-16-250 06 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 06 s pos_13
allfieldsGer	10.1007/s00383-012-3127-1 doi (DE-627)1575990784 (DE-576)505990784 (DE-599)BSZ505990784 (OCoLC)1341010563 DE-627 ger DE-627 rda eng Schmiedeke, Eberhard verfasserin (DE-588)1160547297 (DE-627)1023818841 (DE-576)505991209 aut Unexpected results of a nationwide, treatment-independent assessment of fecal incontinence in patients with anorectal anomalies Eberhard Schmiedeke, Nadine Zwink, Nicole Schwarzer, Enrika Bartels, Dominik Schmidt, Sabine Grasshoff-Derr, Stefan Holland-Cunz, Stuart Hosie, Karsten Jablonka, Stefanie Maerzheuser, Heiko Reutter, Christian Lorenz, Ekkehart Jenetzky 22 July 2012 6 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Gesehen am 05.06.2018 Purpose: To determine the anorectal function in patients with anorectal malformations (ARM) in order to facilitate patient counseling and follow-up.MethodsData were collected by the German network for urorectal malformations (CURE-Net) according to the International Krickenbeck consensus. Questionnaires on bowel function and a defecation protocol were completed by the families/patients. The clinical findings were assessed from the patients’ clinical records. Results: Two hundred and ninety-seven patients with ARM were assessed, 175 patients gave complete data on continence, 52 of them were excluded due to mental retardation, age, and earlier type of pullthrough. Complete continence was found in 27 %, perineal fistula in 40 %, rectourethral/vesical in 10 %, vestibular in 24 %, cloaca in 0 %. Krickenbeck grade 1 soiling: 42 %, grade 2 and 3: 31 %. Forty-nine percent of the incontinent patients practiced bowel management, reaching continence in 19 %. The statement of constipation (67 %) was validated with the last clinical findings, showing coprostasis in 46 %, “Not suffering constipation” was confirmed in 61 % and falsified in 29 %.ConclusionARM patients in Germany, as assessed by independent researchers, show a high rate of fecal incontinence and insufficiently treated constipation. Parents should be counseled accordingly and motivated to engage in consequent follow-up. Intensified efforts in the conservative treatment of constipation and fecal incontinence are crucial to improvement. Zwink, Nadine 1983- verfasserin (DE-588)1032032529 (DE-627)737846658 (DE-576)379777592 aut Holland-Cunz, Stefan verfasserin (DE-588)1032370440 (DE-627)73838397X (DE-576)171623428 aut Jenetzky, Ekkehart 1972- verfasserin (DE-588)129730637 (DE-627)569704634 (DE-576)297808249 aut Enthalten in Pediatric surgery international Berlin : Springer, 1986 28(2012), 8, Seite 825-830 Online-Ressource (DE-627)254638937 (DE-600)1463010-2 (DE-576)074531700 1437-9813 nnns volume:28 year:2012 number:8 pages:825-830 extent:6 http://dx.doi.org/10.1007/s00383-012-3127-1 Verlag Resolving-System Volltext https://link.springer.com/article/10.1007/s00383-012-3127-1 Verlag Volltext GBV_USEFLAG_U GBV_ILN_2013 ISIL_DE-16-250 SYSFLAG_1 GBV_KXP GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 28 2012 8 825-830 6 2013 01 DE-16-250 301152114X 00 --%%-- --%%-- --%%-- --%%-- l01 05-06-18 2013 01 DE-16-250 00 s hd2012 2013 01 DE-16-250 01 s (DE-627)1410508463 wissenschaftlicher Artikel (Zeitschrift) 2013 01 DE-16-250 02 s per_13 2013 01 DE-16-250 03 s s_6 2013 01 DE-16-250 04 p (DE-627)149568072X Zwink, Nadine 2013 01 DE-16-250 04 k (DE-627)1416466967 Medizinische Fakultät Heidelberg 2013 01 DE-16-250 04 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 04 s pos_2 2013 01 DE-16-250 05 p (DE-627)1450001181 Holland-Cunz, Stefan 2013 01 DE-16-250 05 k (DE-627)1416740848 Chirurgische Universitätsklinik 2013 01 DE-16-250 05 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 05 s pos_7 2013 01 DE-16-250 06 p (DE-627)1435625617 Jenetzky, Ekkehart 2013 01 DE-16-250 06 k (DE-627)1416466967 Medizinische Fakultät Heidelberg 2013 01 DE-16-250 06 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 06 s pos_13
allfieldsSound	10.1007/s00383-012-3127-1 doi (DE-627)1575990784 (DE-576)505990784 (DE-599)BSZ505990784 (OCoLC)1341010563 DE-627 ger DE-627 rda eng Schmiedeke, Eberhard verfasserin (DE-588)1160547297 (DE-627)1023818841 (DE-576)505991209 aut Unexpected results of a nationwide, treatment-independent assessment of fecal incontinence in patients with anorectal anomalies Eberhard Schmiedeke, Nadine Zwink, Nicole Schwarzer, Enrika Bartels, Dominik Schmidt, Sabine Grasshoff-Derr, Stefan Holland-Cunz, Stuart Hosie, Karsten Jablonka, Stefanie Maerzheuser, Heiko Reutter, Christian Lorenz, Ekkehart Jenetzky 22 July 2012 6 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Gesehen am 05.06.2018 Purpose: To determine the anorectal function in patients with anorectal malformations (ARM) in order to facilitate patient counseling and follow-up.MethodsData were collected by the German network for urorectal malformations (CURE-Net) according to the International Krickenbeck consensus. Questionnaires on bowel function and a defecation protocol were completed by the families/patients. The clinical findings were assessed from the patients’ clinical records. Results: Two hundred and ninety-seven patients with ARM were assessed, 175 patients gave complete data on continence, 52 of them were excluded due to mental retardation, age, and earlier type of pullthrough. Complete continence was found in 27 %, perineal fistula in 40 %, rectourethral/vesical in 10 %, vestibular in 24 %, cloaca in 0 %. Krickenbeck grade 1 soiling: 42 %, grade 2 and 3: 31 %. Forty-nine percent of the incontinent patients practiced bowel management, reaching continence in 19 %. The statement of constipation (67 %) was validated with the last clinical findings, showing coprostasis in 46 %, “Not suffering constipation” was confirmed in 61 % and falsified in 29 %.ConclusionARM patients in Germany, as assessed by independent researchers, show a high rate of fecal incontinence and insufficiently treated constipation. Parents should be counseled accordingly and motivated to engage in consequent follow-up. Intensified efforts in the conservative treatment of constipation and fecal incontinence are crucial to improvement. Zwink, Nadine 1983- verfasserin (DE-588)1032032529 (DE-627)737846658 (DE-576)379777592 aut Holland-Cunz, Stefan verfasserin (DE-588)1032370440 (DE-627)73838397X (DE-576)171623428 aut Jenetzky, Ekkehart 1972- verfasserin (DE-588)129730637 (DE-627)569704634 (DE-576)297808249 aut Enthalten in Pediatric surgery international Berlin : Springer, 1986 28(2012), 8, Seite 825-830 Online-Ressource (DE-627)254638937 (DE-600)1463010-2 (DE-576)074531700 1437-9813 nnns volume:28 year:2012 number:8 pages:825-830 extent:6 http://dx.doi.org/10.1007/s00383-012-3127-1 Verlag Resolving-System Volltext https://link.springer.com/article/10.1007/s00383-012-3127-1 Verlag Volltext GBV_USEFLAG_U GBV_ILN_2013 ISIL_DE-16-250 SYSFLAG_1 GBV_KXP GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 28 2012 8 825-830 6 2013 01 DE-16-250 301152114X 00 --%%-- --%%-- --%%-- --%%-- l01 05-06-18 2013 01 DE-16-250 00 s hd2012 2013 01 DE-16-250 01 s (DE-627)1410508463 wissenschaftlicher Artikel (Zeitschrift) 2013 01 DE-16-250 02 s per_13 2013 01 DE-16-250 03 s s_6 2013 01 DE-16-250 04 p (DE-627)149568072X Zwink, Nadine 2013 01 DE-16-250 04 k (DE-627)1416466967 Medizinische Fakultät Heidelberg 2013 01 DE-16-250 04 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 04 s pos_2 2013 01 DE-16-250 05 p (DE-627)1450001181 Holland-Cunz, Stefan 2013 01 DE-16-250 05 k (DE-627)1416740848 Chirurgische Universitätsklinik 2013 01 DE-16-250 05 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 05 s pos_7 2013 01 DE-16-250 06 p (DE-627)1435625617 Jenetzky, Ekkehart 2013 01 DE-16-250 06 k (DE-627)1416466967 Medizinische Fakultät Heidelberg 2013 01 DE-16-250 06 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 06 s pos_13
language	English
source	Enthalten in Pediatric surgery international 28(2012), 8, Seite 825-830 volume:28 year:2012 number:8 pages:825-830 extent:6
sourceStr	Enthalten in Pediatric surgery international 28(2012), 8, Seite 825-830 volume:28 year:2012 number:8 pages:825-830 extent:6
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container_title	Pediatric surgery international
authorswithroles_txt_mv	Schmiedeke, Eberhard @@aut@@ Zwink, Nadine @@aut@@ Holland-Cunz, Stefan @@aut@@ Jenetzky, Ekkehart @@aut@@
publishDateDaySort_date	2012-01-01T00:00:00Z
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fullrecord	<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a2200265 4500</leader><controlfield tag="001">1575990784</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20220814153242.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">180605s2012 xx \|\|\|\|\|o 00\| \|\|eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1007/s00383-012-3127-1</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)1575990784</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-576)505990784</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)BSZ505990784</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(OCoLC)1341010563</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rda</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="100" ind1="1" ind2=" "><subfield code="a">Schmiedeke, Eberhard</subfield><subfield code="e">verfasserin</subfield><subfield code="0">(DE-588)1160547297</subfield><subfield code="0">(DE-627)1023818841</subfield><subfield code="0">(DE-576)505991209</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Unexpected results of a nationwide, treatment-independent assessment of fecal incontinence in patients with anorectal anomalies</subfield><subfield code="c">Eberhard Schmiedeke, Nadine Zwink, Nicole Schwarzer, Enrika Bartels, Dominik Schmidt, Sabine Grasshoff-Derr, Stefan Holland-Cunz, Stuart Hosie, Karsten Jablonka, Stefanie Maerzheuser, Heiko Reutter, Christian Lorenz, Ekkehart Jenetzky</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">22 July 2012</subfield></datafield><datafield tag="300" ind1=" " ind2=" "><subfield code="a">6</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="500" ind1=" " ind2=" "><subfield code="a">Gesehen am 05.06.2018</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Purpose: To determine the anorectal function in patients with anorectal malformations (ARM) in order to facilitate patient counseling and follow-up.MethodsData were collected by the German network for urorectal malformations (CURE-Net) according to the International Krickenbeck consensus. Questionnaires on bowel function and a defecation protocol were completed by the families/patients. The clinical findings were assessed from the patients’ clinical records. Results: Two hundred and ninety-seven patients with ARM were assessed, 175 patients gave complete data on continence, 52 of them were excluded due to mental retardation, age, and earlier type of pullthrough. Complete continence was found in 27 %, perineal fistula in 40 %, rectourethral/vesical in 10 %, vestibular in 24 %, cloaca in 0 %. Krickenbeck grade 1 soiling: 42 %, grade 2 and 3: 31 %. Forty-nine percent of the incontinent patients practiced bowel management, reaching continence in 19 %. The statement of constipation (67 %) was validated with the last clinical findings, showing coprostasis in 46 %, “Not suffering constipation” was confirmed in 61 % and falsified in 29 %.ConclusionARM patients in Germany, as assessed by independent researchers, show a high rate of fecal incontinence and insufficiently treated constipation. Parents should be counseled accordingly and motivated to engage in consequent follow-up. Intensified efforts in the conservative treatment of constipation and fecal incontinence are crucial to improvement.</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Zwink, Nadine</subfield><subfield code="d">1983-</subfield><subfield code="e">verfasserin</subfield><subfield code="0">(DE-588)1032032529</subfield><subfield code="0">(DE-627)737846658</subfield><subfield code="0">(DE-576)379777592</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Holland-Cunz, Stefan</subfield><subfield code="e">verfasserin</subfield><subfield code="0">(DE-588)1032370440</subfield><subfield code="0">(DE-627)73838397X</subfield><subfield code="0">(DE-576)171623428</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Jenetzky, Ekkehart</subfield><subfield code="d">1972-</subfield><subfield code="e">verfasserin</subfield><subfield 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title	Unexpected results of a nationwide, treatment-independent assessment of fecal incontinence in patients with anorectal anomalies
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title_full	Unexpected results of a nationwide, treatment-independent assessment of fecal incontinence in patients with anorectal anomalies Eberhard Schmiedeke, Nadine Zwink, Nicole Schwarzer, Enrika Bartels, Dominik Schmidt, Sabine Grasshoff-Derr, Stefan Holland-Cunz, Stuart Hosie, Karsten Jablonka, Stefanie Maerzheuser, Heiko Reutter, Christian Lorenz, Ekkehart Jenetzky
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title_sort	unexpected results of a nationwide, treatment-independent assessment of fecal incontinence in patients with anorectal anomalies
title_auth	Unexpected results of a nationwide, treatment-independent assessment of fecal incontinence in patients with anorectal anomalies
abstract	Purpose: To determine the anorectal function in patients with anorectal malformations (ARM) in order to facilitate patient counseling and follow-up.MethodsData were collected by the German network for urorectal malformations (CURE-Net) according to the International Krickenbeck consensus. Questionnaires on bowel function and a defecation protocol were completed by the families/patients. The clinical findings were assessed from the patients’ clinical records. Results: Two hundred and ninety-seven patients with ARM were assessed, 175 patients gave complete data on continence, 52 of them were excluded due to mental retardation, age, and earlier type of pullthrough. Complete continence was found in 27 %, perineal fistula in 40 %, rectourethral/vesical in 10 %, vestibular in 24 %, cloaca in 0 %. Krickenbeck grade 1 soiling: 42 %, grade 2 and 3: 31 %. Forty-nine percent of the incontinent patients practiced bowel management, reaching continence in 19 %. The statement of constipation (67 %) was validated with the last clinical findings, showing coprostasis in 46 %, “Not suffering constipation” was confirmed in 61 % and falsified in 29 %.ConclusionARM patients in Germany, as assessed by independent researchers, show a high rate of fecal incontinence and insufficiently treated constipation. Parents should be counseled accordingly and motivated to engage in consequent follow-up. Intensified efforts in the conservative treatment of constipation and fecal incontinence are crucial to improvement. Gesehen am 05.06.2018
abstractGer	Purpose: To determine the anorectal function in patients with anorectal malformations (ARM) in order to facilitate patient counseling and follow-up.MethodsData were collected by the German network for urorectal malformations (CURE-Net) according to the International Krickenbeck consensus. Questionnaires on bowel function and a defecation protocol were completed by the families/patients. The clinical findings were assessed from the patients’ clinical records. Results: Two hundred and ninety-seven patients with ARM were assessed, 175 patients gave complete data on continence, 52 of them were excluded due to mental retardation, age, and earlier type of pullthrough. Complete continence was found in 27 %, perineal fistula in 40 %, rectourethral/vesical in 10 %, vestibular in 24 %, cloaca in 0 %. Krickenbeck grade 1 soiling: 42 %, grade 2 and 3: 31 %. Forty-nine percent of the incontinent patients practiced bowel management, reaching continence in 19 %. The statement of constipation (67 %) was validated with the last clinical findings, showing coprostasis in 46 %, “Not suffering constipation” was confirmed in 61 % and falsified in 29 %.ConclusionARM patients in Germany, as assessed by independent researchers, show a high rate of fecal incontinence and insufficiently treated constipation. Parents should be counseled accordingly and motivated to engage in consequent follow-up. Intensified efforts in the conservative treatment of constipation and fecal incontinence are crucial to improvement. Gesehen am 05.06.2018
abstract_unstemmed	Purpose: To determine the anorectal function in patients with anorectal malformations (ARM) in order to facilitate patient counseling and follow-up.MethodsData were collected by the German network for urorectal malformations (CURE-Net) according to the International Krickenbeck consensus. Questionnaires on bowel function and a defecation protocol were completed by the families/patients. The clinical findings were assessed from the patients’ clinical records. Results: Two hundred and ninety-seven patients with ARM were assessed, 175 patients gave complete data on continence, 52 of them were excluded due to mental retardation, age, and earlier type of pullthrough. Complete continence was found in 27 %, perineal fistula in 40 %, rectourethral/vesical in 10 %, vestibular in 24 %, cloaca in 0 %. Krickenbeck grade 1 soiling: 42 %, grade 2 and 3: 31 %. Forty-nine percent of the incontinent patients practiced bowel management, reaching continence in 19 %. The statement of constipation (67 %) was validated with the last clinical findings, showing coprostasis in 46 %, “Not suffering constipation” was confirmed in 61 % and falsified in 29 %.ConclusionARM patients in Germany, as assessed by independent researchers, show a high rate of fecal incontinence and insufficiently treated constipation. Parents should be counseled accordingly and motivated to engage in consequent follow-up. Intensified efforts in the conservative treatment of constipation and fecal incontinence are crucial to improvement. Gesehen am 05.06.2018
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container_issue	8
title_short	Unexpected results of a nationwide, treatment-independent assessment of fecal incontinence in patients with anorectal anomalies
url	http://dx.doi.org/10.1007/s00383-012-3127-1 https://link.springer.com/article/10.1007/s00383-012-3127-1
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author2	Zwink, Nadine 1983- Holland-Cunz, Stefan Jenetzky, Ekkehart 1972-
author2Str	Zwink, Nadine 1983- Holland-Cunz, Stefan Jenetzky, Ekkehart 1972-
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GND_str_mv	Schmiedeke, Eberhard Zwink, Nadine Cunz, Stefan Holland- Holland-Cunz, S. Holland-Cunz, Stefan Gerhard Holland-Cunz, Stefan Jenetzky, E. Jenetzky, Ekkehardt Jenetzky, Ekkehart
GND_txt_mv	Schmiedeke, Eberhard Zwink, Nadine Cunz, Stefan Holland- Holland-Cunz, S. Holland-Cunz, Stefan Gerhard Holland-Cunz, Stefan Jenetzky, E. Jenetzky, Ekkehardt Jenetzky, Ekkehart
GND_txtF_mv	Schmiedeke, Eberhard Zwink, Nadine Cunz, Stefan Holland- Holland-Cunz, S. Holland-Cunz, Stefan Gerhard Holland-Cunz, Stefan Jenetzky, E. Jenetzky, Ekkehardt Jenetzky, Ekkehart
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doi_str	10.1007/s00383-012-3127-1
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up_date	2024-07-04T23:59:13.945Z
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Questionnaires on bowel function and a defecation protocol were completed by the families/patients. The clinical findings were assessed from the patients’ clinical records. Results: Two hundred and ninety-seven patients with ARM were assessed, 175 patients gave complete data on continence, 52 of them were excluded due to mental retardation, age, and earlier type of pullthrough. Complete continence was found in 27 %, perineal fistula in 40 %, rectourethral/vesical in 10 %, vestibular in 24 %, cloaca in 0 %. Krickenbeck grade 1 soiling: 42 %, grade 2 and 3: 31 %. Forty-nine percent of the incontinent patients practiced bowel management, reaching continence in 19 %. The statement of constipation (67 %) was validated with the last clinical findings, showing coprostasis in 46 %, “Not suffering constipation” was confirmed in 61 % and falsified in 29 %.ConclusionARM patients in Germany, as assessed by independent researchers, show a high rate of fecal incontinence and insufficiently treated constipation. Parents should be counseled accordingly and motivated to engage in consequent follow-up. 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Unexpected results of a nationwide, treatment-independent assessment of fecal incontinence in patients with anorectal anomalies

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