Practice of dilatation after surgical correction in anorectal malformations
Background In order to prevent stricture of the neoanus after surgical correction, regular dilatation is recommended. There is a lack of knowledge about the performance of anal dilatation and the occurrence of pain. The aim of our investigation was to describe the practice of dilatation and to ident...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Jenetzky, Ekkehart [verfasserIn] Reckin, S. [verfasserIn] Schmiedeke, E. [verfasserIn] Schmidt, D. [verfasserIn] Schwarzer, N. [verfasserIn] Grasshoff-Derr, S. [verfasserIn] Zwink, N. [verfasserIn] Bartels, E. [verfasserIn] Rißmann, A. [verfasserIn] Leonhardt, J. [verfasserIn] Weih, S. [verfasserIn] Obermayr, F. [verfasserIn] Rädecke, J. [verfasserIn] Palta, M. [verfasserIn] Kosch, F. [verfasserIn] Götz, G. [verfasserIn] Hofbauer, A. [verfasserIn] Schäfer, M. [verfasserIn] Reutter, H. [verfasserIn] Holland-Cunz, S. [verfasserIn] Märzheuser, S. [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2012 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
Enthalten in: Pediatric surgery international - Berlin : Springer, 1986, 28(2012), 11 vom: 23. Sept., Seite 1095-1099 |
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| Übergeordnetes Werk: |
volume:28 ; year:2012 ; number:11 ; day:23 ; month:09 ; pages:1095-1099 |
| Links: |
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| DOI / URN: |
10.1007/s00383-012-3169-4 |
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| Katalog-ID: |
SPR004717090 |
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| 245 | 1 | 0 | |a Practice of dilatation after surgical correction in anorectal malformations |
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| 520 | |a Background In order to prevent stricture of the neoanus after surgical correction, regular dilatation is recommended. There is a lack of knowledge about the performance of anal dilatation and the occurrence of pain. The aim of our investigation was to describe the practice of dilatation and to identify possible risk factors for painful procedures. Methods Congenital Uro-Rectal Malformations Network is a German interdisciplinary multicenter research network. With standard questionnaires, physicians interviewed 243 patients and/or their parents at home, additional 103 patients born since 2009 were assessed through their treating physicians. Results In total, 88 % of the patients received dilatations. Treatment lasted for 7 months in median (range 1–156 months), until the age of 13 months (range 1–171 months). In 69 % painful dilatation was reported; without a significant differences in age or gender. In 32 % bleeding was reported. In 30 % at least one dilatation was performed under general anesthesia. In 11 % some kind of analgesia was used. Type of fistula, dilatations lasting longer than 10 months and Hegar size above 15 were relevant factors for experience of pain. There were about 16 % postoperative strictures of the neoanus, without reported differences in dilatation procedures; but there was a relation to type of malformation. Conclusion Considering the high number of painful treatments, predictors for painful dilatations should be further clarified through standardized documentation and prospective evaluation in order to improve follow-up. | ||
| 650 | 4 | |a Anorectal malformation |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Invasive anal procedure |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Anal dilatation |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Follow-up |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Reckin, S. |e verfasserin |4 aut | |
| 700 | 1 | |a Schmiedeke, E. |e verfasserin |4 aut | |
| 700 | 1 | |a Schmidt, D. |e verfasserin |4 aut | |
| 700 | 1 | |a Schwarzer, N. |e verfasserin |4 aut | |
| 700 | 1 | |a Grasshoff-Derr, S. |e verfasserin |4 aut | |
| 700 | 1 | |a Zwink, N. |e verfasserin |4 aut | |
| 700 | 1 | |a Bartels, E. |e verfasserin |4 aut | |
| 700 | 1 | |a Rißmann, A. |e verfasserin |4 aut | |
| 700 | 1 | |a Leonhardt, J. |e verfasserin |4 aut | |
| 700 | 1 | |a Weih, S. |e verfasserin |4 aut | |
| 700 | 1 | |a Obermayr, F. |e verfasserin |4 aut | |
| 700 | 1 | |a Rädecke, J. |e verfasserin |4 aut | |
| 700 | 1 | |a Palta, M. |e verfasserin |4 aut | |
| 700 | 1 | |a Kosch, F. |e verfasserin |4 aut | |
| 700 | 1 | |a Götz, G. |e verfasserin |4 aut | |
| 700 | 1 | |a Hofbauer, A. |e verfasserin |4 aut | |
| 700 | 1 | |a Schäfer, M. |e verfasserin |4 aut | |
| 700 | 1 | |a Reutter, H. |e verfasserin |4 aut | |
| 700 | 1 | |a Holland-Cunz, S. |e verfasserin |4 aut | |
| 700 | 1 | |a Märzheuser, S. |e verfasserin |4 aut | |
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10.1007/s00383-012-3169-4 doi (DE-627)SPR004717090 (SPR)s00383-012-3169-4-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl 44.67 bkl Jenetzky, Ekkehart verfasserin aut Practice of dilatation after surgical correction in anorectal malformations 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background In order to prevent stricture of the neoanus after surgical correction, regular dilatation is recommended. There is a lack of knowledge about the performance of anal dilatation and the occurrence of pain. The aim of our investigation was to describe the practice of dilatation and to identify possible risk factors for painful procedures. Methods Congenital Uro-Rectal Malformations Network is a German interdisciplinary multicenter research network. With standard questionnaires, physicians interviewed 243 patients and/or their parents at home, additional 103 patients born since 2009 were assessed through their treating physicians. Results In total, 88 % of the patients received dilatations. Treatment lasted for 7 months in median (range 1–156 months), until the age of 13 months (range 1–171 months). In 69 % painful dilatation was reported; without a significant differences in age or gender. In 32 % bleeding was reported. In 30 % at least one dilatation was performed under general anesthesia. In 11 % some kind of analgesia was used. Type of fistula, dilatations lasting longer than 10 months and Hegar size above 15 were relevant factors for experience of pain. There were about 16 % postoperative strictures of the neoanus, without reported differences in dilatation procedures; but there was a relation to type of malformation. Conclusion Considering the high number of painful treatments, predictors for painful dilatations should be further clarified through standardized documentation and prospective evaluation in order to improve follow-up. Anorectal malformation (dpeaa)DE-He213 Invasive anal procedure (dpeaa)DE-He213 Anal dilatation (dpeaa)DE-He213 Follow-up (dpeaa)DE-He213 Reckin, S. verfasserin aut Schmiedeke, E. verfasserin aut Schmidt, D. verfasserin aut Schwarzer, N. verfasserin aut Grasshoff-Derr, S. verfasserin aut Zwink, N. verfasserin aut Bartels, E. verfasserin aut Rißmann, A. verfasserin aut Leonhardt, J. verfasserin aut Weih, S. verfasserin aut Obermayr, F. verfasserin aut Rädecke, J. verfasserin aut Palta, M. verfasserin aut Kosch, F. verfasserin aut Götz, G. verfasserin aut Hofbauer, A. verfasserin aut Schäfer, M. verfasserin aut Reutter, H. verfasserin aut Holland-Cunz, S. verfasserin aut Märzheuser, S. verfasserin aut Enthalten in Pediatric surgery international Berlin : Springer, 1986 28(2012), 11 vom: 23. Sept., Seite 1095-1099 (DE-627)254638937 (DE-600)1463010-2 1437-9813 nnns volume:28 year:2012 number:11 day:23 month:09 pages:1095-1099 https://dx.doi.org/10.1007/s00383-012-3169-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA 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 44.65 ASE 44.67 ASE AR 28 2012 11 23 09 1095-1099 |
| spelling |
10.1007/s00383-012-3169-4 doi (DE-627)SPR004717090 (SPR)s00383-012-3169-4-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl 44.67 bkl Jenetzky, Ekkehart verfasserin aut Practice of dilatation after surgical correction in anorectal malformations 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background In order to prevent stricture of the neoanus after surgical correction, regular dilatation is recommended. There is a lack of knowledge about the performance of anal dilatation and the occurrence of pain. The aim of our investigation was to describe the practice of dilatation and to identify possible risk factors for painful procedures. Methods Congenital Uro-Rectal Malformations Network is a German interdisciplinary multicenter research network. With standard questionnaires, physicians interviewed 243 patients and/or their parents at home, additional 103 patients born since 2009 were assessed through their treating physicians. Results In total, 88 % of the patients received dilatations. Treatment lasted for 7 months in median (range 1–156 months), until the age of 13 months (range 1–171 months). In 69 % painful dilatation was reported; without a significant differences in age or gender. In 32 % bleeding was reported. In 30 % at least one dilatation was performed under general anesthesia. In 11 % some kind of analgesia was used. Type of fistula, dilatations lasting longer than 10 months and Hegar size above 15 were relevant factors for experience of pain. There were about 16 % postoperative strictures of the neoanus, without reported differences in dilatation procedures; but there was a relation to type of malformation. Conclusion Considering the high number of painful treatments, predictors for painful dilatations should be further clarified through standardized documentation and prospective evaluation in order to improve follow-up. Anorectal malformation (dpeaa)DE-He213 Invasive anal procedure (dpeaa)DE-He213 Anal dilatation (dpeaa)DE-He213 Follow-up (dpeaa)DE-He213 Reckin, S. verfasserin aut Schmiedeke, E. verfasserin aut Schmidt, D. verfasserin aut Schwarzer, N. verfasserin aut Grasshoff-Derr, S. verfasserin aut Zwink, N. verfasserin aut Bartels, E. verfasserin aut Rißmann, A. verfasserin aut Leonhardt, J. verfasserin aut Weih, S. verfasserin aut Obermayr, F. verfasserin aut Rädecke, J. verfasserin aut Palta, M. verfasserin aut Kosch, F. verfasserin aut Götz, G. verfasserin aut Hofbauer, A. verfasserin aut Schäfer, M. verfasserin aut Reutter, H. verfasserin aut Holland-Cunz, S. verfasserin aut Märzheuser, S. verfasserin aut Enthalten in Pediatric surgery international Berlin : Springer, 1986 28(2012), 11 vom: 23. Sept., Seite 1095-1099 (DE-627)254638937 (DE-600)1463010-2 1437-9813 nnns volume:28 year:2012 number:11 day:23 month:09 pages:1095-1099 https://dx.doi.org/10.1007/s00383-012-3169-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA 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 44.65 ASE 44.67 ASE AR 28 2012 11 23 09 1095-1099 |
| allfields_unstemmed |
10.1007/s00383-012-3169-4 doi (DE-627)SPR004717090 (SPR)s00383-012-3169-4-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl 44.67 bkl Jenetzky, Ekkehart verfasserin aut Practice of dilatation after surgical correction in anorectal malformations 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background In order to prevent stricture of the neoanus after surgical correction, regular dilatation is recommended. There is a lack of knowledge about the performance of anal dilatation and the occurrence of pain. The aim of our investigation was to describe the practice of dilatation and to identify possible risk factors for painful procedures. Methods Congenital Uro-Rectal Malformations Network is a German interdisciplinary multicenter research network. With standard questionnaires, physicians interviewed 243 patients and/or their parents at home, additional 103 patients born since 2009 were assessed through their treating physicians. Results In total, 88 % of the patients received dilatations. Treatment lasted for 7 months in median (range 1–156 months), until the age of 13 months (range 1–171 months). In 69 % painful dilatation was reported; without a significant differences in age or gender. In 32 % bleeding was reported. In 30 % at least one dilatation was performed under general anesthesia. In 11 % some kind of analgesia was used. Type of fistula, dilatations lasting longer than 10 months and Hegar size above 15 were relevant factors for experience of pain. There were about 16 % postoperative strictures of the neoanus, without reported differences in dilatation procedures; but there was a relation to type of malformation. Conclusion Considering the high number of painful treatments, predictors for painful dilatations should be further clarified through standardized documentation and prospective evaluation in order to improve follow-up. Anorectal malformation (dpeaa)DE-He213 Invasive anal procedure (dpeaa)DE-He213 Anal dilatation (dpeaa)DE-He213 Follow-up (dpeaa)DE-He213 Reckin, S. verfasserin aut Schmiedeke, E. verfasserin aut Schmidt, D. verfasserin aut Schwarzer, N. verfasserin aut Grasshoff-Derr, S. verfasserin aut Zwink, N. verfasserin aut Bartels, E. verfasserin aut Rißmann, A. verfasserin aut Leonhardt, J. verfasserin aut Weih, S. verfasserin aut Obermayr, F. verfasserin aut Rädecke, J. verfasserin aut Palta, M. verfasserin aut Kosch, F. verfasserin aut Götz, G. verfasserin aut Hofbauer, A. verfasserin aut Schäfer, M. verfasserin aut Reutter, H. verfasserin aut Holland-Cunz, S. verfasserin aut Märzheuser, S. verfasserin aut Enthalten in Pediatric surgery international Berlin : Springer, 1986 28(2012), 11 vom: 23. Sept., Seite 1095-1099 (DE-627)254638937 (DE-600)1463010-2 1437-9813 nnns volume:28 year:2012 number:11 day:23 month:09 pages:1095-1099 https://dx.doi.org/10.1007/s00383-012-3169-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA 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 44.65 ASE 44.67 ASE AR 28 2012 11 23 09 1095-1099 |
| allfieldsGer |
10.1007/s00383-012-3169-4 doi (DE-627)SPR004717090 (SPR)s00383-012-3169-4-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl 44.67 bkl Jenetzky, Ekkehart verfasserin aut Practice of dilatation after surgical correction in anorectal malformations 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background In order to prevent stricture of the neoanus after surgical correction, regular dilatation is recommended. There is a lack of knowledge about the performance of anal dilatation and the occurrence of pain. The aim of our investigation was to describe the practice of dilatation and to identify possible risk factors for painful procedures. Methods Congenital Uro-Rectal Malformations Network is a German interdisciplinary multicenter research network. With standard questionnaires, physicians interviewed 243 patients and/or their parents at home, additional 103 patients born since 2009 were assessed through their treating physicians. Results In total, 88 % of the patients received dilatations. Treatment lasted for 7 months in median (range 1–156 months), until the age of 13 months (range 1–171 months). In 69 % painful dilatation was reported; without a significant differences in age or gender. In 32 % bleeding was reported. In 30 % at least one dilatation was performed under general anesthesia. In 11 % some kind of analgesia was used. Type of fistula, dilatations lasting longer than 10 months and Hegar size above 15 were relevant factors for experience of pain. There were about 16 % postoperative strictures of the neoanus, without reported differences in dilatation procedures; but there was a relation to type of malformation. Conclusion Considering the high number of painful treatments, predictors for painful dilatations should be further clarified through standardized documentation and prospective evaluation in order to improve follow-up. Anorectal malformation (dpeaa)DE-He213 Invasive anal procedure (dpeaa)DE-He213 Anal dilatation (dpeaa)DE-He213 Follow-up (dpeaa)DE-He213 Reckin, S. verfasserin aut Schmiedeke, E. verfasserin aut Schmidt, D. verfasserin aut Schwarzer, N. verfasserin aut Grasshoff-Derr, S. verfasserin aut Zwink, N. verfasserin aut Bartels, E. verfasserin aut Rißmann, A. verfasserin aut Leonhardt, J. verfasserin aut Weih, S. verfasserin aut Obermayr, F. verfasserin aut Rädecke, J. verfasserin aut Palta, M. verfasserin aut Kosch, F. verfasserin aut Götz, G. verfasserin aut Hofbauer, A. verfasserin aut Schäfer, M. verfasserin aut Reutter, H. verfasserin aut Holland-Cunz, S. verfasserin aut Märzheuser, S. verfasserin aut Enthalten in Pediatric surgery international Berlin : Springer, 1986 28(2012), 11 vom: 23. Sept., Seite 1095-1099 (DE-627)254638937 (DE-600)1463010-2 1437-9813 nnns volume:28 year:2012 number:11 day:23 month:09 pages:1095-1099 https://dx.doi.org/10.1007/s00383-012-3169-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA 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 44.65 ASE 44.67 ASE AR 28 2012 11 23 09 1095-1099 |
| allfieldsSound |
10.1007/s00383-012-3169-4 doi (DE-627)SPR004717090 (SPR)s00383-012-3169-4-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl 44.67 bkl Jenetzky, Ekkehart verfasserin aut Practice of dilatation after surgical correction in anorectal malformations 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background In order to prevent stricture of the neoanus after surgical correction, regular dilatation is recommended. There is a lack of knowledge about the performance of anal dilatation and the occurrence of pain. The aim of our investigation was to describe the practice of dilatation and to identify possible risk factors for painful procedures. Methods Congenital Uro-Rectal Malformations Network is a German interdisciplinary multicenter research network. With standard questionnaires, physicians interviewed 243 patients and/or their parents at home, additional 103 patients born since 2009 were assessed through their treating physicians. Results In total, 88 % of the patients received dilatations. Treatment lasted for 7 months in median (range 1–156 months), until the age of 13 months (range 1–171 months). In 69 % painful dilatation was reported; without a significant differences in age or gender. In 32 % bleeding was reported. In 30 % at least one dilatation was performed under general anesthesia. In 11 % some kind of analgesia was used. Type of fistula, dilatations lasting longer than 10 months and Hegar size above 15 were relevant factors for experience of pain. There were about 16 % postoperative strictures of the neoanus, without reported differences in dilatation procedures; but there was a relation to type of malformation. Conclusion Considering the high number of painful treatments, predictors for painful dilatations should be further clarified through standardized documentation and prospective evaluation in order to improve follow-up. Anorectal malformation (dpeaa)DE-He213 Invasive anal procedure (dpeaa)DE-He213 Anal dilatation (dpeaa)DE-He213 Follow-up (dpeaa)DE-He213 Reckin, S. verfasserin aut Schmiedeke, E. verfasserin aut Schmidt, D. verfasserin aut Schwarzer, N. verfasserin aut Grasshoff-Derr, S. verfasserin aut Zwink, N. verfasserin aut Bartels, E. verfasserin aut Rißmann, A. verfasserin aut Leonhardt, J. verfasserin aut Weih, S. verfasserin aut Obermayr, F. verfasserin aut Rädecke, J. verfasserin aut Palta, M. verfasserin aut Kosch, F. verfasserin aut Götz, G. verfasserin aut Hofbauer, A. verfasserin aut Schäfer, M. verfasserin aut Reutter, H. verfasserin aut Holland-Cunz, S. verfasserin aut Märzheuser, S. verfasserin aut Enthalten in Pediatric surgery international Berlin : Springer, 1986 28(2012), 11 vom: 23. Sept., Seite 1095-1099 (DE-627)254638937 (DE-600)1463010-2 1437-9813 nnns volume:28 year:2012 number:11 day:23 month:09 pages:1095-1099 https://dx.doi.org/10.1007/s00383-012-3169-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA 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 44.65 ASE 44.67 ASE AR 28 2012 11 23 09 1095-1099 |
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Enthalten in Pediatric surgery international 28(2012), 11 vom: 23. Sept., Seite 1095-1099 volume:28 year:2012 number:11 day:23 month:09 pages:1095-1099 |
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Jenetzky, Ekkehart @@aut@@ Reckin, S. @@aut@@ Schmiedeke, E. @@aut@@ Schmidt, D. @@aut@@ Schwarzer, N. @@aut@@ Grasshoff-Derr, S. @@aut@@ Zwink, N. @@aut@@ Bartels, E. @@aut@@ Rißmann, A. @@aut@@ Leonhardt, J. @@aut@@ Weih, S. @@aut@@ Obermayr, F. @@aut@@ Rädecke, J. @@aut@@ Palta, M. @@aut@@ Kosch, F. @@aut@@ Götz, G. @@aut@@ Hofbauer, A. @@aut@@ Schäfer, M. @@aut@@ Reutter, H. @@aut@@ Holland-Cunz, S. @@aut@@ Märzheuser, S. @@aut@@ |
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There is a lack of knowledge about the performance of anal dilatation and the occurrence of pain. The aim of our investigation was to describe the practice of dilatation and to identify possible risk factors for painful procedures. Methods Congenital Uro-Rectal Malformations Network is a German interdisciplinary multicenter research network. With standard questionnaires, physicians interviewed 243 patients and/or their parents at home, additional 103 patients born since 2009 were assessed through their treating physicians. Results In total, 88 % of the patients received dilatations. Treatment lasted for 7 months in median (range 1–156 months), until the age of 13 months (range 1–171 months). In 69 % painful dilatation was reported; without a significant differences in age or gender. In 32 % bleeding was reported. In 30 % at least one dilatation was performed under general anesthesia. In 11 % some kind of analgesia was used. Type of fistula, dilatations lasting longer than 10 months and Hegar size above 15 were relevant factors for experience of pain. There were about 16 % postoperative strictures of the neoanus, without reported differences in dilatation procedures; but there was a relation to type of malformation. 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|
| author |
Jenetzky, Ekkehart |
| spellingShingle |
Jenetzky, Ekkehart ddc 610 bkl 44.65 bkl 44.67 misc Anorectal malformation misc Invasive anal procedure misc Anal dilatation misc Follow-up Practice of dilatation after surgical correction in anorectal malformations |
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electronic Article |
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610 - Medicine & health |
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| issn |
1437-9813 |
| topic_title |
610 ASE 44.65 bkl 44.67 bkl Practice of dilatation after surgical correction in anorectal malformations Anorectal malformation (dpeaa)DE-He213 Invasive anal procedure (dpeaa)DE-He213 Anal dilatation (dpeaa)DE-He213 Follow-up (dpeaa)DE-He213 |
| topic |
ddc 610 bkl 44.65 bkl 44.67 misc Anorectal malformation misc Invasive anal procedure misc Anal dilatation misc Follow-up |
| topic_unstemmed |
ddc 610 bkl 44.65 bkl 44.67 misc Anorectal malformation misc Invasive anal procedure misc Anal dilatation misc Follow-up |
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ddc 610 bkl 44.65 bkl 44.67 misc Anorectal malformation misc Invasive anal procedure misc Anal dilatation misc Follow-up |
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Elektronische Aufsätze Aufsätze Elektronische Ressource |
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Pediatric surgery international |
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254638937 |
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610 - Medicine & health |
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Pediatric surgery international |
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Practice of dilatation after surgical correction in anorectal malformations |
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(DE-627)SPR004717090 (SPR)s00383-012-3169-4-e |
| title_full |
Practice of dilatation after surgical correction in anorectal malformations |
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Jenetzky, Ekkehart |
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Pediatric surgery international |
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Pediatric surgery international |
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eng |
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600 - Technology |
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2012 |
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Jenetzky, Ekkehart Reckin, S. Schmiedeke, E. Schmidt, D. Schwarzer, N. Grasshoff-Derr, S. Zwink, N. Bartels, E. Rißmann, A. Leonhardt, J. Weih, S. Obermayr, F. Rädecke, J. Palta, M. Kosch, F. Götz, G. Hofbauer, A. Schäfer, M. Reutter, H. Holland-Cunz, S. Märzheuser, S. |
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610 ASE 44.65 bkl 44.67 bkl |
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Jenetzky, Ekkehart |
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10.1007/s00383-012-3169-4 |
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610 |
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verfasserin |
| title_sort |
practice of dilatation after surgical correction in anorectal malformations |
| title_auth |
Practice of dilatation after surgical correction in anorectal malformations |
| abstract |
Background In order to prevent stricture of the neoanus after surgical correction, regular dilatation is recommended. There is a lack of knowledge about the performance of anal dilatation and the occurrence of pain. The aim of our investigation was to describe the practice of dilatation and to identify possible risk factors for painful procedures. Methods Congenital Uro-Rectal Malformations Network is a German interdisciplinary multicenter research network. With standard questionnaires, physicians interviewed 243 patients and/or their parents at home, additional 103 patients born since 2009 were assessed through their treating physicians. Results In total, 88 % of the patients received dilatations. Treatment lasted for 7 months in median (range 1–156 months), until the age of 13 months (range 1–171 months). In 69 % painful dilatation was reported; without a significant differences in age or gender. In 32 % bleeding was reported. In 30 % at least one dilatation was performed under general anesthesia. In 11 % some kind of analgesia was used. Type of fistula, dilatations lasting longer than 10 months and Hegar size above 15 were relevant factors for experience of pain. There were about 16 % postoperative strictures of the neoanus, without reported differences in dilatation procedures; but there was a relation to type of malformation. Conclusion Considering the high number of painful treatments, predictors for painful dilatations should be further clarified through standardized documentation and prospective evaluation in order to improve follow-up. |
| abstractGer |
Background In order to prevent stricture of the neoanus after surgical correction, regular dilatation is recommended. There is a lack of knowledge about the performance of anal dilatation and the occurrence of pain. The aim of our investigation was to describe the practice of dilatation and to identify possible risk factors for painful procedures. Methods Congenital Uro-Rectal Malformations Network is a German interdisciplinary multicenter research network. With standard questionnaires, physicians interviewed 243 patients and/or their parents at home, additional 103 patients born since 2009 were assessed through their treating physicians. Results In total, 88 % of the patients received dilatations. Treatment lasted for 7 months in median (range 1–156 months), until the age of 13 months (range 1–171 months). In 69 % painful dilatation was reported; without a significant differences in age or gender. In 32 % bleeding was reported. In 30 % at least one dilatation was performed under general anesthesia. In 11 % some kind of analgesia was used. Type of fistula, dilatations lasting longer than 10 months and Hegar size above 15 were relevant factors for experience of pain. There were about 16 % postoperative strictures of the neoanus, without reported differences in dilatation procedures; but there was a relation to type of malformation. Conclusion Considering the high number of painful treatments, predictors for painful dilatations should be further clarified through standardized documentation and prospective evaluation in order to improve follow-up. |
| abstract_unstemmed |
Background In order to prevent stricture of the neoanus after surgical correction, regular dilatation is recommended. There is a lack of knowledge about the performance of anal dilatation and the occurrence of pain. The aim of our investigation was to describe the practice of dilatation and to identify possible risk factors for painful procedures. Methods Congenital Uro-Rectal Malformations Network is a German interdisciplinary multicenter research network. With standard questionnaires, physicians interviewed 243 patients and/or their parents at home, additional 103 patients born since 2009 were assessed through their treating physicians. Results In total, 88 % of the patients received dilatations. Treatment lasted for 7 months in median (range 1–156 months), until the age of 13 months (range 1–171 months). In 69 % painful dilatation was reported; without a significant differences in age or gender. In 32 % bleeding was reported. In 30 % at least one dilatation was performed under general anesthesia. In 11 % some kind of analgesia was used. Type of fistula, dilatations lasting longer than 10 months and Hegar size above 15 were relevant factors for experience of pain. There were about 16 % postoperative strictures of the neoanus, without reported differences in dilatation procedures; but there was a relation to type of malformation. Conclusion Considering the high number of painful treatments, predictors for painful dilatations should be further clarified through standardized documentation and prospective evaluation in order to improve follow-up. |
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| title_short |
Practice of dilatation after surgical correction in anorectal malformations |
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https://dx.doi.org/10.1007/s00383-012-3169-4 |
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Reckin, S. Schmiedeke, E. Schmidt, D. Schwarzer, N. Grasshoff-Derr, S. Zwink, N. Bartels, E. Rißmann, A. Leonhardt, J. Weih, S. Obermayr, F. Rädecke, J. Palta, M. Kosch, F. Götz, G. Hofbauer, A. Schäfer, M. Reutter, H. Holland-Cunz, S. Märzheuser, S. |
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Reckin, S. Schmiedeke, E. Schmidt, D. Schwarzer, N. Grasshoff-Derr, S. Zwink, N. Bartels, E. Rißmann, A. Leonhardt, J. Weih, S. Obermayr, F. Rädecke, J. Palta, M. Kosch, F. Götz, G. Hofbauer, A. Schäfer, M. Reutter, H. Holland-Cunz, S. Märzheuser, S. |
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| doi_str |
10.1007/s00383-012-3169-4 |
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2024-07-04T02:19:16.379Z |
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There is a lack of knowledge about the performance of anal dilatation and the occurrence of pain. The aim of our investigation was to describe the practice of dilatation and to identify possible risk factors for painful procedures. Methods Congenital Uro-Rectal Malformations Network is a German interdisciplinary multicenter research network. With standard questionnaires, physicians interviewed 243 patients and/or their parents at home, additional 103 patients born since 2009 were assessed through their treating physicians. Results In total, 88 % of the patients received dilatations. Treatment lasted for 7 months in median (range 1–156 months), until the age of 13 months (range 1–171 months). In 69 % painful dilatation was reported; without a significant differences in age or gender. In 32 % bleeding was reported. In 30 % at least one dilatation was performed under general anesthesia. In 11 % some kind of analgesia was used. 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| score |
7.4001293 |