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The passage of meconium alone is not a sign of correctly positioned anus.
J Matern Fetal Neonatal Med. 2015 Feb; 28(3):303-5.JM

Abstract

OBJECTIVE

The aim of this study is to determine the consequences of delayed presentation of anorectal malformations and emphasize the causes of delayed diagnosis of these malformations.

METHODS

We retrospectively reviewed 54 neonatal patients with a diagnosis of anorectal malformations. Group 1 consisted of 35 patients diagnosed within the first 48 h of life and Group 2 included 19 patients diagnosed after 48 h of life.

RESULTS

Obstructive symptoms at the time of diagnosis, overall complications and the mean postoperative hospitalization period in Group 2 were markedly higher than that of Group 1. A comprehensive neonatal examination within the first 48 h of life was performed in 32 (91.4%) patients in Group 1 and 5 (26.3%) of the patients in Group 2 (p < 0.001).

CONCLUSIONS

The passage of meconium is not the only sign of correctly positioned anus. A careful physical examination and awareness of this anomaly are of great importance in making a timely diagnosis of anorectal malformations.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

Karakus SC
Department of Pediatric Surgery, Faculty of Medicine, University of Gaziantep , Gaziantep , Turkey and.
Kilincaslan H
No affiliation info available
Sarsu SB
No affiliation info available
Koku N
No affiliation info available
Parmaksiz ME
No affiliation info available
Ozokutan BH
No affiliation info available
Ceylan H
No affiliation info available

MeSH

Anal CanalAnorectal MalformationsAnus, ImperforateDelayed DiagnosisFemaleHumansInfant, NewbornMaleMeconiumPhysical ExaminationRectumReflexRetrospective Studies

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24749794

Citation

Karakus, Süleyman Cüneyt, et al. "The Passage of Meconium Alone Is Not a Sign of Correctly Positioned Anus." The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, vol. 28, no. 3, 2015, pp. 303-5.
Karakus SC, Kilincaslan H, Sarsu SB, et al. The passage of meconium alone is not a sign of correctly positioned anus. J Matern Fetal Neonatal Med. 2015;28(3):303-5.
Karakus, S. C., Kilincaslan, H., Sarsu, S. B., Koku, N., Parmaksiz, M. E., Ozokutan, B. H., & Ceylan, H. (2015). The passage of meconium alone is not a sign of correctly positioned anus. The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, 28(3), 303-5. https://doi.org/10.3109/14767058.2014.916267
Karakus SC, et al. The Passage of Meconium Alone Is Not a Sign of Correctly Positioned Anus. J Matern Fetal Neonatal Med. 2015;28(3):303-5. PubMed PMID: 24749794.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The passage of meconium alone is not a sign of correctly positioned anus. AU - Karakus,Süleyman Cüneyt, AU - Kilincaslan,Huseyin, AU - Sarsu,Sevgi Buyukbese, AU - Koku,Naim, AU - Parmaksiz,Mehmet Ergun, AU - Ozokutan,Bulent Hayri, AU - Ceylan,Haluk, Y1 - 2014/05/27/ PY - 2014/4/23/entrez PY - 2014/4/23/pubmed PY - 2016/2/19/medline KW - Anorectal malformation KW - congenital anomaly KW - delayed diagnosis KW - meconium KW - neonatal examination SP - 303 EP - 5 JF - The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians JO - J Matern Fetal Neonatal Med VL - 28 IS - 3 N2 - OBJECTIVE: The aim of this study is to determine the consequences of delayed presentation of anorectal malformations and emphasize the causes of delayed diagnosis of these malformations. METHODS: We retrospectively reviewed 54 neonatal patients with a diagnosis of anorectal malformations. Group 1 consisted of 35 patients diagnosed within the first 48 h of life and Group 2 included 19 patients diagnosed after 48 h of life. RESULTS: Obstructive symptoms at the time of diagnosis, overall complications and the mean postoperative hospitalization period in Group 2 were markedly higher than that of Group 1. A comprehensive neonatal examination within the first 48 h of life was performed in 32 (91.4%) patients in Group 1 and 5 (26.3%) of the patients in Group 2 (p < 0.001). CONCLUSIONS: The passage of meconium is not the only sign of correctly positioned anus. A careful physical examination and awareness of this anomaly are of great importance in making a timely diagnosis of anorectal malformations. SN - 1476-4954 UR - https://www.unboundmedicine.com/medline/citation/24749794/The_passage_of_meconium_alone_is_not_a_sign_of_correctly_positioned_anus_ DB - PRIME DP - Unbound Medicine ER -