ArticleEuropean radiology2015
High resolution MRI for preoperative work-up of neonates with an anorectal malformation: a direct comparison with distal pressure colostography/fistulography.
Article in European radiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.
- Non-pharmacological strategies to obtain usable magnetic resonance images in non-sedated infants: Systematic review and meta-analysis.International journal of nursing studies · 2020Pooled it
- Diversities of H-type anorectal malformation: a systematic review on a rare variant of the Krickenbeck classification.Pediatric surgery international · 2017Pooled it
- Anorectal malformations.Nature reviews. Disease primers · 2024Review
- Current practice of diagnosis and treatment for rectourethral fistula in male patients with anorectal malformation: a multicenter questionnaire survey in Japan.Pediatric surgery international · 2024Article
- The comparison of magnetic resonance and fluoroscopic imaging options in the preoperative assessment of boys with anorectal malformations and a colostomy.Pediatric radiology · 2024Article
- Preoperative fistula diagnostics in male anorectal malformations after colostomy: a single-center experience.BMC medical imaging · 2023Review
- Levator ani asymmetry and deviation in high-type anorectal malformation evaluated by magnetic resonance imaging.Pediatric surgery international · 2022Article
- Accuracy of pre-operative fistula diagnostics in anorectal malformations.BMC pediatrics · 2021Article
- Anorectal malformation with long perineal fistula: one of a special type.Scientific reports · 2021Article
- [Gastrointestinal Emergencies in Neonates: What We Should Know].Taehan Yongsang Uihakhoe chi · 2020Review
- Laparoscopic surgical technique to enhance the management of anorectal malformations: 330 cases' experience in a single center.Pediatric surgery international · 2020Article
- Inter- and Intraobserver Variation in the Assessment of Preoperative Colostograms in Male Anorectal Malformations: An ARM-Net Consortium Survey.Frontiers in pediatrics · 2020Article
- Normal anorectal musculatures and changes in anorectal malformation.Pediatric surgery international · 2020Article
- Identification of an occult recto-prostatic fistula with cystoscopy-assisted air colostogram.International journal of surgery case reports · 2019Article
- Ultrasound imaging of the anorectal malformation during the neonatal period: a comprehensive review.Japanese journal of radiology · 2018Review
- Anorectal malformations: Role of MRI in preoperative evaluation.The Indian journal of radiology & imagingArticle
- Can Neonatal Pull-through Replace Staged Pull-through for the Management of Anorectal Malformation? A Systematic Review and Meta-analysis.Journal of Indian Association of Pediatric SurgeonsReview
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo compare MRI and colostography/fistulography in neonates with anorectal malformations (ARM), using surgery as reference standard.
methodsThirty-three neonates (22 boys) with ARM were included. All patients underwent both preoperative high-resolution MRI (without sedation or contrast instillation) and colostography/fistulography. The Krickenbeck classification was used to classify anorectal malformations, and the level of the rectal ending in relation to the levator muscle was evaluated.
resultsSubjects included nine patients with a bulbar recto-urethral fistula, six with a prostatic recto-urethral fistula, five with a vestibular fistula, five with a cloacal malformation, four without fistula, one with a H-type fistula, one with anal stenosis, one with a rectoperineal fistula and one with a bladderneck fistula. MRI and colostography/fistulography predicted anatomy in 88 % (29/33) and 61 % (20/33) of cases, respectively (p = 0.012). The distal end of the rectal pouch was correctly predicted in 88 % (29/33) and 67 % (22/33) of cases, respectively (p = 0.065). The length of the common channel in cloacal malformation was predicted with MRI in all (100 %, 5/5) and in 80 % of cases (4/5) with colostography/fistulography. Two bowel perforations occurred during colostography/fistulography.
conclusionsMRI provides the most accurate evaluation of ARM and should be considered a serious alternative to colostography/fistulography during preoperative work-up. KEY POINTS: • High-resolution MRI is feasible without the use of sedation or anaesthesia. • MRI is more accurate than colostography/fistulography in visualising the type of ARM. • MRI is as reliable as colostography/fistulography in predicting the level of the rectal pouch. • Colostography/fistulography can be complicated by bowel perforation.
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