Evidence map›Paper›PMID 41686274›Full record

ArticlePediatric surgery international2026

Worldwide paediatric surgical practice regarding post-reconstruction anal dilatation in anorectal malformation: an international survey.

Shehryer Naqvi, Stavros Loukogeorgakis, Simon Eaton, Paolo De Coppi, Joe Curry, Dhanya Mullassery

Abstract read
PubMed Publisher
In one paragraph

Article in Pediatric surgery international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Shehryer NaqviDepartment of Specialist Neonatal and Paediatric Surgery, Great Ormond Street Hospital for Children NHS Foundation Trust, Great Ormond Street, London, WC1N 3JH, UK.
Stavros LoukogeorgakisDepartment of Specialist Neonatal and Paediatric Surgery, Great Ormond Street Hospital for Children NHS Foundation Trust, Great Ormond Street, London, WC1N 3JH, UK.
Simon EatonStem Cells and Regenerative Medicine, Research and Teaching Department of Developmental Biology and Cancer, UCL Great Ormond Street Institute of Child Health, London, UK.
Paolo De CoppiDepartment of Specialist Neonatal and Paediatric Surgery, Great Ormond Street Hospital for Children NHS Foundation Trust, Great Ormond Street, London, WC1N 3JH, UK.
Joe CurryDepartment of Specialist Neonatal and Paediatric Surgery, Great Ormond Street Hospital for Children NHS Foundation Trust, Great Ormond Street, London, WC1N 3JH, UK.
Dhanya MullasseryDepartment of Specialist Neonatal and Paediatric Surgery, Great Ormond Street Hospital for Children NHS Foundation Trust, Great Ormond Street, London, WC1N 3JH, UK. dhanya.mullassery@gosh.nhs.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess current worldwide practice regarding routine post-operative dilatations (RPD) following reconstruction for ARM. To determine whether surgeons would consider participating in a prospective study or randomised controlled trial (RCT) comparing RPD versus no RPD.

methodsWe circulated a Google forms survey to members of the European Paediatric Surgical Association (EUPSA), United Kingdom Paediatric Colorectal Group (UKPCG), delegates at the 2022 EUPSA international congress and the 2022 Simpson Smith Symposium. We recorded the name and country of responding surgeons; the volume of cases managed and the practice of RPD. Surgeons were asked if they would be willing to change their local protocols and enter patients into a RCT.

resultsWe received 134 responses from 114 centres in 48 countries across 5 continents. One hundred and five (92%) centres performed RPD on all patients; 2 (2%) centres performed RPD based on surgeon preference; 7 (6%) centres did not perform RPD. 71 surgeons (60%) stated they would be willing to change their local protocol for the purposes of a RCT.

conclusionsThe vast majority of centres perform RPD following reconstruction for ARM. However, there appears to be increased interest in participation in a RCT to compare dilatations versus no dilatations.

Indexed as

Anorectal MalformationsDilatationPlastic Surgery ProceduresPostoperative CarePractice Patterns, Physicians'HumansProspective StudiesSurveys and QuestionnairesAnorectal malformationAnorectal reconstructionRoutine postoperative dilatationSurvey

Identifiers

PMID41686274

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.