ReviewPediatric surgery international2026
Fecal diversion in anorectal malformations: is there a place for ileostomy? The ARM-Net Consortium experience including a narrative literature review.
Review 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.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeWhile colostomy is the standard stoma in patients with anorectal malformations (ARM), indications for ileostomy remain poorly defined. Our aim was to evaluate indications and outcomes of ileostomy in patients with ARM.
methodsA retrospective study was conducted selecting patients from ARM-Net Consortium registry who received ileostomy between 2007 and 2024. Additionally, a literature review was conducted to contextualize findings.
resultsAmong 2,994 patients, 21 (0.7%) underwent ileostomy. Data was available for 15 patients. Ileostomy was used mainly in complex malformations (N = 9), including cloacal exstrophy (6), pouch colon (2), and variant of OEIS complex without exstrophy (1). Ileostomy was performed before anorectal repair in 73%, during in 13.5%, and after in 13.5%. Other indications were concomitant bowel pathology, post-operative complications, and protective stoma during reconstruction. Ileostomy-related complications occurred in 40% of patients, 27% being grade IIIB according to Clavien-Madadi. Closure was performed in 87%, while some patients received permanent stoma. In the literature ileostomy was mentioned only in case reports or small case series.
conclusionIleostomy is a selective surgical option in the management of ARM, with a high complication rate. It should be reserved for complex malformations or complicated cases where a colostomy is unsuitable, insufficient or unfeasible.
Indexed as
Identifiers
41762249What OpenQuestion holds
Registered trials
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.