ArticlePediatric surgery international2026
Surgical management of fecal incontinence following anorectal malformation repair.
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.
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
4 authors.
Funding
Abstract
purposeTo evaluate surgical outcomes in children undergoing secondary procedures for fecal incontinence after repair of anorectal malformations (ARMs).
methodsWe retrospectively reviewed pediatric patients with fecal incontinence after ARM repair who underwent surgical intervention at Capital Institute of Pediatrics and Beijing Tsinghua Changgung Hospital between July 2017 and June 2025. Bowel function was compared before and after surgery using the Rintala score and Krickenbeck classification.
resultsTwenty-two children underwent reoperation, including 19 males and 3 females. Surgical indications included anal malposition (n = 11, 50.0%), patulous anus (n = 10, 45.5%), rectal prolapse (n = 7, 31.8%), fistula recurrence (n = 2, 9.1%), megacolon (n = 2, 9.1%), and anal stenosis (n = 2, 9.1%). Procedures included isolated or combined sphincter reconstruction and laparoscopic Malone appendicostomy. At a median follow-up of 3.2 years, 18 patients (82%) showed improved Rintala scores. Krickenbeck assessment demonstrated improved soiling control (P = 0.0005) and increased voluntary bowel movements (P = 0.016).
conclusionSurgical correction of residual anatomical defects was associated with partial improvement in bowel function in selected children with fecal incontinence after ARM repair, but normal continence was uncommon. Malone appendicostomy or structured bowel management may be preferable in patients with poor sphincteric or neuromuscular reserve.
Indexed as
Identifiers
42742629What 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.