Abstract：
AIM:The aim of this study was to evaluate the influence of colostomy type on morbidity during the treatment of anorectal malformations. METHODS:Sixty-eight infants (male: female ratio 1.3:1) with anorectal malformations that required colostomy were treated in our clinics during the period 1991-2001. Of these patients, 26 had received a loop colostomy: 14 of these underwent posterior sagittal anorectoplasty (PSARP) at the age of 9-12 months (Group A), and 12 underwent PSARP at the age of 2-4 months (Group B). Forty-two infants received a separated-stomas colostomy and underwent PSARP at the age of 9-12 months (Group C). The incidence of complications among groups was compared using the 2 sided Fisher's exact test. RESULTS:Eight cases from group A were complicated with prolapse of the stomas, perianal wound infection, pull-through dehiscence, and anal fibrotic stricture. The only complication observed in groups B and C was perianal wound infection, which occurred in 1 case from each group. A statistically significant difference was observed in the incidence of complication between groups A and C (p<0.001) and between groups A and B (p=0.014). The results from groups B and C did not differ significantly (p=0.398). When the cases complicated with colostomy prolapse were removed from the statistical analysis, groups A and C still differed significantly (p=0.001) but groups A and B did not (p=0.069). CONCLUSIONS:As the incidence of complications increases with time after a loop colostomy, we encourage either an early corrective procedure or the modification into separated-stomas colostomy (SSC) before PSARP is performed for those cases that would involve definitive surgery in late infancy.
journal_name
Minerva Pediatrjournal_title
Minerva pediatricaauthors
Gardikis S,Antypas S,Mamoulakis C,Demetriades D,Dolatzas T,Tsalkidis A,Chatzimicael A,Polychronidis A,Simopoulos Ckeywords:
subject
Has Abstractpub_date
2004-08-01 00:00:00pages
425-9issue
4eissn
0026-4946issn
1827-1715journal_volume
56pub_type
杂志文章abstract：:Insulin-dependent diabetes mellitus is associated to important micro and macro vascular complications. A good metabolic control can reduce the risk of complications. Aim of the study was to evaluate the metabolic control in adolescent diabetic patients using an educational system with graphic visualisation of capillar...
journal_title：Minerva pediatrica
pub_type： 杂志文章
doi：
更新日期：1996-06-01 00:00:00
abstract：BACKGROUND:Recent developments regarding the conservative management of multicystic dysplastic kidney disease (MDKD) have shown a reduction in the well-established practice of elective surgical treatment. It has been seen that in the majority of cases the evolution of MDKD is either partial or complete atrophy. The inc...
journal_title：Minerva pediatrica
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更新日期：1997-05-01 00:00:00
abstract：:Early recognition of shock is the key to successful resuscitation in critically ill children. Often, shock results in or co-exists with myo-cardial dysfunction or acute lung injury. Recognition and appropriate management of these insults is crucial for successful outcomes. Resuscitation should be directed to restorati...
journal_title：Minerva pediatrica
pub_type： 杂志文章,评审
doi：
更新日期：2009-02-01 00:00:00
abstract：:The remarkable effectiveness of surfactant in neonatology suggested its use also in adults as well as in children on the basis of the pulmonary pathophysiology. We describe a case of an 18 month-old child affected by acute respiratory distress syndrome (ARDS) due to asphyxy by gastric juice inhalation, successfully tr...
journal_title：Minerva pediatrica
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更新日期：2007-12-01 00:00:00
abstract：:Certain humoral and cellular immunological parameters were assessed in patients with either pure atopic dermatitis or dermatitis combined with asthma in order to discover if there were any significant differences between the two clinical forms. The study was conducted on 15 children of both sexes who were investigated...
journal_title：Minerva pediatrica
pub_type： 杂志文章
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更新日期：1989-05-01 00:00:00
abstract：BACKGROUND:Persistent chylothorax in children is rare. Conservative management represents the gold standard but, in case of failure (persistent effusion or relapse), surgery must be considered. This paper aimed at presenting our series of patients who underwent surgical treatment of persistent idiopathic chylothorax an...
journal_title：Minerva pediatrica
pub_type： 杂志文章
doi：10.23736/S0026-4946.16.04324-3
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abstract：BACKGROUND:The nutritional status of foster children, the quality of daily menus in group homes and the food security inside these organizations have been poorly studied. For this reason, the aim of this study was to investigate them. METHODS:A sample of 125 children, ranging in age from 0-17 years, among seven group ...
journal_title：Minerva pediatrica
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doi：10.23736/S0026-4946.16.04802-7
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journal_title：Minerva pediatrica
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doi：10.23736/S0026-4946.20.05860-0
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journal_title：Minerva pediatrica
pub_type： 杂志文章
doi：10.23736/S0026-4946.18.04911-3
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journal_title：Minerva pediatrica
pub_type： 杂志文章,评审
doi：
更新日期：2010-06-01 00:00:00
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journal_title：Minerva pediatrica
pub_type： 杂志文章
doi：
更新日期：1991-11-01 00:00:00
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journal_title：Minerva pediatrica
pub_type： 杂志文章
doi：
更新日期：1995-05-01 00:00:00
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journal_title：Minerva pediatrica
pub_type： 杂志文章
doi：
更新日期：1998-05-01 00:00:00
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journal_title：Minerva pediatrica
pub_type： 杂志文章
doi：10.23736/S0026-4946.20.05913-7
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journal_title：Minerva pediatrica
pub_type： 杂志文章
doi：
更新日期：1989-06-01 00:00:00
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journal_title：Minerva pediatrica
pub_type： 杂志文章,多中心研究,评审
doi：
更新日期：1996-10-01 00:00:00
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journal_title：Minerva pediatrica
pub_type： 杂志文章,评审
doi：
更新日期：1993-06-01 00:00:00
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journal_title：Minerva pediatrica
pub_type： 杂志文章,评审
doi：
更新日期：2005-12-01 00:00:00
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journal_title：Minerva pediatrica
pub_type： 杂志文章,评审
doi：10.23736/S0026-4946.16.04713-7
更新日期：2017-06-01 00:00:00
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journal_title：Minerva pediatrica
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doi：
更新日期：2003-12-01 00:00:00
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journal_title：Minerva pediatrica
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doi：
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journal_title：Minerva pediatrica
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doi：
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journal_title：Minerva pediatrica
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journal_title：Minerva pediatrica
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doi：
更新日期：2003-04-01 00:00:00
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journal_title：Minerva pediatrica
pub_type： 杂志文章
doi：
更新日期：2011-08-01 00:00:00
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journal_title：Minerva pediatrica
pub_type： 杂志文章,评审
doi：
更新日期：2012-04-01 00:00:00
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journal_title：Minerva pediatrica
pub_type： 杂志文章
doi：
更新日期：1989-04-01 00:00:00
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journal_title：Minerva pediatrica
pub_type： 杂志文章
doi：
更新日期：1992-06-01 00:00:00
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journal_title：Minerva pediatrica
pub_type： 杂志文章
doi：
更新日期：2004-06-01 00:00:00
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journal_title：Minerva pediatrica
pub_type： 杂志文章
doi：
更新日期：1994-05-01 00:00:00
