Congenital Anorectal Anomalies in Western Nigeria
Abstract
Summary: Forty-five patients with congenital anorectal anomalies are presented. The sex ratio is l!I. The higlı (supralevator type anomalies are slightly more common than the low (translevator) anomalies. Associated structural anomalies occurred in only 13% of all the cases. Resulis of treatment were good in low anomalies, satisfactory in inter inediate, but very poor in high anomalies. Late presentation, high default rate after colostomy, and paucity of specialised paediatric units, appear to contribute to poor prognosis. It is suggested that avoidance of colostomy in low anomalies, and definitive treatment during the first adriission in intermediate and high anomalies will improve prognosis.
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