The syndromology of anorectal malformations revisited: from patterns of associated malformations to the recognition of syndromes

Berger, Steffen Michael; Göppl, Maximilian; Zachariou, Zacharias (2005). The syndromology of anorectal malformations revisited: from patterns of associated malformations to the recognition of syndromes. World journal of pediatrics WJP(1) Hangzhou: Institute of Pediatrics

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ackground: Although the frequency of associated malformation is high, the incidence of inheritable syndromes is widely underestimated in children with anorectal malformation (ARM). Data sources: OMIM database, patient records and charts of the Department of Pediatric Surgery, Johannes Gutenberg-University, Mainz, Germany. Methods: We analyzed all associations, sequences and syndromes listed in the OMIM database that can be accompanied by ARM. A large cohort of children born with ARM was then retrospectively investigated as to the type of ARM, presence of additional malformations and possible categorization as a syndrome, sequence or association. For this process a syndrome finder was developed and employed. This simplistic tool allows for a rapid first check of possible syndromes before a more complex analysis is started using the OMIM database and consulting specialists. Results: Among 317 children with ARM, associated malformations were present in 77.7% of 127 children with high ARM, in 68.7% of 32 with intermediate ARM, and in 25.3% of 158 with a low type ARM. Three or more organ systems were involved in 29.1% children with high type ARM and 25% with intermediate ARM and 8.2% with a low type ARM. An association of the vertebral anal tracheo-esophageal renal (VATER) and vertebral anal cardiac tracheo-esophageal renal limb (VACTERL) type was found in a total of 35 patients. Before analysis, 11 syndromes and 35 associations which were not clear previously in this patient cohort were described. In other 17 patients, 14 syndromes and 3 associations were identified. Conclusions: The high number of only retrospectively identified syndromes suggests that a routine search is necessary in every patient with ARM and additional malformations.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Surgery

UniBE Contributor:

Berger, Steffen Michael and Zachariou, Zacharias

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1708-8569

Publisher:

Institute of Pediatrics

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:50

Last Modified:

11 Dec 2014 22:05

BORIS DOI:

10.7892/boris.21056

URI:

https://boris.unibe.ch/id/eprint/21056 (FactScience: 4935)

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