Arm diagnosis with distal colostography on anorectal malformations

Background: Anorectal Malformation (ARM) is a common congenital disorder and clinically recognizable, however, there has been no successful therapy. Establishment of ARM diagnostic is based on clinical and radiological of perineum USG, invertogram and distal colostography. A low-ARM handling requires an immediate post-natal repair and a high position requires a preliminary colostomy to prevent intestinal obstruction. Objectives: To determine the establishment of ARM diagnosis with distal colostography, evaluate the ARM management, and its accompanying complications. Method: This study used secondary data that derived from medical records. Consecutive sampling obtained 38 medical records that fulfilled the inclusion criteria from July 2012 to June 2013. Then samples were analyzed statistically. Results: The number of ARM referrals from other hospitals was 92.1%. The number of ARM which performed by preliminary colostomy was 89.5% and 26.5% of it was accompanied by complications. Based on the distal colostographic results, the number of high ARM location was 54.1% and the low location was 45.9%. The number of low-ARMwhich performed by preliminary colostomies was 88.2%. Twenty-eight subjects who had performed anorectoplasty obtained suitable colostographic results of 71.4% and unsuitable results of 28.6%. Conclusion: Distal colostographic results obtained by high-ARM by 54.1% and low location by 45.9%. The number of low-ARM that has been performed of colostomy by 88.2%. The number of distal colostographic results that in accordance to the findings of anorectoplasty was 71.4% and unsuitable was 28.6%.