Krickenbeck Consensus for the Classification Grouping of Surgical Techniques and Scoring for Follow Up of Anorectal Malformations
Standards for diagnostic procedures: International Classi- International grouping (Krickenbeck) of surgical proce-fication (Krickenbeck) dures for follow up
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Major clinical groups |
Perineal (cutaneous) fistula Rectourethral fistula Bulbar Prostatic Rectovesical fistula Vestibular fistula Cloaca No fistula Anal stenosis |
|
Rare/regional variants |
Pouch Colon Rectal atresia/stenosis Rectovaginal fistula H type fistula Others |
|
Operative procedures |
Perineal operation Anterior sagittal approach Sacroperinal procedure PSARP Abdominosacroperi-neal pull-through Abdominoperineal pull-through Laparoscopic-assisted pull-through |
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Associated conditions |
Sacral anomalies Tethered cord |
Method for assessment of outcome established in Krickenbeck 2005 (patient age > 3 years, no therapy)
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1. Voluntary bowel movements |
yes/no |
|
Feeling of urge Capacity to verbalize Hold the bowel movement | |
|
2. Soiling |
yes/no |
|
Grade 1 Occasionally (once or twice per week) Grade 2 Every day, no social problem Grade 3 Constant, social problem | |
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3. Constipation |
yes/no |
|
Grade 1 Manageable by changes in diet Grade 2 Requires laxatives Grade 3 Resistant to diet and laxatives |
For further details see acknowledgement and chapters 8 and 25.
Preliminaray report in JPS 2005, 40:1521-1526.
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