Presenter Status
Resident/Ph.D/Post graduate (> 1 month of dedicated research time)
Abstract Type
Research
Primary Mentor
Rebecca M. Rentea
Start Date
15-5-2024 11:30 AM
End Date
15-5-2024 1:30 PM
Presentation Type
Poster-Restricted Access
Description
Background:
Patients with anorectal malformations (ARMs) frequently suffer from constipation and/or fecal incontinence post-reconstruction, necessitating bowel management.
Objectives/Goal:
To discern the global diversity in bowel management strategies and identify the obstacles encountered by pediatric surgeons.
Methods/Design:
The International Pediatric Endosurgery Group (IPEG) members were surveyed regarding bowel management for ARM patients. Participants were categorized based on location: high (HICs), and low- or middle-income (LMICs) countries.
Results:
The survey garnered responses from 233 surgeons across 75 countries. Of these, 36% (n=83) practiced in HICs, and 64% (n=150) in LMICs, treating a median of 10 (IQR 5-25) ARM patients annually (Table 1). Only 29% implemented a one-week bowel management program. In LMICs, surgeons predominantly managed patients single-handedly (71% vs. 39%,
p
Conclusions:
Bowel management for ARMs reflects contrasts between HICs and LMICs with differences in provider involvement, diagnostic techniques, and treatment regimens. LMICs face significant challenges rooted in socioeconomic disparities, emphasizing the urgent need for tailored strategies and resources to improve ARM patient outcomes globally.
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Global Bowel Management in Anorectal Malformations: Varied Practices and Barriers
Background:
Patients with anorectal malformations (ARMs) frequently suffer from constipation and/or fecal incontinence post-reconstruction, necessitating bowel management.
Objectives/Goal:
To discern the global diversity in bowel management strategies and identify the obstacles encountered by pediatric surgeons.
Methods/Design:
The International Pediatric Endosurgery Group (IPEG) members were surveyed regarding bowel management for ARM patients. Participants were categorized based on location: high (HICs), and low- or middle-income (LMICs) countries.
Results:
The survey garnered responses from 233 surgeons across 75 countries. Of these, 36% (n=83) practiced in HICs, and 64% (n=150) in LMICs, treating a median of 10 (IQR 5-25) ARM patients annually (Table 1). Only 29% implemented a one-week bowel management program. In LMICs, surgeons predominantly managed patients single-handedly (71% vs. 39%,
p
Conclusions:
Bowel management for ARMs reflects contrasts between HICs and LMICs with differences in provider involvement, diagnostic techniques, and treatment regimens. LMICs face significant challenges rooted in socioeconomic disparities, emphasizing the urgent need for tailored strategies and resources to improve ARM patient outcomes globally.
