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26 Table 3 Incidence of different types of defects Type of ARM – type of fistula (n) % of pat. with ACA Statistical p-value group 1 test group 2 Total (15) 54% (14) 52% Fisher NS Recto-cutaneous (–) – (2) 17% Fisher NS Recto-vestibular or vaginal (11) 73% (8) 73% Fisher NS Cloacal (4) 100% (4) 100% Fisher NS Table 4 Manometric studies of the fistula before reconstruction of ARM in group 2 and anorectal manometry in control group Group 2 before Control group Statistical p-value reconstruction test (fistula) (anus) n=27 n =10 Mean age SD (years) 32,29 ± 22,30 25,50 ± 15,50 t-Student NS HPZ (mm) mean value SD 19,55 ± 3,93 20,40 ± 3,09 t-Student NS MARP (cm H 2 O) mean value SD 63,33 ± 16,87 75,0 ± 12,69 t-Student NS Positive RARR (n) %pac (27) 100% (10) 100% t-Student NS Type of RARR* (n) % F RARR /P RARR (19) 70% / (8) 30% (10) 100% / (0) – Fisher NS HPZ, high pressure zone; MARP, maximal anal resting pressure; RARR, recto-anal relaxation reflex; *F, number (n) and % of patients with full RARR; P, number (n) and % of patients with partial RARR. (p=0.08) and the Kiesewetter/Chang score showed no statistically significant difference. The manometric studies indicated statistically significant better medium results in group 2 after ASARP for all studied manometric parameters. The most significant statistical difference between both groups (p
27 Table 5 Clinical score and results of manometric studies in girls after PSARP and ASARP Group 1 Group 2 Statistical p-value after PSARP after ASARP test n=28 n=27 Mean age SD (years) 13,96 ± 3,70 7,22 ± 2,43 t-Student < 0,00001 Kelly score mean value SD 4,10 ± 2,06 5,07 ± 1,10 t-Student < 0,05 Holschneider/Rintala 10,03 ± 3,27 11,48 ± 2,63 t-Student NS score mean value SD (p=0,08) Medium value SD (1,32 ± 0,72) (1,59 ± 0,57) (after transformation of scale) t-Student NS Kiesewetter/Chang* score 46% / 39%/ 14% 63% / 33% / 4% (p=0,1) %G / %P / %B Medium value SD (1,25 ± 0,80) (1,63 ± 0,56) (after transformation of scale) met. Pena** t-Student < 0,05 %F / %P / %IN 46% / 33% / 21% 66% / 30% / 4% Constipation (2 and 3 deg.) (9) 32% (10) 37% Fisher NS (n) % pat. HPZ (mm) mean value SD 23,78 ± 8,07 27,77 ± 4,12 t-Student < 0,05 MARP (cm H 2 O) mean value SD 48,92 ± 25,72 74,44 ± 26,21 t-Student < 0,001 RSBD (ml) mean value SD 40,71 ± 27,07 53,70 ± 38,24 t-Student NS Positive RARR (n) % pac (3) 11% (26) 96% Fisher < 0,01 Positive VASP ■ (n) % pac (14) 50% (26) 96% Fisher < 0,01 *G, good continence; P, medium continence; B, bad continence (after author of scale); **F, full continence; P. partial continence; IN, incontinence (after author of scale); HPZ, high pressure zone; MARP, maximal anal resting pressure; RSBD, rectal sensation to balloon distension; RARR, recto-anal relaxation reflex; VASP, voluntary anal squeeze pressure; positive VASP ■ – pressure reaching the level of at least 2×MARP; (n), number of patients. Table 6 Manometric studies in the age-matched controls Control group for PSARP Control group for ASARP n=10 n=10 Mean age SD (years) 13.00 ± 1,33 7,50 ± 2,01 HPZ (mm) mean value SD 31,20 ± 3,79 27,60 ± 4,19 MARP (cm H 2 O) mean value SD 93,00 ± 10,59 78,0 ± 14,75 RSBD (ml) mean value SD 20,00 ± 6,66 32,0 ± 7,88 Positive RARR (n) % pat (10) 100% (10) 100% Positive VASP* (n) % pat (10) 100% (10) 100% HPZ, high pressure zone; MARP, maximal anal resting pressure; RSBD, rectal sensation to balloon distension; RARR, recto-anal relaxation reflex; VASP, voluntary anal squeeze pressure; Positive VASP* – pressure reaching the level of at least 2×MARP; (n), number of patients.
Page 1 and 2: This issue includes the proceedings
Page 3 and 4: Annals of Diagnostic Paediatric Pat
Page 9 and 10: 9 Table 1 Nongastrointestinal sympt
Page 11 and 12: 11 Screening tests Screening tests
Page 15: 15 Discussion Fig. 3 PAN - Stage A
Page 18 and 19: 18 Introduction Primary malignant l
Page 20 and 21: 20 Table 6 Microscopic radicality a
Page 22 and 23: 22 are in agreement with the result
Page 24 and 25: 24 Introduction Recto-cutaneous or
Page 28 and 29: 28 value of MARP between manometric
Page 33 and 34: 33 Fig. 2 The level of pro-allergic
Page 35: 16. Salama M, Sandine W, Giovannoni
Page 38 and 39: 38 Patients, material and methods T
Page 40 and 41: 40 A D B C Fig. 1 Demonstration of
Page 42 and 43: 42 12. Raweily E, Gibson A, Burt A
Page 44 and 45: 44 pulation and occur mostly in old
Page 46 and 47: 46 composite pheochromocytomas / pa
Page 48 and 49: Szanowni Pañstwo, Mamy zaszczyt za
Page 50 and 51: 50 10 CZERWCA (sobota) 7.30 - 8.30
Page 52 and 53: 52 Leczenie operacyjne guzów chrom
Page 54 and 55: 54 Paediatric differentiated thyroi

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