{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T17:28:47Z","timestamp":1761499727593,"version":"build-2065373602"},"reference-count":0,"publisher":"Pakistan Medical Association","issue":"11","license":[{"start":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:00:00Z","timestamp":1761004800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Pak Med Assoc"],"abstract":"<jats:p>Objective: To establish an effective and practical bowel management protocol to achieve social continence in children operated for anorectal malformations.\nMethod: The quasi-experimental study was conducted from January to December 2021 at the Colorectal Clinic of the National Institute of Child Health, Karachi, and comprised patients aged &gt;3 years who had completed surgical management for anorectal malformations. Tailored modifications were made to a one-week bowel management boot camp to adapt to institutional constraints and the practical needs of the patient population. History, examination, abdominal X-ray and incontinence score were recorded before and after the commencement of high-volume saline enemas. Data was analysed using SPSS 22.\nResults: Of the 80 patients, 46(57.5%) were boys with mean age 6.74\u00b13.24 years and 34(42.5%) were girls with mean age 5.41\u00b11.84 years. Among the boys, rectobulbar fistula was the most common anomaly 26(56.5%), whereas rectovestibular fistula was the most frequent anomaly in girls 20(58.8%). The mean incontinence score at presentation was 5.375\u00b11.72, which improved significantly to 3.637\u00b11.74 following bowel management (p&lt;0.001). For the soiling component, the mean score difference was 1.275\u00b10.45 (p&lt;0.001).\nConclusion: Modified bowel management programme was effective in keeping the incontinent and constipated patients after anorectal malformation surgical treatment.\nKey Words: Faecal incontinence, Constipation, Anorectal malformations, ARMs, Colorectal surgery, Bowel management.<\/jats:p>","DOI":"10.47391\/jpma.21586","type":"journal-article","created":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T17:24:44Z","timestamp":1761499484000},"page":"1720-1724","source":"Crossref","is-referenced-by-count":0,"title":["Bowel management program in patients with anorectal malformations"],"prefix":"10.47391","volume":"75","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-3639-7183","authenticated-orcid":false,"given":"Batool","family":"Fatima","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Naima Zamir","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Touby Khan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Shazia Parveen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Sana Aslam","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Abdul Jabbar Baloch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"26547","published-online":{"date-parts":[[2025,10,21]]},"container-title":["Journal of the Pakistan Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/jpma.org.pk\/index.php\/public_html\/article\/download\/21586\/4452","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/jpma.org.pk\/index.php\/public_html\/article\/download\/21586\/4452","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T17:24:44Z","timestamp":1761499484000},"score":1,"resource":{"primary":{"URL":"https:\/\/jpma.org.pk\/index.php\/public_html\/article\/view\/21586"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,21]]},"references-count":0,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2025,10,26]]}},"URL":"https:\/\/doi.org\/10.47391\/jpma.21586","relation":{},"ISSN":["0030-9982","0030-9982"],"issn-type":[{"value":"0030-9982","type":"electronic"},{"value":"0030-9982","type":"print"}],"subject":[],"published":{"date-parts":[[2025,10,21]]}}}