Krickenbeck Consensus for the Classification Grouping of Surgical Techniques and Scoring for Follow Up of Anorectal Malformations

Nature's Quick Constipation Cure

Constipation Help Relief In Minutes

Get Instant Access

Standards for diagnostic procedures: International Classi- International grouping (Krickenbeck) of surgical proce-fication (Krickenbeck) dures for follow up

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

Associated conditions

Sacral anomalies Tethered cord

Method for assessment of outcome established in Krickenbeck 2005 (patient age > 3 years, no therapy)

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

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.

Was this article helpful?

+2 0
Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

Get My Free Ebook


Post a comment