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All Journal JURNAL PENDIDIKAN TAMBUSAI PREPOTIF : Jurnal Kesehatan Masyarakat JOURNAL LA MEDIHEALTICO Wal'afiat Hospital Journal Journal of Aafiyah Health Research (JAHR) Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Innovative: Journal Of Social Science Research WAL'AFIAT HOSPITAL JOURNAL Holistik Jurnal Kesehatan
Gani, Aziz Beru
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Humanities Computer Science & IT Dentistry Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Diagnostic Approach to Anorectal Malformations in Neonates Alfaatihah, Syifa Ainayah; Gani, Aziz Beru; Anastasia, Rizka
Journal La Medihealtico Vol. 7 No. 2 (2026): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v7i2.3217

Abstract

an incidence of approximately 1 in 5,000 live births. The wide spectrum of abnormalities necessitates accurate classification and early diagnosis during the neonatal period to guide appropriate surgical management and predict long-term continence outcomes. One of the major diagnostic challenges lies in the limitations of conventional invasive techniques and the potential risks associated with radiation exposure. This study aims to identify effective diagnostic approaches for ARM in neonates. This research employs a literature review design with a narrative review approach. The data consist of secondary sources derived from 20 selected studies, including national and international journals as well as textbooks published between 2014 and 2025, accessed through databases such as ClinicalKey and Google Scholar. The analysis focuses on clinical, radiological, prenatal, and systemic factors relevant to establishing an accurate diagnosis. The findings indicate that diagnosis should begin with a thorough perineal physical examination to identify fistulas and signs of obstruction. A high-pressure distal colostogram remains the gold standard for delineating fistula anatomy prior to surgery. In addition, high-resolution transperineal ultrasound and magnetic resonance imaging have emerged as reliable non-invasive modalities for evaluating rectal position and the sphincter muscle complex. Anorectal manometry also plays a significant role in detecting subtle forms of ARM that may be overlooked during routine examinations. A systematic and multidisciplinary diagnostic approach that integrates clinical assessment, screening for associated anomalies, and multimodal imaging is essential to optimize surgical planning and improve patient outcomes.
Co-Authors Abdullah, Rezky Putri Indarwati Adnan, Endy Akbar, Puang Hafsari Alfaatihah, Syifa Ainayah Anastasia, Rizka Arifin, Arina Fathiyyah Azizah Alifuddin, Andi Nur Baharuddin Baharuddin Bamahry, Aryanti R Darma, Sidrah Darussalam, Andi Husni Esa Ema Alasiry, Ema Erida, Berry Hamzah, Pratiwi Nasir Haris, Haslianti H. Jaya, Muhammad Alim Kanang, Indah Lestari Daeng Lestari, Nur Ayu M. Yogi Riyantama Isjoni Makiko, Adrian Mathius, Denny Melinda, Meriam Muchsin, Achmad Harun Muh Muslih Rijal, Andi Musani, Melda Ayu Amanda Nevi sulvita karsa Nulanda, Mona Purnamasari, Reeny Rahman, Muhammad Fatur Rasyid, Mahyudin Rifai, Ayu Wira Saputri Surdam, Zulfiyah Swarga, Tirta Tulak, Pither Sandy Widyaningrum Widyaningrum Yanti, Andi Kartini Eka Yuniati, Lisa Yusuf, Awalia Rezeki S