Post‐operative colonic manometry in children with Hirschsprung disease: A systematic review

Author(s):  
Hannah M. E. Evans‐Barns ◽  
Justina Swannjo ◽  
Misel Trajanovska ◽  
Mark Safe ◽  
John M. Hutson ◽  
...  

2020 ◽  
Author(s):  
Irina Oltean ◽  
Emily Beveridge ◽  
Lamia Hayawi ◽  
Vid Bijelic ◽  
Ahmed Nasr

There is paucity of evidence examining quality of life in children with HD and ARM prioritizing dimensions other than physical functioning, such as psychosocial functioning in a precise manner. As such, we have developed a systematic review protocol to narratively and quantitatively summarize the physical and psychosocial functioning of children affected by HD and ARM in hopes of addressing this limitation. The following databases were searched on Nov 5, 2019: MEDLINE including Epub Ahead of Print, In-Process & Other Non-Indexed Citations (1946 to October 25, 2019) and Embase (1947 to 2019 October 25) and the CENTRAL Trials Registry of the Cochrane Collaboration (September 2019 Issue) using the Ovid interface. Searches were limited to English, to journal articles, and articles published since 2006. This review will identify retrospective and prospective cohort studies, case-control studies, case studies with greater than 5 participants, and randomized-control trials where the quality of life (i.e., physical and/or social functioning) of children aged 0-18 years with either anorectal malformations or Hirschprung’s disease is reported by children or parent proxies. Understanding the quality of life of children affected by HD and ARM after surgery will help clinical practitioners, specifically surgeons, create tailored and comprehensive protocols for managing these diseases while recognising the physical, social, and emotional toll they can inflict on children.



Author(s):  
Hannah M. E. Evans‐Barns ◽  
Justina B. Swannjo ◽  
Misel Trajanovska ◽  
Mark Safe ◽  
John M. Hutson ◽  
...  


2019 ◽  
Vol 25 (25) ◽  
pp. 3268-3280 ◽  
Author(s):  
Daniëlle Roorda ◽  
Zarah AM Abeln ◽  
Jaap Oosterlaan ◽  
Lodewijk WE van Heurn ◽  
Joep PM Derikx


2013 ◽  
Vol 23 (02) ◽  
pp. 094-102 ◽  
Author(s):  
Florian Friedmacher ◽  
Benno Ure ◽  
Martin Lacher ◽  
Jan-Hendrik Gosemann




2019 ◽  
Vol 23 (1) ◽  
pp. 40-59 ◽  
Author(s):  
Raj P Kapur ◽  
Caitlin Smith ◽  
Lusine Ambartsumyan

Some patients continue to have obstructive symptoms and/or incontinence after pullthrough surgery for Hirschsprung disease. Incontinence can be due to injury to the anal sphincter and/or dentate line, abnormal colonic motility (nonretentive), or a chronic large stool burden (retentive). A diagnostic algorithm based on clinical and pathological evaluations can be applied to distinguish potential etiologies for obstructive symptoms, which segregate into anatomic (mechanical or histopathological) or physiologic subgroups. Valuable clinical information may be obtained by anorectal examination under anesthesia, radiographic studies, and anorectal or colonic manometry. In addition, histopathological review of a patient’s original resection specimen(s) as well as postoperative biopsies of the neorectum usually are an important component of the diagnostic workup. Goals for the surgical pathologist are to exclude incomplete resection of the aganglionic segment or transition zone and to identify other neuromuscular pathology that might explain the patient’s dysmotility. Diagnoses established from a combination of clinical and pathological data dramatically alter management strategies. In rare instances, reoperative pullthrough surgery is required, in which case the pathologist must be aware of histopathological features specific to redo pullthrough resection specimens.



2016 ◽  
Vol 12 (6) ◽  
pp. 352-360 ◽  
Author(s):  
Hendt P. Versteegh ◽  
Navroop S. Johal ◽  
Ivo de Blaauw ◽  
Michael P. Stanton


Sign in / Sign up

Export Citation Format

Share Document