scholarly journals COMPLICATIONS AFTER TRANSABDOMINAL SOAVE’S PROCEDURE IN CHILDREN WITH HIRSCHSPRUNG’S DISEASE

2019 ◽  
Vol 32 (1) ◽  
Author(s):  
Shahnam ASKARPOUR ◽  
Mehran PEYVASTEH ◽  
Mohammad Hossein IMANIPOUR ◽  
Hazhir JAVAHERIZADEH ◽  
Saeed HESAM
Keyword(s):  
Large Bowel ◽  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease ◽  
Bowel Function ◽  
Congenital Disorder ◽  
Function Score ◽  
Frequent Complication

ABSTRACT Background: Hirschsprung’s disease is a congenital disorder that causes functional obstruction of large bowel. Aim: To evaluate complication and bowel function score of children with Hirschsprung’s disease who underwent transabdominal Soave’s procedure. Methods: In this study all the children with Hirschsprung’s disease who underwent transabdominal Soave procedure were evaluated regarding bowel function and complication of trans-abdominal Soave’s procedure. Results: Were enrolled 160 children. Enterocolitis and constipation were seen in 15% of the cases. Fecal incontinency was the least frequent study which was seen in 1% of the children. Conclusion: Constipation and enterocolitis was the most frequent complication following transabdominal Soave technique.

Idiopathic Disorders of Fecal Continence in Children

PEDIATRICS ◽  
1983 ◽  
Vol 71 (5) ◽  
pp. 774-779
Author(s):  
Pierre Arhan ◽  
Ghislain Devroede ◽  
Bertrand Jehannin ◽  
Claude Faverdin ◽  
Yann Révillon ◽  
...  
Keyword(s):  
Anal Canal ◽  
Large Bowel ◽  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease ◽  
Bowel Function ◽  
Fecal Continence ◽  
Anorectal Motility ◽  
Rectal Ampulla ◽  
Resting Pressure ◽  
Radiopaque Markers

A group of 176 patients aged 2 to 15 years was investigated for idiopathic disorders of bowel function other than Hirschsprung's disease. Anorectal motility, as well as colorectal transit of radiopaque markers, were investigated. Before the end of the first month of life, 70 of the patients were constipated. Resting pressure was more unstable (P < 0.001) and higher than normal in the rectal ampulla and upper anal canal (P < 0.01). Retardation of markers occurred in the proximal and/or distal large bowel of 61% of the patients. The existence of functional abnormalities was demonstrated in the majority of children with idiopathic disorders of fecal continence.

Long-Term Outcomes and Quality of Life in Patients after Soave Pull-Through Operation for Hirschsprung's Disease: An Observational Retrospective Study

2017 ◽  
Vol 28 (05) ◽  
pp. 445-454 ◽  
Author(s):  
Tania Mahler ◽  
Martine Dassonville ◽  
Dinh Truong ◽  
Annie Robert ◽  
Philippe Goyens ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Fecal Incontinence ◽  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease ◽  
Bowel Function ◽  
Long Term Outcomes ◽  
Neurologic Impairment ◽  
Pull Through

Introduction Patients after pull-through operation for Hirschsprung's disease (HD) are at high risk of defecation disorders. This study aimed at investigating their long-term outcomes and quality of life (QoL) in comparison with controls. Patients and Methods Patients older than 5 years operated on for HD were interviewed to complete detailed questionnaires on bowel function. Patients without neurologic impairment were enrolled in a QoL survey to compare with controls matched for sex and age and selected randomly from the general population using sampling set in a ratio of four controls to one case of HD. Results In total, 53 operated patients were enrolled. Mean age of the patients was 16 ± 8 years, with 68% boys. Rectosigmoid aganglionosis was the most seen form of HD in 38 (72%) cases. Open Soave was performed in 40 (75.5%) cases, and minimally invasive surgery Soave (MIS Soave) in 13 (24.5%) cases. At investigation, prevalence of fecal incontinence and constipation were 22.6 and 13.2%, respectively. Regarding QoL survey, 45 patients and 180 controls were enrolled, excluding 8 patients with neurologic impairment. Thirty-seven (82.2%) patients were classified as having a good QoL (score ≥ 9 points); whereas six had a fair QoL (5–8 points) and two had a poor QoL (< 5 points). QoL score in the cases and the controls were 10.2 ± 2.5 and 11.9 ± 0.4 points, respectively. Long aganglionosis form of HD was significantly associated with a low QoL (score < 8 points), adjusted odds ratio = 9, 95% confidence interval [1.3; 64.1] (p < 0.05). In subscales analyses, the prevalence of each dimension including fecal continence, school absenteeism, unhappiness or anxiety, food restriction, and peer rejection was significantly higher in operated patients than in controls (p <0.001). Conclusion Although the QoL of patients operated on for HD in general was with good outcomes, fecal incontinence and constipation still are problematic issues and challenges in a high percentage of patients. Therefore, a long-term and multidisciplinary follow-up is essentially required for these patients.

Dr. Orvar Swenson and the Pull-Through

2019 ◽  
Vol 85 (12) ◽  
pp. 1311-1313
Author(s):  
John J. Newland ◽  
Katerina Dukleska ◽  
Scott Cowan ◽  
Charles J. Yeo ◽  
Renee Tholey
Keyword(s):  
Pediatric Surgery ◽  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease ◽  
Toxic Megacolon ◽  
Bowel Function ◽  
Standard Textbook ◽  
Surgery Research ◽  
Peter Bent Brigham Hospital ◽  
Pull Through ◽  
Rectal Biopsies

Dr. Orvar Swenson is best remembered for developing the Swenson pull-through, a technique he developed to treat Hirschsprung's disease. After graduating from Harvard Medical School and beginning his residency at Peter Bent Brigham Hospital, Dr. Swenson observed that patients with Hirschsprung's disease and toxic megacolon resumed normal bowel function after placement of transverse colostomies. His observation led to studying the patency of his patients’ colons using barium enema contrast studies. At the collapsed portion of the colon, he performed rectal biopsies leading to the discovery that the cause of Hirschsprung's disease is that the collapsed portion of the colon lacks the Auerbach plexus. The Swenson pull-through removes this aganglionic portion of the colon and cures the patient. His career grew from there as he traveled to academic institutions teaching his technique. He is remembered fondly for his contributions to pediatric surgery through the restructuring of pediatric surgery departments, pediatric surgery research, and writing and editing multiple volumes of Pediatric Surgery, the standard textbook for pediatric surgeons. He died peacefully in 2012 at the age of 103 years.

Long-term bowel function and quality of life in children with Hirschsprung's disease

2008 ◽  
Vol 43 (5) ◽  
pp. 899-905 ◽  
Author(s):  
Jessica L.A. Mills ◽  
David E. Konkin ◽  
Ruth Milner ◽  
Janice G. Penner ◽  
Monica Langer ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease ◽  
Bowel Function

scholarly journals CORRELATION BETWEEN THE INITIAL-SURGERY AGE WITH THE HIRSCHSPRUNG’S DISEASE PATIENT STOOLING PATTERNS IN ULIN HOSPITAL BANJARMASIN, SOUTH KALIMANTAN, INDONESIA IN 2012-2015

2021 ◽  
Vol 31 (2) ◽  
pp. 66
Author(s):  
Elvira Esmeralda Poerwosusanta ◽  
IGB Adria Hariastawa ◽  
Ariandi Setiawan ◽  
Sulistiawati Sulistiawati ◽  
Agung Ary Wibowo
Keyword(s):  
Observational Study ◽  
Large Bowel ◽  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease ◽  
Disease Patient ◽  
Total Sample ◽  
Gastrointestinal Obstruction ◽  
Initial Surgery ◽  
Before And After ◽  
Definitive Surgery

Background: Hirschsprung's disease may lead to gastrointestinal obstruction if not appropriately treated. The initial-surgery or colostomy is intended to decompress the large bowel, prevent enterocolitis, and the stooling-patterns can be measured after definitive surgery. Objective: To determine the correlation between initial-surgery age with stooling-patterns. Materials and Methods: We performed an analytic observational study in Ulin Hospital in Banjarmasin, South Kalimantan, Indonesia, from November to December 2015 with a total sample of 31 patients. The initial-surgery age was divided into before and after 30 days, while the stooling-patterns were divided into satisfied and not satisfied. Results: There was no significant correlation between initial-surgery age with stooling patterns. Most of the patients, 18/31 (58.1%), underwent initial-surgery after 30 days, and 23/31 (74.2%) had satisfied stooling patterns after surgery. Conclusion: No significant correlation between initial-surgery age and stooling patterns among Hirschsprung's disease patients.

scholarly journals Evaluation of long-term bowel function in patients with Hirschsprung’s disease after different radical operations

2010 ◽  
Vol 18 (23) ◽  
pp. 2491 ◽  
Author(s):  
Ming-Tai Gao ◽  
Deng-Rui Liu ◽  
Jian Chen ◽  
Cheng-Ji Zhao ◽  
Xue-Qiang Sun ◽  
...  
Keyword(s):  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease ◽  
Bowel Function

scholarly journals Children with Hirschsprung's Disease and Syndromes with Cognitive Dysfunction: Manifestations, Treatment, and Outcomes

2019 ◽  
Vol 05 (03) ◽  
pp. e103-e109
Author(s):  
Josefine Hedbys ◽  
Johan Hasserius ◽  
Christina Granéli ◽  
Einar Arnbjörnsson ◽  
Kristine Hagelsteen ◽  
...  
Keyword(s):  
Cognitive Dysfunction ◽  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease ◽  
Retrospective Chart Review ◽  
Bowel Function ◽  
Cross Sectional ◽  
Pediatric Surgeon ◽  
Initial Symptoms ◽  
Patient Reported

Abstract Introduction To assess differences in initial symptoms, treatments, and bowel function between children with Hirschsprung's disease (HD) with or without a cognitive dysfunction (CD). Materials and Methods The study included children with HD who underwent transanal endorectal pull-through. A retrospective chart review was performed to collect data on patient characteristics, diagnosis, and treatment. Data on bowel symptoms in children older than 4 years without a colostomy were compiled during a cross-sectional, patient-reported follow-up. Results Fifty-three children with HD were included; of these, 12 (23%) had CD. The median birth weight was lower, frequency of vomiting as the presenting symptom was lower, and time until the first contact with a pediatric surgeon was higher in children with CD than in those without (3,295 vs. 3,623 g, p = 0.013; 28 vs. 66%, p = 0.02; and 4 days vs. 1 day, p = 0.048, respectively). At follow-up, 5 (15%) of 33 children aged over 4 years had CD. More children without CD had some ability to hold back defecation and sense the urge to defecate than those with CD (p = 0.002 and p = 0.001, respectively). Conclusion HD children who have CD present with different initial symptoms, have a delay in the first consultation with a pediatric surgeon, and experience poorer bowel function outcomes than HD children without CD. Therefore, HD children with CD should receive special attention in both clinical practice and research.

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