Eighteen year's experience with neonatal Hirschsprung's disease treated by endorectal pull-through without colostomy

• Published in: Journal of pediatric surgery Vol. 33; no. 5; pp. 673 - 675
• Main Authors: So, Henry B, Becker, Jerrold M, Schwartz, David L, Kutin, Neil D
• Format: Journal Article
• Language: English
• Published: Philadelphia, PA Elsevier Inc 01.05.1998; Elsevier
• Subjects: Adolescent; Anastomosis, Surgical; Biological and medical sciences; Child; Child, Preschool; Colostomy; Digestive System Surgical Procedures - methods; Evaluation Studies as Topic; Female; Follow-Up Studies; Hirschsprung Disease - diagnosis; Hirschsprung Disease - surgery; Humans; Infant; Infant, Newborn; Male; Medical sciences; Prognosis; Rectum - surgery; Stomach, duodenum, intestine, rectum, anus; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the digestive system; Neonatal Hirschsprung's disease; primary endorectal pull-through; Human; Neonatal; Prognosis; Neuronal intestinal malformation; Infant; Congenital disease; Long term; Pull through operation; Colonic disease; Treatment; Surgery; Hirschsprung disease; Rectum; Digestive diseases; Intestinal disease; Technique
• ISSN: 0022-3468; 1531-5037
• DOI: 10.1016/S0022-3468(98)90185-3

Methods : In the past 18 years, the authors have treated 84 patients with Hirschsprung's disease. Of these, 43 patients were under 1 month of age and underwent endorectal pull-through without colostomy. Some have undergone follow-up for as long as 18 years. Results : Thirty-four of these 43 (79%) newborn patients were available for follow-up. Twenty-two were totally continent. The remaining 12 have normal sphincter tone. Of the 41 patients above 1 month of age, 34 (83%) were available for follow-up. Some have undergone follow-up for as long as 18 years. Conclusion : Twenty-two of this latter group (79%) have normal bowel control.