A follow-up study on postoperative function after a transanal Soave 1-stage endorectal pull-through procedure for Hirschsprung's disease

Huang, Yanlei; Zheng, Shan; Xiao, Xianmin

doi:10.1016/j.jpedsurg.2007.12.053

Cited by 21 publications

(59 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It is well documented that 1-stage transanal endorectal pullthrough (TEPT) is a safe and efficient operation with early complication rates comparable to laparoscopic or laparotomy-assisted procedures [1][2][3][4][5]. However, the possible effects of transanal mobilization of rectum and colon on the anal sphincters, especially in neonates, have caused considerable concern about long-term anorectal function, particularly soiling and incontinence.…”

Section: Introductionmentioning

confidence: 99%

Functional outcome after operation for Hirschsprung disease—transanal vs transabdominal approach

Stensrud

Emblem

Björnland

2010

Journal of Pediatric Surgery

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

Functional outcome after operation for Hirschsprung disease—transanal vs transabdominal approach

Stensrud

Emblem

Björnland

2010

Journal of Pediatric Surgery

View full text Add to dashboard Cite

show abstract

“…Of 14 published articles 11 were included [2][3][4][5][6][7][8][9][10][11][12][13][14][15]. A total of 297 children were included in the selected material and the demography of the children included in the survey is summarized in Table 1.…”

Section: Resultsmentioning

confidence: 99%

Literature Review of the Outcome after One-Stage Transanal Endorectal Pull-Through Procedure for Hirschsprung’s Disease in Children

Ortiz-Rubio¹,

Pérez-Aguilera²,

Granéli³

et al. 2013

View full text Add to dashboard Cite

Background: Transanal endorectal one-stage pull-through (TERPT) procedure in children with Hirschsprung's disease (HD) is frequently used worldwide. In order to give the families realistic expectations and to plan the medical care for the years after TERPT, the long term outcome is of great importance. Aim: To collect information on the long term outcome reported after one stage TERPT procedure for HD in children 0 -15 years. Method: A literature review on the outcome of planned TERPT from 2005 through 2012 was carried out. Information was collected on the number of daily stools a few months postoperatively, incontinence and constipation and the measures taken to deal with these. Results: The reports are few and prospective studies were missing. The results show an initial high frequency of daily stools, 12% had later abnormal stool patterns, 21% had fecal incontinence and 10% had problems with constipation. Conclusion: In order to compare the long term outcome, it would be desirable to have uniform regular reports on the daily frequency of passed stools, incontinence and constipation during the first years after TERPT. Such knowledge would be of importance for the information given to the guardians of children with HD preoperatively to TERPT and in the planning of the future care. The findings can, furthermore, provide a benchmark for the outcome from a single centre.

show abstract

“…Many reports have been published since then from diff erent parts of the world. The safety, feasibility, reproducibility and less invasiveness of the procedure made it popular in recent years 9,14,15,16,17,18 . Ini al submucosal dissec on was slow and diffi cult.…”

Section: Discussionmentioning

confidence: 99%

Early Experience With Single-Stage Transanal Endorectal Pull Through For Rectosigmoid Hirschsprung’s Disease

Shrestha

Sherchan

Dhoubhadel

et al. 2015

J. Nepal Paedtr. Soc.

View full text Add to dashboard Cite

Introduction: Recent trends in surgery for Hirschsprung's disease (HD) have been towards earlier operation and fewer surgical stages. A single-stage transanal endorectal pull through (TEPT) is the latest development and minimally invasive technique for HD. This observational prospective study was designed to evaluate the safety and efficacy of single-stage TEPT technique in the management of rectosigmoid HD. Materials and Methods: Infants and children with biopsy-proved aganglionosis and barium enema (BE) documented rectosigmoid HD were included for single stage TEPT. Twenty children aged 22 days to 7 years (17 boys and 3 girls) underwent one stage TEPT over 5 year period. Median follow up was 18 months (range 6-36 months). These patients were evaluated with regard to age, sex, intraoperative details, postoperative functional outcome and complications and need for secondary surgical procedure. Results: The operating time was 105-180 minutes (mean 120 minutes). The length of resected bowel was 18-30 cm (mean 25 cm). Intraoperative blood loss was 5-40 ml, less in infants compared to older children. Blood transfusion was needed in none out of 12 infants and 2 out of 8 older children. Transient perianal excoriation occurred in 16 patients. Postoperative enterocolitis occurred in one patient. One patient developed constipation with encopresis following anastomotic stricture. None had adhesive obstruction and prolapse of pulled through colon, one required colostomy for anastomotic leakage and peritonitis while another had retained aganglionic segment and re-do pull through was required. Conclusion: Single-stage TEPT can be performed successfully in all age of children. The technique is safe, easily learned and has good clinical results.

show abstract

A follow-up study on postoperative function after a transanal Soave 1-stage endorectal pull-through procedure for Hirschsprung's disease

Cited by 21 publications

References 8 publications

Functional outcome after operation for Hirschsprung disease—transanal vs transabdominal approach

Functional outcome after operation for Hirschsprung disease—transanal vs transabdominal approach

Literature Review of the Outcome after One-Stage Transanal Endorectal Pull-Through Procedure for Hirschsprung’s Disease in Children

Early Experience With Single-Stage Transanal Endorectal Pull Through For Rectosigmoid Hirschsprung’s Disease

Contact Info

Product

Resources

About