Complications After Transabdominal Soave’s Procedure in Children With Hirschsprung’s Disease

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.

Oblique vs. Circular Anastomosis in the Children Underwent Soave’s Pull-Through Surgery for the Treatment of Hirschsprung’s Disease: Which Is the Best?

“…Enterocolitis was one of the most frequent complications after Soave’s procedure regardless the type of anastomosis, which is similar to our previous study 1 . Jester et al 5 showed 12% single episode of enterocolitis after pull-through for Hirschsprung.…”

“…Widyasari 20 reported constipation in 24% of children who underwent Soave’s procedure. In our previous publication 1 , constipation was seen in 15% of the cases. In another study constipation occurred in 11.7% of the cases 16 .…”

Disparities in the gut metabolome of post-operative Hirschsprung's disease patients

“…Despite definitive treatment, up to 80% of patients will report some form of bowel disfunction associated with HD complications sooner or later in life 7 . Frequently reported problems include constipation or fecal incontinence, bloating, diarrhea and recurrent Hirschsprung-associated enterocolitis (HAEC) 6 , 8 . Although all HD patients can develop disease-associated conditions, a number of factors, including long-segment disease, can increase that risk 9 .…”

“…Although all HD patients can develop disease-associated conditions, a number of factors, including long-segment disease, can increase that risk 9 . HAEC is a complication unique to HD patients, seen in 6 to 60% of children before and up to 37% after surgical intervention 8 . Substantial differences in reported cases of HAEC are mostly due to the absence of a unified diagnostic approach that can accurately and correctly recognize light and mild cases, both lacking pathognomonic signs.…”