Endorectal “pull-through” without preliminary colostomy in neonates with Hirschsprung's disease

So, Henry B.; Schwartz, David L.; Becker, Joshua A.; Daum, Fredric; Schneider, Keith M.

doi:10.1016/s0022-3468(80)80755-x

Cited by 156 publications

(44 citation statements)

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“…2 Later, Duhamel described a retrorectal anastomosis 3 and Soave an extramucosal dissection, 4 to minimise risk of neurovascular injury. Primary endorectal pull-through without enterostomy 5 has gained in popularity since first described in 1980, being further modified to include minimally invasive approaches. 6 In 1998, Huddart undertook a national survey to determine 'contemporary' management of Hirschsprung's disease.…”

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Evolution in the management of Hirschsprung’s disease in the UK and Ireland: a national survey of practice revisited

Bradnock

Walker

2011

annals

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INTRODUCTION The management of Hirschsprung’s disease continues to evolve. This questionnaire survey aimed to determine current surgical management strategies for Hirschsprung’s disease in Britain. SUBJECTS AND METHODS The survey was sent electronically to all British paediatric surgeons. Initial questions explored individual experience and regional service provision. Additional questions, reserved for surgeons who perform definitive Hirschsprung’s disease surgery, addressed specific clinical scenarios. RESULTS Surveys were sent to 142 surgeons yielding 85 responses. After exclusions, 64 surveys from 21 centres were analysed. Forty-seven respondents worked in centres with designated ‘Hirschsprung’s disease surgeons’. Forty respondents perform definitive Hirschsprung’s disease surgery. In a well neonate with left-sided Hirschsprung’s disease, 34 of 40 surgeons favour primary pull-through following bowel decompression with rectal washouts; 35 of 40 surgeons aim to perform definitive surgery at less than 3 months of age, with 17 favouring laparoscopic-assisted Soave–Boley and 15 favouring an open Duhamel pull-through. Of the 40 surgeons, 36 use a staged approach to right-sided/total colonic Hirschsprung’s disease with 23 favouring a Duhamel or Long Duhamel pull-through. CONCLUSIONS The primary pull-through, using an open Duhamel or laparoscopic-assisted Soave–Boley technique, during the first 3 months of life, has become the operative strategy of choice in rectosigmoid Hirschsprung’s disease in Britain. Marked variation in practice remains for right-sided Hirschsprung’s disease.

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confidence: 99%

Evolution in the management of Hirschsprung’s disease in the UK and Ireland: a national survey of practice revisited

Bradnock

Walker

2011

annals

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“…1980'lerde küçük çocuklarda bile kolostomi yapılma-dan tek aşamalı pull through ameliyatları yapılmaya başlanmıştır (28) . Daha sonraki 10-15 yılda tek aşamalı ameliyatlar gittikçe popüler olmaya başlamış ve bu yaklaşımın güvenilirliği konusunda birçok yayın yapılmıştır (30) .…”

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“…1980 yılında So ve ark. (28) kolostomi yapmadan yenidoğanlara EP ameliyatı yapmıştır. 1995 yılında, Georgeson ve ark.…”

Section: Introductionunclassified

Comparison of transanal endorectal pull-through and laparoscopic assisted transanal endorectal pull-through for Hirschsprung's disease

Güzel¹,

Küçükaydın²

2010

TCCD

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Özet Amaç: Bu çalışmada, Hirschsprung hastalığının (HH) tedavisinde, transanal endorektal pull through (TEP) ve laparoskopi yardımlı transanal endorektal pull through (LYTEP) yöntemlerinin sonuçları karşılaştırıldı.Yöntemler: Endorektal pullthrough yapılan 47 Hirschsprung hastası, uygulanan Anahtar kelimeler: Hirschsprung hastalığı, endorektal pullthrough SummaryComparison of transanal endorectal pull-through and laparoscopic assisted transanal endorectal pull-through for Hirschsprung's disease Objective: In this study, we compared the results of transanal endorectal pull-through (TEP) and laparoscopic assisted transanal endorectal pull-through technique (LATEP) for Hirschsprung's disease (HD). Methods: Forty-seven Hirschsprung's disease patients, operated on by endorectal pull-through, were divided in two groups according to operation technique and results

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“…[12][13][14] En niños con abdomen agudo, con o sin datos de perforación intestinal o desequilibrio hemodiná-mico-hidroelectrolítico grave, una laparotomía puede ser la opción más adecuada para resolver la urgencia abdominal, si la zona de transición es evidente y se cuenta con disponibilidad de un patólogo. Una toma de biopsia por arriba de la zona de transición mostrando un intestino sano (normoganglionico), indicaría el sitio intestinal que se debería realizar la derivación intestinal; si se observara una perforación intestinal, lo cual ocurre más frecuentemente en el sitio dilatado intestino proximal (normoganglionico), ese sería un sitio adecuado para realizar una derivación intestinal.…”

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Enfermedad de Hirschsprung

Santos-Jasso

2017

Acta Pediatr Mex

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72www.actapediatrica.org.mx critErio pEdiátrico INTRODUCCIÓNEl diagnóstico de la enfermedad de Hirschsprung se debe sospechar en el recién nacido que presenta datos de obstrucción intestinal: vómito, distensión abdominal y falla para el paso de meconio, en la primera semana de vida, lo que sustenta su origen congénito. Los pacientes con esta enfermedad son predominantemente del sexo masculino (84%); suelen presentar impactación fecal colónica y en la valoración abdominal muestran desimpactación, que puede ser explosiva en el examen digital del recto con vaciamiento en el 96% de los pacientes.1 La progresión en cuanto a gravedad de estos síntomas suele manifestarse con fiebre, distensión abdominal, diarrea y sepsis; manifestaciones clínicas de una colitis obstructiva proliferativa, también llamada enterocolitis, la cual ocurre entre 11 a 24% de los recién nacidos con enfermedad de Hirschsprung.2 Un subgrupo de pacientes con (aquellos que no presentan un cambio abrupto de calibre entre el segmento sano y el segmento afectado) manifiestan úni-camente estreñimiento crónico, lo que dificulta el diagnóstico. 1Harald Hirschsprung describió una casuística de recién nacidos con estreñimiento secundario a la dilatación e hipertrofia del colon, sin afección aparente a nivel de sigmoides ni recto. Actualmente sabemos que el defecto de la migración neuronal intestinal céfalo-caudal traduce aganglionosis del recto en el 100% de los pacientes con ésta enfermedad; 4 del sigmoides en 80-85%; del colon descendente y colon transverso en 10% cada uno, y de colon ascendente y parte distal del íleon entre 5 y 10%. Figura 1.

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Endorectal “pull-through” without preliminary colostomy in neonates with Hirschsprung's disease

Cited by 156 publications

References 1 publication

Evolution in the management of Hirschsprung’s disease in the UK and Ireland: a national survey of practice revisited

Evolution in the management of Hirschsprung’s disease in the UK and Ireland: a national survey of practice revisited

Comparison of transanal endorectal pull-through and laparoscopic assisted transanal endorectal pull-through for Hirschsprung's disease

Enfermedad de Hirschsprung

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