Long-term results of the Duhamel technique are superior to those of the transanal pullthrough

Tannuri, Ana Cristina Aoun; Ferreira, Mariana Aparecida Elisei; Mathias, Arthur Loguetti; Tannuri, Uenis

doi:10.1016/j.jpedsurg.2016.10.007

Cited by 35 publications

(34 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The long-term outcomes of these two techniques vary across published studies, and no consensus has been reached regarding the best technique for HD treatment. 23 To the best of our knowledge, this study is the first systematic review and meta-analysis comparing postoperative outcomes following Duhamel pull-through and TEPT for HD.…”

Section: Discussionmentioning

confidence: 95%

Duhamel and Transanal Endorectal Pull-throughs for Hirschsprung' Disease: A Systematic Review and Meta-analysis

et al. 2017

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 95%

Duhamel and Transanal Endorectal Pull-throughs for Hirschsprung' Disease: A Systematic Review and Meta-analysis

et al. 2017

View full text Add to dashboard Cite

show abstract

“…In the TEPT procedure, an ileoanal anastomosis is created, aiming to reduce the risk of faecal stasis and development of enterocolitis. There is currently no consensus on which technique may be superior in patients with TCA [6][7][8][9][10]12,19,29,30,34,45]. In this cohort we could not test the difference between the different techniques because of the limited number of patients.…”

Section: Discussionmentioning

confidence: 99%

“…Eighteen (51%) of the 35 questionnaires were returned after a median (range) follow-up period of 11 (4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19) years. Of these 18 patients, 10 (56%) were aged 4-11 years, four (22%) were aged 12-17 years and four (22%) were aged 18 years or older.…”

Section: Sample Characteristicsmentioning

confidence: 99%

“…TCA is associated with higher morbidity and mortality compared to rectosigmoid HD [3][4][5]. The primary treatment of HD is surgical resection of the aganglionic segment and reconstruction of the continuity of the intestinal tract [6][7][8][9][10]. Over the past decades, treatment has been improved and mortality decreased, but patients with TCA often experience functional complaints, such as soiling, faecal incontinence, severe motility problems and enterocolitis [3,[11][12][13][14][15][16][17][18][19].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Long‐term outcome and quality of life in patients with total colonic aganglionosis in the Netherlands

et al. 2018

View full text Add to dashboard Cite

show abstract

“…Faecal incontinence in these patients may result from damage to the anal sphincter during reconstructive surgery, depending on the type and quality of the initial surgery. With regard to the type of surgery, there is currently little evidence that substantiates the decision to opt for one technique over another. The authors believe that further analyses, such as anorectal manometry or anal sphincter electromyography, should be performed to assess the differences between the techniques, especially between the transanal endorectal pull‐through and Duhamel operations, which currently are the two most commonly performed procedures.…”

Section: Discussionmentioning

confidence: 99%

Long-term functional outcomes and quality of life in patients with Hirschsprung's disease

Meinds

Steeg

Sloots

et al. 2019

British Journal of Surgery

View full text Add to dashboard Cite

Background It is unclear whether functional outcomes improve or deteriorate with age following surgery for Hirschsprung's disease. The aim of this cross‐sectional study was to determine the long‐term functional outcomes and quality of life (QoL) in patients with Hirschsprung's disease. Methods Patients with pathologically proven Hirschsprung's disease older than 7 years were included. Patients with a permanent stoma or intellectual disability were excluded. Functional outcomes were assessed according to the Rome IV criteria using the Defaecation and Faecal Continence questionnaire. QoL was assessed by means of the Child Health Questionnaire Child Form 87 or World Health Organization Quality of Life questionnaire 100. Reference data from healthy controls were available for comparison. Results Of 619 patients invited, 346 (55·9 per cent) responded, with a median age of 18 (range 8–45) years. The prevalence of constipation was comparable in paediatric and adult patients (both 22·0 per cent), and in patients and controls. Compared with controls, adults with Hirschsprung's disease significantly more often experienced straining (50·3 versus 36·1 per cent; P = 0·011) and incomplete evacuation (47·4 versus 27·2 per cent; P < 0·001). The prevalence of faecal incontinence, most commonly soiling, was lower in adults than children with Hirschsprung's disease (16·8 versus 37·6 per cent; P < 0·001), but remained higher than in controls (16·8 versus 6·1 per cent; P = 0·003). Patients with poor functional outcomes scored significantly lower in several QoL domains. Conclusion This study has shown that functional outcomes are better in adults than children, but symptoms of constipation and soiling persist in a substantial group of adults with Hirschsprung's disease. The persistence of defaecation problems is an indication that continuous care is necessary in this specific group of patients.

show abstract

Long-term results of the Duhamel technique are superior to those of the transanal pullthrough

Cited by 35 publications

References 17 publications

Duhamel and Transanal Endorectal Pull-throughs for Hirschsprung' Disease: A Systematic Review and Meta-analysis

Duhamel and Transanal Endorectal Pull-throughs for Hirschsprung' Disease: A Systematic Review and Meta-analysis

Long‐term outcome and quality of life in patients with total colonic aganglionosis in the Netherlands

Long-term functional outcomes and quality of life in patients with Hirschsprung's disease

Contact Info

Product

Resources

About