Stooling patterns and colonic motility after transanal one-stage pull-through operation for Hirschsprung's disease in children

Zhang, Shu Cheng; Bai, Yu; Wang, Wei

doi:10.1016/j.jpedsurg.2005.07.027

Cited by 23 publications

(21 citation statements)

References 30 publications

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“…It is generally known that the longer the length of the removed aganglionic segment the more severe the stool disorder will be. Zhang et al [3] found that in patients with frequent stools and soiling there was a loss of the natural sigmoid loops on contrast enema and the pulled through colon had a straight course; this was particularly seen in aganglionic segments over 30 cm. Since the resection length in the present study did not vary much, we have not correlated it to the number of stools.…”

Section: Discussionmentioning

confidence: 99%

“…Zhang et al [3] concluded that the stooling function was fine in most of the patients after one stage pull-through operation for HD. They showed a very low rate of constipation and no cases of incontinence.…”

Section: Discussionmentioning

confidence: 99%

“…One study [3] shows that the younger the patients are at the time of surgery, the faster the stooling patterns recover. However, another study [17] found that neonates had a significantly longer stabilization period than that of the non-neonates.…”

Section: Discussionmentioning

confidence: 99%

“…This causes much problem with painful perianal excoriations and the guardians have to change diapers frequently. The few studies that have focused on this issue have limited follow-ups [3,7,18,19].…”

Section: Discussionmentioning

confidence: 99%

“…It is generally known that most patients, initially after the TERPT procedure, will have more frequent stools but that this stabilizes over time [2,3].…”

Section: Introductionmentioning

confidence: 99%

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Development of Frequency of Stools over Time in Children with Hirschsprung Disease Posttransanal Endorectal One-Stage Pull-through

et al. 2014

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…It is generally known that most patients, initially after the TERPT procedure, will have more frequent stools but that this stabilizes over time [2,3].…”

Section: Introductionmentioning

confidence: 99%

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Development of Frequency of Stools over Time in Children with Hirschsprung Disease Posttransanal Endorectal One-Stage Pull-through

et al. 2014

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Redo Pull Through Operation for Hirschsprung Disease

Ralls

Coran

2019

Hirschsprung's Disease and Allied Disorders

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Is there a hidden mortality after one-stage transanal endorectal pull-through for patients with Hirschsprung’s disease?

et al. 2006

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One-stage transanal pull-through (TAP) has become a standard definitive procedure for the treatment of Hirschsprung's disease (HD). Short-term results of this operation seem to be excellent, but long-term outcome is still obscure. We evaluated the morbidity and mortality of our patients with one-stage TAP, and we reviewed the literature. We performed a TAP without a colostomy in 21 patients with HD. The primary outcome measures are age, sex, complications during surgery, enterocolitis (EC) attacks after surgery, postoperative stooling problems and mortality. All patients were called over telephone, and their clinical and functional outcomes were obtained. Case series of TAP in the literature were also reviewed in terms of postoperative problems. Twenty-one patients with full thickness rectal biopsy-proven HD underwent one-stage TAP. Average follow-up was 28 months. One early postoperative EC and three more late attacks of EC were observed. All survived patients had normal bowel habits. Three patients had perianal excoriations, three patients soiling, seven cases required anal dilatations and four patients experienced a diarrhea after surgery. We have been informed that four patients died after discharge from hospital. Two of them were a sudden death (one patient had metabolic problems, the other might have had an EC attack). The cause of death of one patient with an associated Down syndrome was a severe pneumonia, and one other case died of a septic shock of unknown etiology. None of these patients had a diarrhea or abdominal distention, which could have been an evidence of an EC attack prior to their deaths. We observed similar fatal cases, when reviewed the published series in the literature. There might be a hidden mortality within the long-term period after TAP for HD. Therefore, we recommend a close follow-up for all patients with any associated health problem and those from low socioeconomic regions after one-stage pull-through.

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Stooling patterns and colonic motility after transanal one-stage pull-through operation for Hirschsprung's disease in children

Cited by 23 publications

References 30 publications

Development of Frequency of Stools over Time in Children with Hirschsprung Disease Posttransanal Endorectal One-Stage Pull-through

Development of Frequency of Stools over Time in Children with Hirschsprung Disease Posttransanal Endorectal One-Stage Pull-through

Redo Pull Through Operation for Hirschsprung Disease

Is there a hidden mortality after one-stage transanal endorectal pull-through for patients with Hirschsprung’s disease?

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