Clinical outcome and bowel function after surgical treatment in Hirschsprungs disease

Khazdouz, M. and Sezavar, M. and Imani, B. and Akhavan, H. and Babapour, A. and Khademi, G. (2015) Clinical outcome and bowel function after surgical treatment in Hirschsprungs disease. African Journal of Paediatric Surgery, 12 (2). pp. 143-147.

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Background: Bowel function has been reported to be adversely affected following surgery in cases of Hirschsprung. We retrospectively studied both the clinical outcome and bowel function status following surgery in patients diagnosed with Hirschprungs disease (HD). 161 cases, who underwent pull-through operations for HD in Sheikh Pediatric Tertiary Centre, Mashhad, Iran. The specified time bracket spanned between 2006 and 2011. Materials and Methods: Data was extracted from Health Information System with the aim of investigating patients for both short and long-term gastrointestinal (GI) complications after surgery bases in addition to the concurrence of any associated anomalies. Three main procedures were analysed in this respect (Swenson, Duhamel and Soave). Results: In a study of 96 (59) boys and 65 (40.3) girls, mortality rate was reported to be 15.5 (15 males and 10 females). A considerable majority of almost three fourths were detected with both early and late GI complications after surgery. The latter mainly included constipation (30.8), incontinence (19.8), enterocolitis (8), diarrhea (11) in a declining order of incidence. Down syndrome and others HD-associated anomalies were detected in 3.7 and 24.3 of cases respectively. Conclusions: Constipation and foecal incontinence were the most prevalent postoperative complications, which were reported almost as frequent in other studies. Yet, Enterocolitis, was reported slightly less in prevalence. Also mortality rates were considerably higher, compared to developed nations.

Item Type: Article
Additional Information: Cited By :5 Export Date: 16 February 2020 Correspondence Address: Khademi, G.; Department of Pediatric, Faculty of Medicine, Mashhad University of Medical SciencesIran
Uncontrolled Keywords: Bowel function constipation foecal incontinence Hirschsprungs disease abdominal surgery adolescent adverse effects child diarrhea enterocolitis Fecal Incontinence female Hirschsprung disease human infant Iran male mortality preschool child procedures retrospective study treatment outcome young adult Child, Preschool Digestive System Surgical Procedures Humans Retrospective Studies
Subjects: WI Digestive System
Divisions: Mashhad University of Medical Sciences
Depositing User: mr lib5 lib5
Date Deposited: 14 May 2020 17:03
Last Modified: 14 May 2020 17:03

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