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Diagnosis of Hirschsprung's Disease by Immunostaining Rectal Suction Biopsies for Calretinin, S100 Protein and Protein Gene Product 9.5
Published on: April 26, 2019
Adolescents and young adults with Hirschsprung's disease
1Department of Pediatrics, University of Kansas School of Medicine, 3901 Rainbow Boulevard, Mail stop 4004, Kansas City, KS 66160, USA. phyman@kumc.edu
Insights
Most children with Hirschsprung
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Colorectal Surgery
Background:
- Hirschsprung's disease often leads to long-term digestive and defecation issues post-surgery.
- Adult diagnosis and management of Hirschsprung's disease are similar to pediatric cases.
Purpose of the Study:
- To highlight the persistent challenges faced by patients after Hirschsprung's surgery.
- To emphasize the role of colon manometry in managing persistent symptoms.
- To explore factors influencing quality of life in Hirschsprung's disease patients.
Main Methods:
- Review of long-term outcomes in patients undergoing Hirschsprung's disease resection.
- Application of colon manometry for physiologic assessment of persistent symptoms.
- Analysis of quality of life determinants.
Main Results:
- A significant proportion of patients experience ongoing digestive and defecation problems.
- Colon manometry provides valuable insights for guiding treatment in symptomatic individuals.
- Quality of life is primarily linked to psychosocial aspects, not symptom severity.
Conclusions:
- Long-term digestive and defecation issues are common after Hirschsprung's surgery.
- Colon manometry is crucial for managing persistent symptoms.
- Psychosocial factors significantly impact the quality of life for Hirschsprung's disease patients.
Abstract:
A majority of children and adolescents who have successful surgery to resect colon affected by Hirschsprung's disease suffer from digestive disorders, defecation problems, or both into adult life. In those with persistent symptoms following Hirschsprung's surgery, colon manometry facilitates a physiologic explanation for symptoms and guides treatment. Only a few patients born with Hirschsprung's disease make it to adult age before diagnosis and surgery, but their management does not differ from that of children with Hirschsprung's disease. The quality of life for patients with Hirschsprung's disease depends on psychosocial factors and not on childhood suffering or chronic symptoms.
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