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Related Experiment Video

Updated: Jun 25, 2026

Diagnosis of Hirschsprung's Disease by Immunostaining Rectal Suction Biopsies for Calretinin, S100 Protein and Protein Gene Product 9.5
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Published on: April 26, 2019

Transanal pull-through procedure for Hirschsprung's disease: a 5-year experience.

I Jester1, S Holland-Cunz, S Loff

  • 1Department of Pediatric Surgery, University Hospital Mannheim, Mannheim, Germany. ingo.jester@gmail.com

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [Et Al] = Zeitschrift Fur Kinderchirurgie
|February 19, 2009
PubMed
Summary

Transanal endorectal pull-through (TEPT) for Hirschsprung

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Vessel-sparing Excision and Primary Anastomosis
08:09

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Published on: January 7, 2019

Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Transanal endorectal pull-through (TEPT) is a common surgical approach for Hirschsprung's disease.
  • Previous studies suggest TEPT is safe with good clinical outcomes.

Purpose of the Study:

  • Evaluate the early postoperative outcomes of TEPT.
  • Assess the incidence of complications within the first four weeks after TEPT.

Main Methods:

  • Retrospective review of 34 children undergoing one-stage TEPT for Hirschsprung's disease (2003-2007).
  • Analysis of complications occurring within four weeks post-operation.

Main Results:

  • 24% of patients experienced early anastomotic dehiscences, with 6% being symptomatic.
  • 18% had asymptomatic dehiscences detected on routine examination.
  • Other complications included retraction, abscess, stricture, and enterocolitis.

Conclusions:

  • Early clinical and subclinical complications, particularly anastomotic dehiscences, are more frequent after TEPT than previously thought.
  • Close patient monitoring and thorough examination are crucial in the early postoperative period.
  • Prompt resuturing of dehiscences may prevent severe complications.