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Surgical treatment of chronic colostasis in children: a ten-year experience

O B Bodnar, L I Vatamanesku, B M Bodnar

    Revista Medico-Chirurgicala a Societatii De Medici Si Naturalisti Din Iasi
    |October 25, 2014
    PubMed

    Insights

    Surgical intervention effectively treated 26.06% of pediatric patients with chronic colon stasis, with satisfactory outcomes for Hirschsprung

    Area of Science:

    • Pediatric Surgery
    • Gastroenterology
    • Colorectal Surgery

    Background:

    • Chronic colon stasis affects children of various origins.
    • Surgical intervention is considered when non-surgical methods fail.

    Purpose of the Study:

    • To analyze a decade of surgical treatment experience for pediatric chronic colon stasis.
    • To evaluate surgical outcomes for different etiologies of colon stasis.

    Main Methods:

    • Retrospective analysis of 353 pediatric patients (1 day-17 years).
    • Inclusion of clinical examination, laboratory tests, endoscopy, X-ray imaging, and sphincterometry.
    • Surgical treatment applied to 92 patients with specific colon pathologies.

    Main Results:

    • Non-surgical treatment succeeded in 73.94% of cases.
    • Surgical outcomes were satisfactory for Hirschsprung's disease, dolichosigmoid, Payr's disease, and Chilaiditi syndrome.
    • Optimal surgical techniques were identified based on colon pathology.

    Conclusions:

    • The one-step Soave-Boley operation is recommended for rectal and rectosigmoid Hirschsprung's disease.
    • Transversal colon resection and phrenico-colic ligament dissection are effective for Payr's disease.
    • Hepatopexia and right colon fixation are effective for Chilaiditi syndrome.
    Abstract

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