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Published on: August 11, 2018
Follow-up studies in 50 totally colectomised children
Insights
Colectomies in children with Hirschsprung
Area of Science:
- Pediatric Surgery
- Gastroenterology
Background:
- Hirschsprung's disease is a congenital condition affecting the large intestine.
- Total colectomy is a surgical option for severe cases.
Purpose of the Study:
- To evaluate the long-term outcomes of total colectomy in children.
- To assess the functional results and complications following the procedure.
Main Methods:
- Retrospective review of 50 children who underwent total colectomy.
- Average follow-up period of 5.5 years.
- Assessment of growth, bowel function, continence, and enteritis.
Main Results:
- Most children (46/50) achieved normal size and weight.
- 20 children experienced frequent pulpy stools.
- 16 children had continence issues.
- 14 children developed severe or recurrent enteritis.
- No specific surgical technique showed an advantage.
Conclusions:
- Total colectomy can lead to acceptable growth in children with Hirschsprung's disease.
- Significant long-term morbidities include frequent stools, incontinence, and enteritis.
- Surgical approach did not influence outcomes.
Abstract:
We report on 50 totally colectomised children, most of whom suffered from Hirschsprung's disease. Of the 50, one child died postoperatively of enteritis. On an average, the children were re-examined 5 1/2 years after the colectomy. The findings were as follows: With the exception of four, the size and weight of the patients were within the norm; 20 passed frequent stools of pulpy consistency; 16 suffered from disturbances of continence; 14 developed severe, partially recurrent enteritis. We did not find any advantage of a single method of operation, e.g. Martin's operation.
