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Related Experiment Videos

Follow-up studies in 50 totally colectomised children.

H Kraeft, A M Holschneider, W C Hecker

    Zeitschrift Fur Kinderchirurgie : Organ Der Deutschen, Der Schweizerischen Und Der Osterreichischen Gesellschaft Fur Kinderchirurgie = Surgery in Infancy and Childhood
    |April 1, 1985
    PubMed
    Summary

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    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.

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  • 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.