[Bowel control after surgery for Hirschsprung's disease].

Area of Science:

• Pediatric Surgery
• Gastroenterology
• Colorectal Surgery

Context:

• Hirschsprung's disease is a congenital condition affecting the large intestine.
• Surgical correction often involves intestinal anastomosis.
• Long-term functional outcomes, particularly bowel control, require ongoing assessment.

Purpose:

• To evaluate the long-term efficacy of Ikeda's Z-shaped anastomosis for Hirschsprung's disease.
• To assess the prevalence and evolution of bowel control disorders post-surgery.
• To correlate clinical findings with radiological and manometric data.

Summary:

• A study of 66 children following Ikeda's Z-shaped anastomosis for Hirschsprung's disease revealed initial bowel control issues.
• Constipation, incontinence, and soiling were observed, but these symptoms generally improved with age.
• Radiological findings (megarectum, wide anal canal) and anal canal pressures correlated with specific bowel control issues.

Impact:

• Provides insights into the functional outcomes of a specific surgical technique for Hirschsprung's disease.
• Highlights the importance of age-related improvement in bowel control.
• Informs treatment strategies for persistent constipation and incontinence, including laxatives, enemas, and biofeedback.