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[Results of total colectomy in childhood]
Insights
Colectomized children with Hirschsprung
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Developmental Biology
Context:
- Hirschsprung's disease is a congenital disorder requiring surgical intervention.
- Colectomy is a common surgical procedure for Hirschsprung's disease.
- Long-term outcomes of colectomy in children are crucial for assessing treatment efficacy.
Purpose:
- To evaluate the long-term growth, bowel function, and complication rates in children who underwent colectomy for Hirschsprung's disease.
- To compare surgical outcomes with existing literature and alternative techniques.
Summary:
- Nineteen children who underwent colectomy for Hirschsprung's disease showed normal growth approximately six years post-surgery.
- Bowel movements averaged four times daily, with pulpy consistency.
- Significant complications included continence issues in eleven children and severe recurrent enteritis in seven.
Impact:
- Provides insights into the long-term functional outcomes and potential complications following colectomy for Hirschsprung's disease in pediatric patients.
- Highlights the need for ongoing management of continence disturbances and enteritis.
- Informs surgical decision-making and patient counseling regarding Hirschsprung's disease treatment.
Abstract:
In nineteen colectomized children operated for Hirschsprung's disease in most instances, size and weight were within normal ranges about six years after surgery. They passed stools, mostly of pulpy consistence, once to ten-times a day, on average four times a day. Eleven children suffered from continence disturbances. Seven developed severe recurrent enteritis. These results as well as those of three children operated according to Martin's technique are compared with those in the literature.