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Long-term stooling patterns in infants undergoing primary endorectal pull-through for Hirschsprung's disease
D H Teitelbaum1, R A Drongowski, J N Chamberlain
1University of Michigan Medical Center and the C.S. Mott Children's Hospital, Ann Arbor 48109, USA.
Journal of Pediatric Surgery
|July 1, 1997
Summary
Primary endorectal pull-through (ERPT) surgery for Hirschsprung
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Neonatal Care
Background:
- Hirschsprung's disease is a congenital condition affecting the large intestine.
- Primary endorectal pull-through (ERPT) is a common surgical approach for infants.
- Long-term outcomes of ERPT in infants require further evaluation.
Purpose of the Study:
- To assess long-term stooling patterns and continence in infants after primary ERPT.
- To evaluate the efficacy of ERPT for Hirschsprung's disease in young patients.
Main Methods:
- Retrospective review of 24 infants undergoing primary ERPT for Hirschsprung's disease.
- Detailed interviews with families of patients over 3 years old to assess continence (0-10 scale).
- Analysis of stooling frequency trends and complication rates (enterocolitis).
Main Results:
- Mean follow-up was 1,036 days; mean age at ERPT was 15 days.
- Stooling frequency normalized rapidly within 6 months post-ERPT.
- Continence was rated good to excellent in 10 patients, fair in 2 (with total colonic disease).
- Nine patients experienced 20 episodes of enterocolitis.
Conclusions:
- Primary ERPT in infants with Hirschsprung's disease leads to favorable long-term stooling patterns.
- Good to excellent continence rates are achievable with primary ERPT.
- ERPT is an effective surgical option for managing Hirschsprung's disease in neonates and young infants.