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Stabilization period after 1-stage transanal endorectal pull-through operation for Hirschsprung disease

Authors
 Hae Young Kim  ;  Jung-Tak Oh 
Citation
 JOURNAL OF PEDIATRIC SURGERY, Vol.44(9) : 1799-1804, 2009 
Journal Title
 JOURNAL OF PEDIATRIC SURGERY 
ISSN
 0022-3468 
Issue Date
2009
MeSH
Digestive System Surgical Procedures/methods* ; Female ; Hirschsprung Disease/surgery* ; Humans ; Infant ; Infant, Newborn ; Linear Models ; Male ; Rectum/surgery ; Retrospective Studies ; Statistics, Nonparametric ; Treatment Outcome
Keywords
Hirschsprung disease ; Transanal endorectal pull-through ; Stabilization
Abstract
PURPOSE: The aim of this study was to evaluate postoperative outcomes and to find the period required for normal stooling pattern after the 1-stage transanal endorectal pull-through operation (TERPT). METHOD: The authors retrospectively reviewed the clinical data and postoperative courses of 61 patients who had the aganglionic bowel confined to rectosigmoid and underwent TERPT between 2001 and 2007. RESULTS: Thirty-three patients (54.1%) were neonates, and 56 patients (91.8%) were less than 6 months old at operation. The mean age at TERPT was 90 +/- 216 days, and the mean body weight at TERPT was 4.5 +/- 2.8 kg. The average operating time was 189 +/- 49 minutes, and mean length of bowel resection was 11.1 +/- 3.2 cm. The mean postoperative hospital stay was 8.0 +/- 3.6 days. Postoperatively, 5 (8.2%) patients were considered as failure of TERPT because of persistent problems in defecation. Fifty-six (91.8%) patients finally had normal stooling patterns and normal findings in abdominal radiography after 9.4 +/- 6.2 weeks of the mean postoperative stabilization period. Neonatal cases had significantly longer postoperative stabilization periods than nonneonatal cases (11.3 +/- 6.9 weeks vs 7.3 +/- 4.6 weeks, P = .016). The postoperative stabilization period significantly decreased by age at operation as the patient's age increased (P = .018). CONCLUSION: Clinical outcomes after TERPT are satisfactory, but a postoperative stabilization period is required for a normal stooling pattern to develop. The outcome of TERPT should consider a postoperative stabilization period
Full Text
http://www.sciencedirect.com/science/article/pii/S0022346808009342
DOI
10.1016/j.jpedsurg.2008.10.070
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Oh, Jung Tak(오정탁)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/105188
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