TITLE:
Literature Review of the Outcome after One-Stage Transanal Endorectal Pull-Through Procedure for Hirschsprung’s Disease in Children
AUTHORS:
Irene Ortiz-Rubio, María Pérez-Aguilera, Christina Granéli, Pernilla Stenström, Einar Arnbjörnsson
KEYWORDS:
Transendorectal Pull-Through (TERPT); Hirschsprung’s Disease (HD); Outcome; Incontinence; Constipation
JOURNAL NAME:
Surgical Science,
Vol.4 No.5,
May
7,
2013
ABSTRACT:
Background: Transanal endorectal
one-stage pull-through (TERPT) procedure in children with Hirschsprung’s disease (HD) is frequently used
worldwide. In order to give the families realistic expectations and to plan the
medical care for the years after TERPT, the long term outcome is of great
importance. Aim: To collect information on the long term outcome reported after
one stage TERPT procedure for HD in children 0 - 15 years. Method: A literature
review on the outcome of planned TERPT from 2005 through 2012 was carried out.
Information was collected on the number of daily stools a few months
postoperatively, incontinence and constipation and the measures taken to deal
with these. Results: The reports are few and prospective
studies were missing. The results show an initial high frequency of daily
stools, 12% had later abnormal stool patterns, 21% had fecal incontinence and
10% had problems with constipation. Conclusion: In order to compare the long
term outcome, it would
be desirable to have uniform regular reports on the daily frequency of passed
stools, incontinence and constipation during the first years after TERPT. Such
knowledge would be of importance for the information given to the guardians of
children with HD preoperatively to TERPT and in the planning of the future
care. The findings can, furthermore, provide a benchmark for the outcome from a
single centre.