Surgical Science

Volume 4, Issue 5 (May 2013)

ISSN Print: 2157-9407   ISSN Online: 2157-9415

Google-based Impact Factor: 0.36  Citations  h5-index & Ranking

Literature Review of the Outcome after One-Stage Transanal Endorectal Pull-Through Procedure for Hirschsprung’s Disease in Children

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DOI: 10.4236/ss.2013.45050    3,340 Downloads   5,358 Views   Citations

ABSTRACT

Background: Transanal endorectal one-stage pull-through (TERPT) procedure in children with Hirschsprungs 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.

Cite this paper

I. Ortiz-Rubio, M. Pérez-Aguilera, C. Granéli, P. Stenström and E. Arnbjörnsson, "Literature Review of the Outcome after One-Stage Transanal Endorectal Pull-Through Procedure for Hirschsprung’s Disease in Children," Surgical Science, Vol. 4 No. 5, 2013, pp. 258-262. doi: 10.4236/ss.2013.45050.

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