دورية أكاديمية
أعرض في EDS

One-stage transanal endorectal pull-through for treatment of hirschsprung's disease in adolescents and adults.

التفاصيل البيبلوغرافية
العنوان: One-stage transanal endorectal pull-through for treatment of hirschsprung's disease in adolescents and adults.
المؤلفون: Ammar SA; Surgery Department, Assiut University Hospitals, Assiut, Egypt. samirahmed70@hotmail.com, Ibrahim IA
المصدر: Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract [J Gastrointest Surg] 2011 Dec; Vol. 15 (12), pp. 2246-50. Date of Electronic Publication: 2011 Sep 10.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier B.V Country of Publication: United States NLM ID: 9706084 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-4626 (Electronic) Linking ISSN: 1091255X NLM ISO Abbreviation: J Gastrointest Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: 2024-: [Amsterdam] : Elsevier B.V.
Original Publication: St. Louis, MO : Quality Medical Pub., c1997-
مواضيع طبية MeSH: Anal Canal/*surgery , Colon, Sigmoid/*surgery , Hirschsprung Disease/*surgery, Adolescent ; Anal Canal/pathology ; Anastomosis, Surgical/methods ; Child ; Colon, Sigmoid/pathology ; Digestive System Surgical Procedures/methods ; Feasibility Studies ; Female ; Hirschsprung Disease/pathology ; Humans ; Male ; Treatment Outcome ; Young Adult
مستخلص: Background: One-stage pull-through operation has become increasingly popular for treatment of Hirschsprung's disease. The one-stage transanal pull-through was introduced in the late 1990s and has rapidly replaced traditional procedures in infants and young children in many surgical centers.
Objective: The aim of this study is to determine feasibility and safety of transanal primary repair in adolescent and adults.
Methods: Fifteen patients who underwent transanal endorectal pull-through were prospectively studied. All patients presented by chronic refractory constipation with the age ranged from 11 to 22 years. The patients were followed up for a mean of 18 months. Anal continence and postoperative complication were evaluated.
Results: Incomplete continence in the form of soiling occurred in four patients (26.6%) and improved gradually with conservative management. No patients suffered from complete incontinence. Anastomotic strictures occurred in two patients and were successfully treated with regular dilatations. One patient had continued outlet obstruction and revision was considered for him. One patient complicated with low perianal fistula which needed fistulectomy. There was no impotence in adults.
Conclusion: These findings indicate that one-stage transanal endorectal pull-through operation in adolescent and adults is feasible and safe.
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تواريخ الأحداث: Date Created: 20110913 Date Completed: 20120330 Latest Revision: 20240213
رمز التحديث: 20240213
DOI: 10.1007/s11605-011-1662-z
PMID: 21909845
قاعدة البيانات: MEDLINE
الوصف
تدمد:1873-4626
DOI:10.1007/s11605-011-1662-z