دورية أكاديمية
Anal endosonography and bowel function in patients undergoing different types of endorectal pull-through procedures for Hirschsprung disease.
| العنوان: | Anal endosonography and bowel function in patients undergoing different types of endorectal pull-through procedures for Hirschsprung disease. |
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| المؤلفون: | Stensrud KJ; Oslo University Hospital, Department of Pediatric surgery, P.O. Box 4950 Nydalen, 0424 Oslo, Norway. Electronic address: kstensru@ous-hf.no., Emblem R; Oslo University Hospital, Department of Pediatric surgery, P.O. Box 4950 Nydalen, 0424 Oslo, Norway; University of Oslo, Faculty of Medicine, P.O. Box 1078 Blidern, 0316 Oslo, Norway., Bjørnland K; Oslo University Hospital, Department of Pediatric surgery, P.O. Box 4950 Nydalen, 0424 Oslo, Norway; University of Oslo, Faculty of Medicine, P.O. Box 1078 Blidern, 0316 Oslo, Norway. |
| المصدر: | Journal of pediatric surgery [J Pediatr Surg] 2015 Aug; Vol. 50 (8), pp. 1341-6. Date of Electronic Publication: 2015 Jan 08. |
| نوع المنشور: | Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Saunders Country of Publication: United States NLM ID: 0052631 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1531-5037 (Electronic) Linking ISSN: 00223468 NLM ISO Abbreviation: J Pediatr Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Philadelphia, PA : Saunders Original Publication: New York. |
| مواضيع طبية MeSH: | Endosonography*, Anal Canal/*physiopathology , Fecal Incontinence/*etiology , Hirschsprung Disease/*surgery , Postoperative Complications/*etiology, Adolescent ; Anal Canal/diagnostic imaging ; Anal Canal/surgery ; Child ; Child, Preschool ; Fecal Incontinence/diagnosis ; Female ; Follow-Up Studies ; Humans ; Laparoscopy ; Laparotomy ; Logistic Models ; Male ; Manometry ; Postoperative Complications/diagnosis ; Prospective Studies ; Rectum/surgery |
| مستخلص: | Background: The reasons for fecal incontinence after surgery for Hirschsprung disease (HD) remain unclear. The aim of this study was to examine the anal sphincters by anal endosonography and manometry after transanal endorectal pull-through, with or without laparotomy or laparoscopy, in HD patients. Furthermore, we aimed to correlate these findings to bowel function. Patients and Methods: Fifty-two HD patients were followed after endorectal pull-through. Anal endosonography and manometry were performed without sedation at the age of 3 to 16 years. Results: Endosonographic internal anal sphincter (IAS) defects were found in 24/50 patients, more frequently after transanal than transabdominal procedures (69 vs. 19%, p=0.001). In a multiple variable logistic regression model, operative approach was the only significant predictor for IAS defects. Anal resting pressure (median 40mm Hg, range 15-120) was not correlated to presence of IAS defects. Daily fecal incontinence occurred more often in patients with IAS defects (54 vs. 25%, p=0.03). Conclusions: Postoperative IAS defects were frequently detected and were associated with daily fecal incontinence. IAS defects occurred more often after solely transanal procedures. We propose that these surgical approaches are compared in a randomized controlled trial before solely transanal endorectal pull-through is performed as a routine procedure. (Copyright © 2015 Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Anal endosonography; Anal manometry; Anal sphincter; Hirschsprung disease; Postoperative fecal incontinence |
| تواريخ الأحداث: | Date Created: 20150319 Date Completed: 20160407 Latest Revision: 20181202 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1016/j.jpedsurg.2014.12.024 |
| PMID: | 25783406 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1531-5037 |
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| DOI: | 10.1016/j.jpedsurg.2014.12.024 |