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- Title
Optimal timing of definitive surgery for Hirschsprung's disease to achieve better long-term bowel function.
- Authors
Onishi, Shun; Kaji, Tatsuru; Nakame, Kazuhiko; Yamada, Koji; Murakami, Masakazu; Sugita, Koshiro; Yano, Keisuke; Matsui, Mayu; Nagano, Ayaka; Harumatsu, Toshio; Yamada, Waka; Matsukubo, Makoto; Muto, Mitsuru; Ieiri, Satoshi
- Abstract
Purpose: Few studies have focused on the operative age for Hirschsprung's disease (HD). We evaluated the optimal timing of surgery in HD patients based on their long-term bowel function. Methods: HD was diagnosed in 65 pediatric patients in our institute between 1992 and 2018. Twenty-five patients underwent the Soave–Denda procedure (SD) and 40 underwent transanal endorectal pull-through (TA). We divided these patients into two groups: those who underwent surgery at < 6 months of age (younger group) and those who underwent surgery at 6–12 months of age (older group). We assessed bowel function at 5, 7, and 9 years of age. Results: The bowel function of the patients who underwent the SD did not differ significantly between the groups. Similarly, the total bowel-function scores of the patients who underwent TA did not differ between the groups at any age. However, the soiling score at 7 years of age in the older group of patients who underwent TA was significantly lower than that in the younger group (p = 0.02). Conclusions: Our data suggest that to achieve optimal bowel function, TA should be performed at < 6 months of age.
- Subjects
HIRSCHSPRUNG'S disease; AGE groups; CHILD patients; OLDER patients
- Publication
Surgery Today, 2022, Vol 52, Issue 1, p92
- ISSN
0941-1291
- Publication type
Article
- DOI
10.1007/s00595-021-02356-9