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- Title
One-stage transanal endorectal pull-through for Hirschsprung disease: experience with 229 neonates.
- Authors
Zhang, Yanan; Liu, Zhaozhou; Li, Shuangshuang; Yang, Shen; Zhao, Jiawei; Yang, Ting; Li, Siqi; Chen, Yongwei; Guo, Weihong; Hou, Dawei; Li, Yingzi; Huang, Jinshi
- Abstract
<bold>Objective: </bold>To evaluate the safety and efficacy of transanal endorectal pull-through (TEPT) and the long-term outcomes in newborns with Hirschsprung disease (HD).<bold>Methods: </bold>A total of 229 newborns with HD underwent one-stage TEPT between 2007 and 2020, and the diagnoses were confirmed by rectal biopsy. The perioperative clinical course for all patients was reviewed, and the postoperative short- and long-term outcomes were assessed.<bold>Results: </bold>A total of 229 neonates (187 male and 42 female) had a median age at TEPT of 17 days (range 6-28 days). Sixty-eight patients (29.7%) underwent TEPT combined with an abdominal approach or laparoscopy. Early postoperative complications (using the Clavien-Dindo grading system) were documented in 36 patients (15.7%), and late postoperative complications were noted in 9 patients (3.9%). The follow-up period in the remaining 165 children ranged from 1.2 to 14.0 years (median 5.0 years). A total of 106 of the patients older than four years old took part in an interview about bowel function, and 85 patients (80.2%) had bowel function scores (BFS) ≥ 18.<bold>Conclusion: </bold>TEPT is effective and safe for HD in the neonatal period and presents with a low rate of complications and an acceptable outcome.
- Publication
Pediatric Surgery International, 2022, Vol 38, Issue 11, p1533
- ISSN
0179-0358
- Publication type
journal article
- DOI
10.1007/s00383-022-05198-9