Long-term Follow-up of Patients with Hirschsprung Disease: Unusual Late Complications After Pull-through

Background: A large number of patients who underwent pull-through surgery due to Hirschsprung's disease (HD) were not followed up properly and they suffered from many complications such as fecal soiling, constipation, and etc. Although some of these complications may relief over time, it is ra...

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Autores principales:	Leily Mohajerzadeh, Ashkan Soltani, Amir Mohammad Zakeri, Ahmad Khaleghnejad Tabari, Mohsen Rouzrokh, Javad Ghoroubi, Mehdi Sarafi, Naghi Dara, Farnoosh Rahimi, Sayeh Hatefi
Formato:	article
Lenguaje:	EN
Publicado:	Shiraz University of Medical Sciences 2020
Materias:	constipation enterocolitis fecal soiling hirschsprung disease incontinence pull through surgery Medicine R
Acceso en línea:	https://doaj.org/article/30b91e461900408b9f1a4192bb520f21
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spelling	oai:doaj.org-article:30b91e461900408b9f1a4192bb520f212021-11-14T08:12:23ZLong-term Follow-up of Patients with Hirschsprung Disease: Unusual Late Complications After Pull-through2783-243010.30476/acrr.2021.88459.1066https://doaj.org/article/30b91e461900408b9f1a4192bb520f212020-12-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_47234_ae1ebf8540b9572688f8fffbdaf227d0.pdfhttps://doaj.org/toc/2783-2430Background: A large number of patients who underwent pull-through surgery due to Hirschsprung's disease (HD) were not followed up properly and they suffered from many complications such as fecal soiling, constipation, and etc. Although some of these complications may relief over time, it is rational to consider an evaluative protocol to identify anatomical or pathological complications in these patients. Objective: The aim of the present study is to evaluate and introduce these catastrophic complications. Method: In this historical cohort study, 193 patients with HD who had undergone pull- through surgery between 2006 to 2013 were considered. All files and questionnaires were used to collect patients' information and patients were physically examined individually. The mean duration of the follow-up was 96.4±17.2 months ranging from 60 to 144 months The follow-up performed for all patients via the outpatient clinics or by telephone. All statistical information was analyzed by SPSS software version 17. Results: Results: At first presentation, intestinal obstruction was more frequent than constipation. The most common involved segment was in rectosigmoid. The most common early postoperative complication was stricture in anal canal and the most common late complications were constipation and focal soiling. Conclusion: Although surgical advancements, a large number of patients underwent surgical procedures due to HD experience long term complications. Surgical treatment of HD generally present with high-quality outcome and the majority of children survive in satisfactory situation for long time but occasionally pediatric surgeons meet head-on catastrophic complication in these patients that require extended team work to be resolvedLeily MohajerzadehAshkan SoltaniAmir Mohammad ZakeriAhmad Khaleghnejad TabariMohsen RouzrokhJavad GhoroubiMehdi SarafiNaghi DaraFarnoosh RahimiSayeh HatefiShiraz University of Medical Sciencesarticleconstipationenterocolitisfecal soilinghirschsprung diseaseincontinence pull through surgeryMedicineRENIranian Journal of Colorectal Research, Vol 8, Iss 4, Pp 175-180 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	constipation enterocolitis fecal soiling hirschsprung disease incontinence pull through surgery Medicine R
spellingShingle	constipation enterocolitis fecal soiling hirschsprung disease incontinence pull through surgery Medicine R Leily Mohajerzadeh Ashkan Soltani Amir Mohammad Zakeri Ahmad Khaleghnejad Tabari Mohsen Rouzrokh Javad Ghoroubi Mehdi Sarafi Naghi Dara Farnoosh Rahimi Sayeh Hatefi Long-term Follow-up of Patients with Hirschsprung Disease: Unusual Late Complications After Pull-through
description	Background: A large number of patients who underwent pull-through surgery due to Hirschsprung's disease (HD) were not followed up properly and they suffered from many complications such as fecal soiling, constipation, and etc. Although some of these complications may relief over time, it is rational to consider an evaluative protocol to identify anatomical or pathological complications in these patients. Objective: The aim of the present study is to evaluate and introduce these catastrophic complications. Method: In this historical cohort study, 193 patients with HD who had undergone pull- through surgery between 2006 to 2013 were considered. All files and questionnaires were used to collect patients' information and patients were physically examined individually. The mean duration of the follow-up was 96.4±17.2 months ranging from 60 to 144 months The follow-up performed for all patients via the outpatient clinics or by telephone. All statistical information was analyzed by SPSS software version 17. Results: Results: At first presentation, intestinal obstruction was more frequent than constipation. The most common involved segment was in rectosigmoid. The most common early postoperative complication was stricture in anal canal and the most common late complications were constipation and focal soiling. Conclusion: Although surgical advancements, a large number of patients underwent surgical procedures due to HD experience long term complications. Surgical treatment of HD generally present with high-quality outcome and the majority of children survive in satisfactory situation for long time but occasionally pediatric surgeons meet head-on catastrophic complication in these patients that require extended team work to be resolved
format	article
author	Leily Mohajerzadeh Ashkan Soltani Amir Mohammad Zakeri Ahmad Khaleghnejad Tabari Mohsen Rouzrokh Javad Ghoroubi Mehdi Sarafi Naghi Dara Farnoosh Rahimi Sayeh Hatefi
author_facet	Leily Mohajerzadeh Ashkan Soltani Amir Mohammad Zakeri Ahmad Khaleghnejad Tabari Mohsen Rouzrokh Javad Ghoroubi Mehdi Sarafi Naghi Dara Farnoosh Rahimi Sayeh Hatefi
author_sort	Leily Mohajerzadeh
title	Long-term Follow-up of Patients with Hirschsprung Disease: Unusual Late Complications After Pull-through
title_short	Long-term Follow-up of Patients with Hirschsprung Disease: Unusual Late Complications After Pull-through
title_full	Long-term Follow-up of Patients with Hirschsprung Disease: Unusual Late Complications After Pull-through
title_fullStr	Long-term Follow-up of Patients with Hirschsprung Disease: Unusual Late Complications After Pull-through
title_full_unstemmed	Long-term Follow-up of Patients with Hirschsprung Disease: Unusual Late Complications After Pull-through
title_sort	long-term follow-up of patients with hirschsprung disease: unusual late complications after pull-through
publisher	Shiraz University of Medical Sciences
publishDate	2020
url	https://doaj.org/article/30b91e461900408b9f1a4192bb520f21
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Long-term Follow-up of Patients with Hirschsprung Disease: Unusual Late Complications After Pull-through

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