Eighteen years' experience with neonatal Hirschsprung's disease treated by endorectal pull-through without colostomy

J Pediatr Surg. 1998 May;33(5):673-5. doi: 10.1016/s0022-3468(98)90185-3.

Abstract

Methods: In the past 18 years, the authors have treated 84 patients with Hirschsprung's disease. Of these, 43 patients were under 1 month of age and underwent endorectal pull-through without colostomy. Some have undergone follow-up for as long as 18 years.

Results: Thirty-four of these 43 (79%) newborn patients were available for follow-up. Twenty-two were totally continent. The remaining 12 have normal sphincter tone. Of the 41 patients above 1 month of age, 34 (83%) were available for follow-up. Some have undergone follow-up for as long as 18 years.

Conclusion: Twenty-two of this latter group (79%) have normal bowel control.

MeSH terms

  • Adolescent
  • Anastomosis, Surgical
  • Child
  • Child, Preschool
  • Colostomy
  • Digestive System Surgical Procedures / methods*
  • Evaluation Studies as Topic
  • Female
  • Follow-Up Studies
  • Hirschsprung Disease / diagnosis
  • Hirschsprung Disease / surgery*
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Prognosis
  • Rectum / surgery*