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Literature Review of the Outcome after One-Stage Transanal Endorectal Pull-Through Procedure for Hirschsprung’s Disease in Children

Ortiz-Rubio, Irene ; Pérez-Aguilera, María ; Granéli, Christina LU ; Stenström, Pernilla LU orcid and Arnbjörnsson, Einar LU (2013) In Surgical Science 4(May). p.258-262
Abstract
Background: Transanal endorectal one-stage pull-through (TERPT) procedure in children with Hirschsprung’s disease (HD) is frequently used worldwide. In order to give the families realistic expectations and to plan the medical care for the years after TERPT, the long term outcome is of great importance. Aim: To collect information on the long term outcome reported after one stage TERPT procedure for HD in children 0 - 15 years. Method: A literature review on the outcome of planned TERPT from 2005 through 2012 was carried out. Information was collected on the number of daily stools a few months postoperatively, incontinence and constipation and the measures taken to deal with these. Results: The reports are few and prospective studies were... (More)
Background: Transanal endorectal one-stage pull-through (TERPT) procedure in children with Hirschsprung’s disease (HD) is frequently used worldwide. In order to give the families realistic expectations and to plan the medical care for the years after TERPT, the long term outcome is of great importance. Aim: To collect information on the long term outcome reported after one stage TERPT procedure for HD in children 0 - 15 years. Method: A literature review on the outcome of planned TERPT from 2005 through 2012 was carried out. Information was collected on the number of daily stools a few months postoperatively, incontinence and constipation and the measures taken to deal with these. Results: The reports are few and prospective studies were missing. The results show an initial high frequency of daily stools, 12% had later abnormal stool patterns, 21% had fecal incontinence and 10% had problems with constipation. Conclu-sion: In order to compare the long term outcome, it would be desirable to have uniform regular reports on the daily fre-quency of passed stools, incontinence and constipation during the first years after TERPT. Such knowledge would be of importance for the information given to the guardians of children with HD preoperatively to TERPT and in the planning of the future care. The findings can, furthermore, provide a benchmark for the outcome from a single centre. (Less)
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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Transendorectal Pull-Through (TERPT), Hirschsprung’s Disease (HD), Outcome, Incontinence, Constipation
in
Surgical Science
volume
4
issue
May
pages
258 - 262
publisher
Scientific Research Publishing (SCIRP)
ISSN
2157-9415
DOI
10.4236/ss.2013.45050
language
English
LU publication?
yes
id
2bb72c60-b60c-4756-9a12-d9e55aee4745 (old id 3738755)
alternative location
http://www.scirp.org/journal/ss
date added to LUP
2016-04-01 14:48:01
date last changed
2018-11-21 20:30:18
@article{2bb72c60-b60c-4756-9a12-d9e55aee4745,
  abstract     = {{Background: Transanal endorectal one-stage pull-through (TERPT) procedure in children with Hirschsprung’s disease (HD) is frequently used worldwide. In order to give the families realistic expectations and to plan the medical care for the years after TERPT, the long term outcome is of great importance. Aim: To collect information on the long term outcome reported after one stage TERPT procedure for HD in children 0 - 15 years. Method: A literature review on the outcome of planned TERPT from 2005 through 2012 was carried out. Information was collected on the number of daily stools a few months postoperatively, incontinence and constipation and the measures taken to deal with these. Results: The reports are few and prospective studies were missing. The results show an initial high frequency of daily stools, 12% had later abnormal stool patterns, 21% had fecal incontinence and 10% had problems with constipation. Conclu-sion: In order to compare the long term outcome, it would be desirable to have uniform regular reports on the daily fre-quency of passed stools, incontinence and constipation during the first years after TERPT. Such knowledge would be of importance for the information given to the guardians of children with HD preoperatively to TERPT and in the planning of the future care. The findings can, furthermore, provide a benchmark for the outcome from a single centre.}},
  author       = {{Ortiz-Rubio, Irene and Pérez-Aguilera, María and Granéli, Christina and Stenström, Pernilla and Arnbjörnsson, Einar}},
  issn         = {{2157-9415}},
  keywords     = {{Transendorectal Pull-Through (TERPT); Hirschsprung’s Disease (HD); Outcome; Incontinence; Constipation}},
  language     = {{eng}},
  number       = {{May}},
  pages        = {{258--262}},
  publisher    = {{Scientific Research Publishing (SCIRP)}},
  series       = {{Surgical Science}},
  title        = {{Literature Review of the Outcome after One-Stage Transanal Endorectal Pull-Through Procedure for Hirschsprung’s Disease in Children}},
  url          = {{http://dx.doi.org/10.4236/ss.2013.45050}},
  doi          = {{10.4236/ss.2013.45050}},
  volume       = {{4}},
  year         = {{2013}},
}