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Transanal Endorectal vs. Duhamel Pull-Through for Hirschsprung's Disease.

Gunnarsdottir, Anna LU ; Larsson, L-T and Arnbjörnsson, Einar LU (2010) In European Journal of Pediatric Surgery Mar 4. p.242-246
Abstract
INTRODUCTION: The aim of this study was to test the hypothesis that the early functional outcome for patients with rectosigmoid Hirschsprung's disease (HD) is comparable for the Duhamel pull-through procedure and the transanal endorectal pull-through (TERPT) procedure, with less discomfort for the patient postoperatively after the TERPT technique. MATERIAL AND METHODS: Eleven patients operated on with the TERPT technique (T Group) were prospectively registered and compared retrospectively with 18 patients operated on with the Duhamel pull-through (D Group). Data recorded included patient demographics, operative treatment, complications, hospital stay and bowel functions. The follow-up time was limited to 24 months. RESULTS: The T Group... (More)
INTRODUCTION: The aim of this study was to test the hypothesis that the early functional outcome for patients with rectosigmoid Hirschsprung's disease (HD) is comparable for the Duhamel pull-through procedure and the transanal endorectal pull-through (TERPT) procedure, with less discomfort for the patient postoperatively after the TERPT technique. MATERIAL AND METHODS: Eleven patients operated on with the TERPT technique (T Group) were prospectively registered and compared retrospectively with 18 patients operated on with the Duhamel pull-through (D Group). Data recorded included patient demographics, operative treatment, complications, hospital stay and bowel functions. The follow-up time was limited to 24 months. RESULTS: The T Group started oral feeding sooner, their bowel movements started sooner and they had less need for analgesia postoperatively and a significantly shorter hospital stay. 71% of the patients in the D Group needed re-intervention compared to only 18% of the T Group. Enterocolitis was seen in two patients in both groups. At the last clinical control ten patients had constipation (59%) and three had soiling (18%) in the D Group. Three patients in the T Group had constipation (27%) and one had soiling (9%). CONCLUSION: Our results support the use of the TERPT method rather than the Duhamel pull-through for rectosigmoid HD. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
European Journal of Pediatric Surgery
volume
Mar 4
pages
242 - 246
publisher
Georg Thieme Verlag
external identifiers
  • wos:000281926800007
  • pmid:20393896
  • scopus:77955902992
ISSN
1439-359X
DOI
10.1055/s-0030-1252006
language
English
LU publication?
yes
id
e4780cff-6d54-48b1-b54d-b70a3a9faccb (old id 1595259)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/20393896?dopt=Abstract
date added to LUP
2010-05-04 15:43:17
date last changed
2018-05-29 12:10:02
@article{e4780cff-6d54-48b1-b54d-b70a3a9faccb,
  abstract     = {INTRODUCTION: The aim of this study was to test the hypothesis that the early functional outcome for patients with rectosigmoid Hirschsprung's disease (HD) is comparable for the Duhamel pull-through procedure and the transanal endorectal pull-through (TERPT) procedure, with less discomfort for the patient postoperatively after the TERPT technique. MATERIAL AND METHODS: Eleven patients operated on with the TERPT technique (T Group) were prospectively registered and compared retrospectively with 18 patients operated on with the Duhamel pull-through (D Group). Data recorded included patient demographics, operative treatment, complications, hospital stay and bowel functions. The follow-up time was limited to 24 months. RESULTS: The T Group started oral feeding sooner, their bowel movements started sooner and they had less need for analgesia postoperatively and a significantly shorter hospital stay. 71% of the patients in the D Group needed re-intervention compared to only 18% of the T Group. Enterocolitis was seen in two patients in both groups. At the last clinical control ten patients had constipation (59%) and three had soiling (18%) in the D Group. Three patients in the T Group had constipation (27%) and one had soiling (9%). CONCLUSION: Our results support the use of the TERPT method rather than the Duhamel pull-through for rectosigmoid HD.},
  author       = {Gunnarsdottir, Anna and Larsson, L-T and Arnbjörnsson, Einar},
  issn         = {1439-359X},
  language     = {eng},
  pages        = {242--246},
  publisher    = {Georg Thieme Verlag},
  series       = {European Journal of Pediatric Surgery},
  title        = {Transanal Endorectal vs. Duhamel Pull-Through for Hirschsprung's Disease.},
  url          = {http://dx.doi.org/10.1055/s-0030-1252006},
  volume       = {Mar 4},
  year         = {2010},
}