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Development of Frequency of Stools over Time in Children with Hirschsprung Disease Posttransanal Endorectal One-Stage Pull-through.

Granéli, Christina LU ; Stenström, Pernilla LU ; Börjesson, Anna LU and Arnbjörnsson, Einar LU (2015) In European Journal of Pediatric Surgery 25(4). p.359-364
Abstract
Background The transanal endorectal one-stage pull-through (TERPT) procedure in children with Hirschsprung disease (HD) is frequently used worldwide. To give the children's families realistic expectations and to plan the medical care for the period after TERPT, the outcome is of great importance. Aim The aim of this article is to collect information on the number of stools passed daily after one-stage TERPT procedure for HD. Patients and Methods A prospective follow-up study for collecting information on the outcome of planned TERPT from 2005 through 2012 was performed. A control group consisting of age and gender matched children was used. Results The results show an initial high frequency of daily stools, median 12 stools/day (range,... (More)
Background The transanal endorectal one-stage pull-through (TERPT) procedure in children with Hirschsprung disease (HD) is frequently used worldwide. To give the children's families realistic expectations and to plan the medical care for the period after TERPT, the outcome is of great importance. Aim The aim of this article is to collect information on the number of stools passed daily after one-stage TERPT procedure for HD. Patients and Methods A prospective follow-up study for collecting information on the outcome of planned TERPT from 2005 through 2012 was performed. A control group consisting of age and gender matched children was used. Results The results show an initial high frequency of daily stools, median 12 stools/day (range, 3-30 stools/day), reaching an acceptable situation with median 4 stools/day (range, 0-10 stools/day) after 1 year. After 4 years, the number of stools did not differ significantly from healthy controls. Conclusion This study shows that it takes 4 years after TERPT before the number of stools becomes normalized. To compare the long-term outcome, it would be desirable to have uniform regular reports on the daily frequency of passed stools, incontinence, and constipation during the years after TERPT. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
European Journal of Pediatric Surgery
volume
25
issue
4
pages
359 - 364
publisher
Georg Thieme Verlag
external identifiers
  • pmid:24870945
  • wos:000360667300009
  • scopus:84940722515
ISSN
1439-359X
DOI
10.1055/s-0034-1376396
language
English
LU publication?
yes
id
42e7b648-0ccd-4ff3-b69c-d36af71682a2 (old id 4452394)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/24870945?dopt=Abstract
date added to LUP
2014-06-08 21:05:10
date last changed
2017-04-09 03:22:35
@article{42e7b648-0ccd-4ff3-b69c-d36af71682a2,
  abstract     = {Background The transanal endorectal one-stage pull-through (TERPT) procedure in children with Hirschsprung disease (HD) is frequently used worldwide. To give the children's families realistic expectations and to plan the medical care for the period after TERPT, the outcome is of great importance. Aim The aim of this article is to collect information on the number of stools passed daily after one-stage TERPT procedure for HD. Patients and Methods A prospective follow-up study for collecting information on the outcome of planned TERPT from 2005 through 2012 was performed. A control group consisting of age and gender matched children was used. Results The results show an initial high frequency of daily stools, median 12 stools/day (range, 3-30 stools/day), reaching an acceptable situation with median 4 stools/day (range, 0-10 stools/day) after 1 year. After 4 years, the number of stools did not differ significantly from healthy controls. Conclusion This study shows that it takes 4 years after TERPT before the number of stools becomes normalized. To compare the long-term outcome, it would be desirable to have uniform regular reports on the daily frequency of passed stools, incontinence, and constipation during the years after TERPT.},
  author       = {Granéli, Christina and Stenström, Pernilla and Börjesson, Anna and Arnbjörnsson, Einar},
  issn         = {1439-359X},
  language     = {eng},
  number       = {4},
  pages        = {359--364},
  publisher    = {Georg Thieme Verlag},
  series       = {European Journal of Pediatric Surgery},
  title        = {Development of Frequency of Stools over Time in Children with Hirschsprung Disease Posttransanal Endorectal One-Stage Pull-through.},
  url          = {http://dx.doi.org/10.1055/s-0034-1376396},
  volume       = {25},
  year         = {2015},
}