Advanced

Appendicostomy for Bowel Control in Children after Transanal Endorectal Pull-Through for Hirschsprung Disease

Arnbjörnsson, Einar LU ; Graneli, Christina LU ; Börjesson, Anna LU and Stenström, Pernilla LU (2016) In Journal of Pediatric Surgical Specialties 10(4). p.5-14
Abstract
Aim: To evaluate the indications for, and outcome, of appendicostomy for patients with Hirschsprungs disease (HD) who underwent transanal endorectal pull-through (TERPT).

Method: Children with HD > 4 years old who received an appendicostomy between 2005 and 2011 at a tertiary pediatric surgery center were included. Pre- and post-appendicostomy bowel function was evaluated by a bowel function score. HD-patients not receiving an appendicostomy were the controls. The study was approved by an institutional ethics committee (2010/49).

Results: Seven of 37 HD-patients received an appendicostomy. Syndromes were present in 43% of the appendicostomy and 6% of the controls (controls reported absence of fecal accidents (p=0.297).... (More)
Aim: To evaluate the indications for, and outcome, of appendicostomy for patients with Hirschsprungs disease (HD) who underwent transanal endorectal pull-through (TERPT).

Method: Children with HD > 4 years old who received an appendicostomy between 2005 and 2011 at a tertiary pediatric surgery center were included. Pre- and post-appendicostomy bowel function was evaluated by a bowel function score. HD-patients not receiving an appendicostomy were the controls. The study was approved by an institutional ethics committee (2010/49).

Results: Seven of 37 HD-patients received an appendicostomy. Syndromes were present in 43% of the appendicostomy and 6% of the controls (controls reported absence of fecal accidents (p=0.297). Three (60%) with appendicostomy and 14 (47%) controls, respectively, reported absence of soiling or soiling RPT. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Hirschsprungs disease, transanal endorectal pull through, bowel function score, antegrade continence enema, appendicostomy
in
Journal of Pediatric Surgical Specialties
volume
10
issue
4
pages
5 - 14
language
English
LU publication?
yes
id
d45073ed-1e70-4c8e-b38b-00f2d3386e96
alternative location
http://www.jpss.eu/index.php/current-issue/item/906
date added to LUP
2017-06-14 09:21:17
date last changed
2017-06-14 09:21:17
@article{d45073ed-1e70-4c8e-b38b-00f2d3386e96,
  abstract     = {Aim: To evaluate the indications for, and outcome, of appendicostomy for patients with Hirschsprungs disease (HD) who underwent transanal endorectal pull-through (TERPT).<br>
<br>
Method: Children with HD &gt; 4 years old who received an appendicostomy between 2005 and 2011 at a tertiary pediatric surgery center were included. Pre- and post-appendicostomy bowel function was evaluated by a bowel function score. HD-patients not receiving an appendicostomy were the controls. The study was approved by an institutional ethics committee (2010/49).<br>
<br>
Results: Seven of 37 HD-patients received an appendicostomy. Syndromes were present in 43% of the appendicostomy and 6% of the controls (controls reported absence of fecal accidents (p=0.297). Three (60%) with appendicostomy and 14 (47%) controls, respectively, reported absence of soiling or soiling RPT.},
  author       = {Arnbjörnsson, Einar and Graneli, Christina and Börjesson, Anna and Stenström, Pernilla},
  keyword      = {Hirschsprungs disease,transanal endorectal pull through,bowel function score,antegrade continence enema,appendicostomy},
  language     = {eng},
  number       = {4},
  pages        = {5--14},
  series       = {Journal of Pediatric Surgical Specialties},
  title        = {Appendicostomy for Bowel Control in Children after Transanal Endorectal Pull-Through for Hirschsprung Disease},
  volume       = {10},
  year         = {2016},
}