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One-stage transanal endorectal pull-through for Hirschsprung disease: experience with 229 neonates.
- Source :
-
Pediatric Surgery International . Nov2022, Vol. 38 Issue 11, p1533-1540. 8p. - Publication Year :
- 2022
-
Abstract
- <bold>Objective: </bold>To evaluate the safety and efficacy of transanal endorectal pull-through (TEPT) and the long-term outcomes in newborns with Hirschsprung disease (HD).<bold>Methods: </bold>A total of 229 newborns with HD underwent one-stage TEPT between 2007 and 2020, and the diagnoses were confirmed by rectal biopsy. The perioperative clinical course for all patients was reviewed, and the postoperative short- and long-term outcomes were assessed.<bold>Results: </bold>A total of 229 neonates (187 male and 42 female) had a median age at TEPT of 17 days (range 6-28 days). Sixty-eight patients (29.7%) underwent TEPT combined with an abdominal approach or laparoscopy. Early postoperative complications (using the Clavien-Dindo grading system) were documented in 36 patients (15.7%), and late postoperative complications were noted in 9 patients (3.9%). The follow-up period in the remaining 165 children ranged from 1.2 to 14.0 years (median 5.0 years). A total of 106 of the patients older than four years old took part in an interview about bowel function, and 85 patients (80.2%) had bowel function scores (BFS) ≥ 18.<bold>Conclusion: </bold>TEPT is effective and safe for HD in the neonatal period and presents with a low rate of complications and an acceptable outcome. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 01790358
- Volume :
- 38
- Issue :
- 11
- Database :
- Academic Search Index
- Journal :
- Pediatric Surgery International
- Publication Type :
- Academic Journal
- Accession number :
- 159382482
- Full Text :
- https://doi.org/10.1007/s00383-022-05198-9