Affordable Access

Long-term stooling patterns in infants undergoing primary endorectal pull-through for Hirschsprung's disease.

Authors
  • Teitelbaum, D H
  • Drongowski, R A
  • Chamberlain, J N
  • Coran, A G
Type
Published Article
Journal
Journal of pediatric surgery
Publication Date
Jul 01, 1997
Volume
32
Issue
7
Identifiers
PMID: 9247232
Source
Medline
License
Unknown

Abstract

Primary endorectal pull-through (ERPT) has become an increasingly popular method of caring for neonates and young infants who have Hirschsprung's disease. This study evaluated the long-term stooling patterns and continence rates of patients who had a primary ERPT as a young infant. The records of 24 infants who underwent a primary ERPT for Hirschsprung's disease were reviewed. The patients' families (those patients over 3 years of age, n = 12) underwent a detailed interview that graded continence from 0 (poor) to 10 (normal). Mean age at ERPT was 15 +/- 17 days (range, 2 to 67). Mean follow-up was 1,036 +/- 614 days. Nine patients suffered from 20 episodes of enterocolitis. Stooling frequency declined rapidly in the first 6 months after the ERPT (r2 = 1.00) and more slowly after this time (r2 = 0.79). Continence was graded as normal (10) in one, good (6 to 9 points) in nine, and fair (1 to 5) in two patients, both of whom had total colonic disease. The authors conclude that a primary ERPT in the young infant who has Hirschsprung's disease can yield excellent results including normalization of stooling frequency and good to excellent levels of continence.

Report this publication

Statistics

Seen <100 times