PMID: 8943109Nov 1, 1996Paper

Clinical outcome and long-term quality of life after surgical correction of Hirschsprung's disease

Journal of Pediatric Surgery
S W MooreS Cywes

Abstract

One hundred seventy-eight of 330 patients were recalled after undergoing surgery for histologically proven Hirschsprung's disease (HD). One hundred fifteen were older than 4 years at interview (Mean age, 10 years). This sample appeared to be representative of the whole in terms of demographic features such as ethnic group, sex, length of aganglionic segment, timing of presentation and surgery performed. Anthropomorphic indices for weight and height were comparable to norms, but many younger patients were below expected weight for age. In general, weight and height for age was regained with time. Nine patients had delayed developmental milestones, which were owing to specific causes in four. Nine patients had a poor functional outcome, of which two had neurological impairment. Satisfactory school performance was achieved in all but 19 (26%) of the remaining patients. Long-term functional results were comparable for the Soave and Duhamel procedures with less favorable results noted following the Swenson procedure. Assessment of complications demonstrated a significantly (P < .01) lower incidence of constipation, sexual dysfunction, and micturition disturbance following the Soave procedure when compared with the Duhamel and Swenso...Continue Reading

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Citations

Aug 17, 2004·Pediatric Surgery International·Waleed SalehAssia Al Rawaf
Feb 18, 2006·Pediatric Surgery International·E AthanasakosD Cass
Sep 29, 2006·Pediatric Surgery International·Maria MenezesPrem Puri
Dec 21, 2006·Pediatric Surgery International·T A GobranJ O'Neill
Dec 7, 2007·Pediatric Surgery International·Alessio Pini PratoVincenzo Jasonni
Feb 24, 2012·Pediatric Surgery International·Qingfeng ShengXianmin Xiao
Jan 4, 2008·Langenbeck's Archives of Surgery·Florian ObermayrJörg Fuchs
Dec 31, 2010·World Journal of Pediatrics : WJP·Geha Raj DahalLi-Hua Guo
Nov 18, 2008·Asian Journal of Surgery·Nguyen T Liem, Bui D Hau
Jan 29, 2013·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Hollie Gabler Filce, Leslie C Lavergne
Dec 25, 2004·Clinical Genetics·A S BrooksR M W Hofstra
Jun 11, 2005·Journal of Gastroenterology and Hepatology·Misel Trajanovska, Anthony G Catto-Smith
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Jan 1, 2009·Developmental Neurorehabilitation·Kasaya Tantiphlachiva, Satish Rao
Nov 5, 2014·Pediatric Surgery International·S W Moore
Apr 14, 2010·Journal of Pediatric Surgery·Alessio Pini-PratoVincenzo Jasonni
Mar 24, 2010·Seminars in Pediatric Surgery·Risto J Rintala, Mikko P Pakarinen
Jan 22, 2005·Seminars in Pediatric Surgery·Daniela Vieten, Richard Spicer
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Jul 3, 2019·Pediatric Surgery International·Stefano EleuteriCaterina Grano
Sep 3, 2020·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·Cornelia ByströmAnna Löf Granström

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