PMID: 15359389Sep 11, 2004Paper

Results of a mechanical Duhamel pull-through for the treatment of Hirschsprung's disease and intestinal neuronal dysplasia

Journal of Pediatric Surgery
Girolamo MattioliV Jasonni

Abstract

The authors analyzed the results of a modified entirely mechanical Duhamel pull-through for the treatment of Hirschsprung' disease or type B intestinal neuronal dysplasia. The aim of the follow-up was to evaluate results of a Duhamel procedure entirely performed with the use of staplers. Fifty-six patients were followed up to detect complications and outcome. Patients were evaluated clinically, and, when symptoms were present, a suction biopsy with histochemical analysis, an x-ray contrast enema, or an endoscopy was performed. Early complications developed in 4 cases (7%) including a case of leakage (1.8%). No patient experienced recurrence. During a mean follow-up of 49 months, further complications occurred in 16 other patients: 4 adhesive obstructions requiring surgery, 3 strictures, 5 chronic bleeding, 4 fecaloma formation, 2 urinary problems, and 13 postoperative enterocolitis. Four patients (7%) had more than 3 passages of liquid stools per day, and 3 of them who had an ileal pull-through had constant soiling. Thirty-seven children (68.5%) had 1 to 2 bowel movements per day and were continent. Seven (13%) had less than 3 bowel movements per week. Three children who underwent total colectomy were incontinent (5.5%). Three ...Continue Reading

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Citations

Mar 19, 2013·Pediatric and Developmental Pathology : the Official Journal of the Society for Pediatric Pathology and the Paediatric Pathology Society·Raj P Kapur, Amy J Kennedy
Aug 28, 2015·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Daniel W Scholfield, Ashok Daya Ram
Sep 8, 2016·World Journal of Gastrointestinal Pharmacology and Therapeutics·Pedro Luiz Toledo de Arruda LourençãoMaria Aparecida Marchesan Rodrigues
Sep 18, 2020·Journal of Indian Association of Pediatric Surgeons·K SenthamizhselvanBarath Jagadisan
Jul 13, 2017·Medicine·Pedro Luiz Toledo de Arruda LourençãoMaria Aparecida Marchesan Rodrigues
Dec 7, 2020·Journal of Pediatric Surgery·Pedro Luiz Toledo de Arruda LourençãoMaria Aparecida Marchesan Rodrigues

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