Abstract
The aim of this study was to analyse the long-term outcome after surgical correction of Hirschsprung’s disease using a standardised questionnaire designed specifically to address the long-term results, in correlation to the physical examination of each patient. The data was collected from the medical records of patients treated over a 15 year period (2000–2014). Sixty-two patients were treated, 33 using one-stage and 29 using multistage surgical procedures. Twenty-seven children took part in the whole study, which consisted of personal interview, completing the questionnaire and physical examination. The Duhamel-Martin and transanal endorectal pull through techniques were used. Statistical analysis was performed using STATISTICA 10. The statistical significance was set at p < 0.05. The Mann-Whitney’s test and the Spearman’s rank correlation coefficient were used. The most common side effect after surgical treatment was faecal incontinence (23 patients). There was no correlation between the method of the surgery and number of side effects. Postoperatively, there were significant correlations (p < 0.05) between the number of loose stools and the growth of these patients, 48% of the children were outside the normal centile (10–90) and 74% for weight, with consideration to their sex and age. This group of patients was below the 10th centile for weight and growth. There are significant deviations in the patients’ development after surgical treatment of Hirschsprung’s disease. The long-term results after surgical procedure were satisfactory for children and their parents.
Similar content being viewed by others
References
Swenson O, Sherman JO, Fisher JH (1973) Diagnosis of congenital megacolon: an analysis of 501 cases. J Pediatr Surg 8:587–594
Ehrenpreiss TH (1970) Hirschsprung’s disease. Year Book Publishers, Chicago, pp 58–60
Puri P, Nixon HH (1977) Long term results of Swenson’s operation for Hirschsprung’s disease. Prog Pediatr Surg 10:87–96
Kleinhaus S, Boley SJ, Sherman M et al (1979) Hirschsprung’s disease: a survey of the Surgical Section of the American Academy for Pediatrics. J Pediatr Surg 16:588–597
Holschneider AM (1982) Hirschsprung’s disease. Thieme-Stratton, Stuttgart, pp 237–240
Soave F (1985) Endorectal pullthrough: 20 years experience. J Pediatr Surg 20:568–579
Ikeda K, Goto S (1984) Diagnosis and treatment of Hirschsprung’s disease in Japan. An analysis of 1628 patients. Ann Surg 199:400–405
Nixon HH (1985) Hirschsprung’s disease: progress in management and diagnostics. World J Surg 9:189–202
Foster P, Cowan G, Wrenn E (1990) Twenty-five years experience with Hirschsprung’s disease. J Pediatr Surg 25:531–534
Rescorla FJ, Morrison AM, Engles D et al (1992) Hirschsprung’s disease. Evaluation of mortality and long term function in 260 cases. Arch Surg 127:934–942
Klein MD, Philippart AI (1993) Hirschsprung’s disease: three decades experience at a single institution. J Pediatr Surg 28:1291–1294
Shono K, Hutson JM (1994) The treatment of postoperative complications of Hirschsprung’s disease—a 10 year experience. Pediatr Surg Int 9:362–365
Clausen EG, Davies OG (1963) Early and late complications of the Swenson pull-through operation. Am J Surg:372–380
Kluck P, Ten Kate FJW, van der Kamp AWM et al (1986) Pathological explanation for postoperative obstipation in Hirschsprung’s disease revealed by monoclonal antibody staining. Am J Clin Path 86:490–492
Molenaar J, Tibboel D, van der Kamp AWM et al (1989) Diagnosis of innervation-related motility disorders of the gut. Prog Pediatr Surg 24:173–185
Moore SW, Albertyn R, Cywes S (1996) Clinical outcome and long-term quality of life after surgical correction of Hirschsprung’s disease. J Pediatr Surg 31:1496–1502
Dahal GR, Wang JX, Guo LH et al (2011) Long-term outcome of children after single-stage transanal endorectal pull-through for Hirschsprung’s disease. World J Pediatr 7:65–69
De La Torre L, Langer JC (2010) Transanal endorectal pull-through for Hirschsprung disease: technique, controversies, pearls, pitfalls, and an organized approach to the management of postoperative obstructive symptoms. Semin Pediatr Surg 19:96–106
Niedźwiecka Z, Palczewska I (1999) Siatka centylowa masy i długości ciała. Instytut Matki i Dziecka, Warszawa
El-Sawaf MI, Drongowski RA, Chamberlain JN et al (2007) Are the long-term results of the transanal pull-through equal to those of the transabdominal pull-through? A comparison of the 2 approaches for Hirschsprung disease. Semin Pediatr Surg 42:41–47
Sosnowska P, Blaszczyński M (2016) A 15-year experience with the one-stage surgery for treatment of Hirschsprung’s disease in newborns, infants, and young children. Indian J Surg 77:1109–1114
Stringer MD, Oldham KT, Mouriquand PDE et al (2006) Pediatric surgery and urology. Long-term outcomes, 2nd edn. Cambridge University Press, Cambrige, p 425
Langer JC, Durrant AC, De La Torre L et al (2003) One-stage transanal soave pull-through for Hirschsprung disease. A multicenter experience with 141 children. Ann Surg 569–576
Catto-Smith AG, Trajanovska M, Taylor R (2007) Long-term continence after surgery for Hirschsprung’s disease. J Gastroenterol Hepatol 22:2273–2282
Catto-Smith AG, Coffey CM, Nolan TM (1995) Fecal incontinence after the surgical treatment of Hirschsprung disease. J Pediatr 127:954–957
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Ethical Approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Funding
This study was not founded by any institution.
Conflict of Interest
The authors declare that they have no conflict of interest.
Informed Consent
Informed consent was obtained from all individual participants included in the study.
Rights and permissions
About this article
Cite this article
Sosnowska, P., Błaszczyński, M., Moryciński, S. et al. Analysis of Outcomes After Surgical Correction for Hirschsprung’s Disease: Are the Long-Term Results of the Transanal and Transabdominal Pull-Through Operations Equally Satisfying for Children and Their Parents?. Indian J Surg 80, 580–585 (2018). https://doi.org/10.1007/s12262-017-1671-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12262-017-1671-6