Transition in the Patients with Hirschsprung’s Disease

  • Minoru YagiEmail author
  • Suguru Fukahori


Transition is defined as serving as an intermediary from the pediatric (surgical) field to the adult clinical department for follow-up including multidisciplinary medical management in the long term.

However, what kind of clinical department of doctors follows up postoperative patients aged over 20 years old with pediatric surgical field disease? This issue is crucial as the transitional problem arises when such patients reach the adolescent age. In postoperative patients with HD aged above 20 years old, there are patients who require some kinds of complicated management methods in long or extensive type. Fecal incontinence, accident, constipation, bloating with gas, and urinary disturbance were often identified in these patients. To resolve the transitional problems, there is a recently proposed establishment of medical complex-type center based on the combination of hospital and transition center. It is an important effort to improve the quality in the medical service and to relieve the workload by discussing matters about transition to be solved by patients and medical staff as well as management of chronic disease by pediatrician.


Transition Multidisciplinary management Summary sheet Medical complex 


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© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  1. 1.Department of Pediatric SurgeryKurume University School of MedicineKurume, FukuokaJapan

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