[Enterocolitis episodes in patients who have previously undergone Hirschsprung disease surgery].

Autor:	Vega Mata N; Servicio de Cirugía Pediátrica. Hospital Universitario Central de Asturias. Oviedo., Álvarez Muñoz V; Servicio de Cirugía Pediátrica. Hospital Universitario Central de Asturias. Oviedo., López López AJ; Servicio de Cirugía Pediátrica. Hospital Universitario Central de Asturias. Oviedo., Montalvo Ávalos C; Servicio de Cirugía Pediátrica. Hospital Universitario Central de Asturias. Oviedo., Oviedo Gutiérrez M; Servicio de Cirugía Pediátrica. Hospital Universitario Central de Asturias. Oviedo., Raposo Rodríguez L; Servicio de Radiología. Hospital Universitario Central de Asturias. Oviedo.
Jazyk:	Spanish; Castilian
Zdroj:	Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica [Cir Pediatr] 2014 Apr 15; Vol. 27 (2), pp. 84-88. Date of Electronic Publication: 2014 Apr 15.
Abstrakt:	Objectives: To highlight the risk factors for the occurrence of this complication in order to achieve an early diagnosis. Methods: Retrospective descriptive study in which the medical records of patients diagnosed with enterocolitis and who have previously undergone surgery for Hirschsprung's disease in a tertiary hospital from 1994 to 2013, inclusive (N=29), were reviewed. Epidemiological, surgical and clinical data from two groups of patients: Group A (6 patients with ECPD) and Group B (23 patients without ECPD) were compared. Enterocolitis episode data in the Group A were studied too. Results: The incidence of an episode of ECPD was 20.6% and the incidence of two episodes of ECPD was 33.3%. The onset occurred at 12.17 months (SD 13.04) after pull-through procedure. The incidence was higher in patients operated at a younger age [10 months in Group A [6-16] versus 14 months in the group B (1-153)] and in those patients with the longest segment resected [23.20 cm in group A (DS 10,52) versus 19.20 cm in group B (DS 6.92)]. No patient with a discharge colostomy before pull-through surgery showed this complication. It must be highlighted the highest incidence in patients undergone by Swenson's technique (25%) compared to other surgical techniques (Georgeson (15.80%), Soave (0%)). Conclusion: Just the length of the resected segment and the patient's age at the time of the pull-through procedure appear to influence the outcome. It is considered advisable to be extremely vigilant in children operated at an early age and subjected to extensive intestinal resection for an early diagnosis and establishment of a treatment to avoid high morbidity.
Databáze:	MEDLINE
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