Skip segment Hirschsprung’s disease: diagnostic clues and surgical management
| Autor: | Xiaopan Chang, Shuai Li, Kang Li, Guoqing Cao, Xi Zhang, Dehua Yang, Shaotao Tang |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry General surgery Rectum General Medicine Evidence-based medicine medicine.disease 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure 030225 pediatrics Proximal margin Pediatrics Perinatology and Child Health Pediatric surgery Biopsy medicine 030211 gastroenterology & hepatology Surgery Level iii business Hirschsprung's disease Barium enema |
| Zdroj: | Pediatric Surgery International. 37:799-805 |
| ISSN: | 1437-9813 0179-0358 |
| Popis: | It is challenging to establish a definitive diagnosis and initiate timely management for skip segment Hirschsprung’s disease (SSHD). Herein, we report three cases of SSHD at our institution between December 2008 and March 2018. Patient #1 was misdiagnosed and underwent three successive operations within 2 years. Patient #2 and #3 were diagnosed timely based on previous experience. A segmental narrowing detected by barium enema may raise the possibility of SSHD. Laparoscopic-guided multipoint biopsy is regarded as a mini-invasive and purposeful way to take representative samples after locating the segmental narrowing intraoperatively and accurate the final diagnosis. The laparoscopic-assisted pull-through procedure with radical resection from the distal rectum to the most proximal margin of the diseased skip segment is safe and effective in treating patients with SSHD. Level of evidence: Level III. |
| Databáze: | OpenAIRE |
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