Evaluation of Bowel Function, Urinary Tract Function, and Quality of Life after Transanal Endorectal Pull-Through Surgery for Hirschsprung's Disease
| Autor: | Sanna Östlund, Anna Löf Granström, Cornelia Byström, Nils Hoff, Tomas Wester |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Disease 03 medical and health sciences 0302 clinical medicine Postoperative Complications Quality of life Lower Urinary Tract Symptoms Lower urinary tract symptoms Internal medicine Surveys and Questionnaires medicine Humans Bowel function Hirschsprung Disease Intestine Large Child Hirschsprung's disease business.industry Medical record Postoperative complication medicine.disease Cross-Sectional Studies Treatment Outcome 030220 oncology & carcinogenesis Case-Control Studies Child Preschool Pediatrics Perinatology and Child Health Quality of Life 030211 gastroenterology & hepatology Surgery Female Complication business |
| Zdroj: | European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie. 31(1) |
| ISSN: | 1439-359X |
| Popis: | Introduction The objective of this study is to determine short-term complications and evaluate long-term bowel function, lower urinary tract symptoms, and quality of life (QoL) in patients treated for Hirschsprung's disease (HSCR) with transanal endorectal pull-though (TERPT) compared with healthy controls. Materials and Methods This cross-sectional case–control study included 30 HSCR patients treated with TERPT in 2006 to 2014 at Karolinska University Hospital, and 30 healthy controls matched for age and gender. Data on short-term complications were compiled from medical records and classified according to Clavien-Dindo. Bowel function and QoL were evaluated with the validated questionnaires bowel function score and KIDSCREEN-52. Lower urinary tract symptoms were evaluated through an 8-item lower urinary tract symptoms (LUTS) questionnaire. Results Six (20%) patients had a short-term postoperative complication according to Clavien-Dindo, with insufficient pain management being the most common complication. The median age at follow-up was 7 years (range = 4–11). Median bowel function score was significantly lower in HSCR patients than in controls, 14 versus 19 (p Conclusion According to Clavien-Dindo, short-term postoperative complications occurred in 20% of the patients. Impaired bowel function persists throughout childhood for most HSCR patients. The prevalence of LUTS and QoL is not affected in HSCR patients compared with controls. |
| Databáze: | OpenAIRE |
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