Preoperative enterocolitis is associated with poorer long-term bowel function after Soave-Boley endorectal pull-through for Hirschsprung's disease
| Autor: | G.V.S. Murthi, Peter A.M. Raine |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Male
medicine.medical_specialty Scoring system Adolescent Disease Gastroenterology Postoperative Complications Internal medicine Surveys and Questionnaires medicine Humans Bowel function Hirschsprung Disease Child Hirschsprung's disease Digestive System Surgical Procedures Enterocolitis business.industry Significant difference Rectum General Medicine medicine.disease Long-Term Care Treatment Outcome El Niño Child Preschool Pediatrics Perinatology and Child Health Surgery Case note Female medicine.symptom business |
| Zdroj: | Journal of pediatric surgery. 38(1) |
| ISSN: | 1531-5037 |
| Popis: | The purpose of the investigation was to apply a semiquantitative scoring system for bowel function to patients who had undergone endorectal pull-through (ERPT) for Hirschsprung's disease (HD) and to use this to analyse the clinical factors relating to functional outcome.The case note details of 63 patients undergoing ERPT for HD were reviewed. A questionnaire using a semiquantitative scoring system for 6 aspects of bowel function was sent to parents of 55 patients. The total functional score (TFS) for each patient was calculated, and a statistical analysis was performed to determine which clinical factors were significantly related to bowel functional outcome.Fifty (91%) of the parents returned the questionnaire. TFS was "good" in 45%, "fair" in 33% and "poor" in 22%. There was a statistically significant difference in the scores of those who had preoperative Hirschsprung's associated enterocolitis (HAEC) TFS = 8.0 and those who did not, TFS 12.7 (P.01) The sex of the patient, length of aganglionic segment, timing of ERPT (early/late), staging of ERPT (1 or 2), presence/absence of anastomotic stricture, and presence or absence of Down's syndrome did not statistically significantly affect TFS.Preoperative HAEC was the most important factor in relation to functional outcome after ERPT for HD. The reason remains unclear. |
| Databáze: | OpenAIRE |
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