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KMID : 0356719960120010069
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Journal of the Korean Society of Coloproctology
1996 Volume.12 No. 1 p.69 ~ p.75
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Hirschsprung’s Disease in Adults and Adolescents
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Seo Jung-Gil
Kim Jong-Hun
Hwang Yong
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Abstract
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Hirschsprung’s disease is a disorder characterized by congenital abscence of ganglion cells in the colon and the rectum variously. Generally, the symptoms of it are present during the first day of the life, and the diagnosis is usually made early. There may be a period of normal defecation for months or years after mild fecal dyskinesia in the neonatal period, and clinicians are occasionally fased with young adults or adults with undiagnosed megacolon or megarectum. In contrast to reports of newborns and young children, there are few rescent reports of the diagnosis and management of Hirschsprung’s disease in adults. We experienced 5 patients over the age of 10 years (11∼59 years) with Hirschsprung’s disease confirmed by full thickness rectal biopsy. 3 males and 2 females were treated by Soave procedure (2), Duhamel procedure(1), lower anterior resection(1) and anorectal myectomy(1), respectively. And we followed up over 1 years(1∼4years). The results of this procedure in the treatment of the adult Hirschsprung’s disease are as good as it of child Hirschsprung’s disease. And we concluded this operative method can be performed to adult Hirschsprung’s disease safely according to cases.
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KEYWORD
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Hirschsprung’s disease
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