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KMID : 0605920100160020162
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Journal of Korean Association of Pediatric Surgeons
2010 Volume.16 No. 2 p.162 ~ p.169
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Clinical Experience with Hirschsprung’s Disease
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Park Keun-Myoung
Choe Yun-Mee
Kim Jang-Yong
Choi Sun-Keun
Heo Yoon-Seok
Lee Kun-Young
Kim Sei-Joong
Cho Young-Up
Ahn Seung-Ick
Hong Kee-Chun
Shin Suk-Hwan
Kim Kyung-Rae
Seo Jeong-Meen
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Abstract
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The aim of this study is to review our clinical experience with patients with Hirschsprung’s disease (HD) Medical records of 39 children who underwent definitive surgery for HD at Inha University Hospital from September 1996 to June 2008 were analyzed by age at presentation, sex, gestational age, birth weight, clinical presentation, diagnostic tools, level of aganglionosis, surgical procedures, postoperative complications, and postoperative bowel function. Twenty-five patients (64.1%) were males and 14 (35.9%) were females. Thirty patients (76.9%) were diagnosed and treated in the neonatal period. The transitional zone was at the rectosigmoid region in 89.7%. Twenty-seven patients (69%) were treated by preliminary colostomy or ileostomy. Twenty-four patients had the Duhamel operation, 6 patients anorectal myectomy, and 9 patients had transanal endorectal pull-through (TEP). Five of 9 patients who had the TEP procedure did laparoscopic assistance. Postoperatively, seventeen patients (83%) passed stool once or more times per day and 3 patients had stool soiling. This study demonstrated that the majority of the patients had good results. To determine which treatment is most effective comparative review by operation method would be required.
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KEYWORD
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Hirschsprung’s disease, Transanal, Pull-through, Bowel function
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