Long-term stooling patterns in infants undergoing primary endorectal pull-through for Hirschsprung's disease.

D H Teitelbaum; R A Drongowski; J N Chamberlain; A G Coran

doi:10.1016/s0022-3468(97)90397-3

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Long-term stooling patterns in infants undergoing primary endorectal pull-through for Hirschsprung's disease.

D H Teitelbaum·R A Drongowski·J N Chamberlain·A G Coran

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Abstract

Primary endorectal pull-through (ERPT) has become an increasingly popular method of caring for neonates and young infants who have Hirschsprung's disease. This study evaluated the long-term stooling patterns and continence rates of patients who had a primary ERPT as a young infant. The records of 24 infants who underwent a primary ERPT for Hirschsprung's disease were reviewed. The patients' families (those patients over 3 years of age, n = 12) underwent a detailed interview that graded continence from 0 (poor) to 10 (normal). Mean age at ERPT was 15 +/- 17 days (range, 2 to 67). Mean follow-up was 1,036 +/- 614 days. Nine patients suffered from 20 episodes of enterocolitis. Stooling frequency declined rapidly in the first 6 months after the ERPT (r2 = 1.00) and more slowly after this time (r2 = 0.79). Continence was graded as normal (10) in one, good (6 to 9 points) in nine, and fair (1 to 5) in two patients, both of whom had total colonic disease. The authors conclude that a primary ERPT in the young infant who has Hirschsprung's disease can yield excellent results including normalization of stooling frequency and good to excellent levels of continence.

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Constipation Defecation Enterocolitis Fecal Incontinence Hirschsprung Disease Humans Infant Infant, Newborn Postoperative Complications Postoperative Period Rectum Journal Article

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D H Teitelbaum, R A Drongowski, J N Chamberlain, A G Coran. 1997. Long-term stooling patterns in infants undergoing primary endorectal pull-through for Hirschsprung's disease.. https://doi.org/10.1016/s0022-3468(97)90397-3

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