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Outcomes of surgical management of total colonic aganglionosis
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Choe, E. K. | - |
dc.contributor.author | Moon, S. B. | - |
dc.contributor.author | Kim, H. Y. | - |
dc.contributor.author | Lee, S. C. | - |
dc.contributor.author | Park, K. W. | - |
dc.contributor.author | Jung, S. E. | - |
dc.date.accessioned | 2010-04-02T05:37:20Z | - |
dc.date.available | 2010-04-02T05:37:20Z | - |
dc.date.issued | 2007-11-09 | - |
dc.identifier.citation | World J Surg. 2008 ;32(1):62-8. | en |
dc.identifier.issn | 0364-2313 (Print) | - |
dc.identifier.uri | https://hdl.handle.net/10371/62445 | - |
dc.description.abstract | PURPOSE: The purpose of this study was to assess the long-term clinical outcomes and bowel function of patients with total colonic aganglionosis (TCA) after surgery. METHODS: The hospital records of 17 TCA patients treated surgically during 1985 to 2004 were reviewed. Long-term follow-up was done by telephone interviews with the parents. RESULTS: Primary enterostomy was performed in 13 (76%) patients. In three (17%) patients, TCA was not suspected initially. They underwent conservative surgery primarily, which required a second operation soon after. One had transverse colectomy with ileostomy. By pathologic review, nine (53%) patients had small bowel involvement of aganglionosis. Six (35%) patients died before corrective surgery. They all had extensive small bowel involvement. Among 11 patients who had a corrective operation, 10 were treated with Martin's procedure. Long-term (mean 74 months) follow-up was available in seven patients, and the mean weight-for-age percentiles was 27.1% (range 5-50%), the frequency of defecation was three to five times a day in four patients (57%), one or two times a day in two patients (28%), and more than five times a day in one patient (15%). CONCLUSIONS: TCA is difficult to diagnose; but once it is diagnosed correctly and treated by corrective surgery, outcomes seem promising. Martin's operation brought about a good outcome and enabled patients to have acceptable bowel habits. The prognosis is highly dependent on the extent of aganglionosis. | en |
dc.language.iso | en | en |
dc.publisher | Springer Verlag | en |
dc.subject | Body Weight | en |
dc.subject | Child | en |
dc.subject | Child, Preschool | en |
dc.subject | Digestive System Surgical Procedures/*methods | en |
dc.subject | Female | en |
dc.subject | Hirschsprung Disease/*surgery | en |
dc.subject | Humans | en |
dc.subject | Infant | en |
dc.subject | Infant, Newborn | en |
dc.subject | Male | en |
dc.subject | Reoperation | en |
dc.subject | Treatment Outcome | en |
dc.title | Outcomes of surgical management of total colonic aganglionosis | en |
dc.type | Article | en |
dc.identifier.doi | 10.1007/s00268-007-9270-5 | - |
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