Long-term results of the Duhamel technique are superior to those of the transanal pullthrough

Duhamel and Transanal Endorectal Pull-throughs for Hirschsprung' Disease: A Systematic Review and Meta-analysis

“…The long-term outcomes of these two techniques vary across published studies, and no consensus has been reached regarding the best technique for HD treatment. 23 To the best of our knowledge, this study is the first systematic review and meta-analysis comparing postoperative outcomes following Duhamel pull-through and TEPT for HD.…”

Long‐term outcome and quality of life in patients with total colonic aganglionosis in the Netherlands

“…In the TEPT procedure, an ileoanal anastomosis is created, aiming to reduce the risk of faecal stasis and development of enterocolitis. There is currently no consensus on which technique may be superior in patients with TCA [6][7][8][9][10]12,19,29,30,34,45]. In this cohort we could not test the difference between the different techniques because of the limited number of patients.…”

“…Eighteen (51%) of the 35 questionnaires were returned after a median (range) follow-up period of 11 (4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19) years. Of these 18 patients, 10 (56%) were aged 4-11 years, four (22%) were aged 12-17 years and four (22%) were aged 18 years or older.…”

“…TCA is associated with higher morbidity and mortality compared to rectosigmoid HD [3][4][5]. The primary treatment of HD is surgical resection of the aganglionic segment and reconstruction of the continuity of the intestinal tract [6][7][8][9][10]. Over the past decades, treatment has been improved and mortality decreased, but patients with TCA often experience functional complaints, such as soiling, faecal incontinence, severe motility problems and enterocolitis [3,[11][12][13][14][15][16][17][18][19].…”

Long-term functional outcomes and quality of life in patients with Hirschsprung's disease

“…Faecal incontinence in these patients may result from damage to the anal sphincter during reconstructive surgery, depending on the type and quality of the initial surgery. With regard to the type of surgery, there is currently little evidence that substantiates the decision to opt for one technique over another. The authors believe that further analyses, such as anorectal manometry or anal sphincter electromyography, should be performed to assess the differences between the techniques, especially between the transanal endorectal pull‐through and Duhamel operations, which currently are the two most commonly performed procedures.…”