Response to Orvar Swenson’s Hirschsprung’s disease—A complicated therapeutic problem: Some thoughts and solutions based on data and personal experience over 56 years

Coran, Arnold G.

doi:10.1016/j.jpedsurg.2004.06.006

Cited by 4 publications

(4 citation statements)

References 26 publications

(8 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Another important parameter in the evaluation of long-term results of the treatment of HSCR is the final cosmetic appearance (i.e., scars and abdominal distension) and the patients' perspective of overall outcome. [14][15][16] Our series of patients showed similar results in both groups. Further, with regard to cosmetic appearance, the patients who underwent a Georgeson procedure were obviously more satisfied than those who underwent an open laparotomy, particularly a two-stage Boley procedure.…”

Section: Discussionsupporting

confidence: 75%

Outcome of Primary Endorectal Pull-Through for the Treatment of Classic Hirschsprung Disease

Mattioli

Prato

Giunta

et al. 2008

Journal of Laparoendoscopic & Advanced Surgical Techniques

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 75%

Outcome of Primary Endorectal Pull-Through for the Treatment of Classic Hirschsprung Disease

Mattioli

Prato

Giunta

et al. 2008

Journal of Laparoendoscopic & Advanced Surgical Techniques

View full text Add to dashboard Cite

show abstract

“…The higher incidence of complications of the Duhamel procedure could be related to the higher incidence of complications experienced by patients with ultralong HSCR. In fact, other authors have shown that all surgical procedures can be considered as equally effective, if properly performed [32,33]. With regard to functional outcome, fecal continence represents the most debated aspect in the long-term [6-11, 13, 14, 26, 31].…”

Section: Discussionmentioning

confidence: 99%

Hirschsprung’s disease: 13 years’ experience in 112 patients from a single institution

et al. 2007

View full text Add to dashboard Cite

Although Hirschsprung's disease is curable, a low mortality and a certain morbidity have been described by several authors. We will present our experience with the treatment of Hirschsprung's disease at Gaslini Children's Hospital. All patients who underwent a pull-through procedure since January 1993 were included. Data were obtained from a comprehensive questionnaire and from the revision of the notes. The results were subsequently described and compared with regard to age and length of aganglionosis. A total of 151 patients underwent a pull-through. One hundred and twelve of these patients completed the forms and were reviewed. Eighty patients had a classic form, 22 an ultralong. Complications occurred in 28 patients (25%). Postoperative enterocolitis was complained by 25 patients (13% colonic and 59% ultralong forms) and constipation by 15 (equally distributed). Excellent to good continence was experienced by 84% of patients with classic forms and by 68% of patients with ultralong forms. A clear improving trend during growth was evident for patients with ultralong forms. Psychological self-acceptance, patients' perspective and cosmetic results proved to be significantly better for patients with classic forms of the disease. Our study confirmed the complications and long-term sequelae that patients with Hirschsprung's can experience. Early diagnosis can minimise morbidity and mortality and prompt and adequate treatment can reduce the incidence of postoperative complications. The parents should be acknowledged regarding the progressive improvements of function that patients gain during growth, particularly in case of ultralong forms, thus strengthening the need for continuative care and close follow-up.

show abstract

“…Es preciso recordar que la enfermedad de Hirschsprung se puede manifestar con un cuadro de enterocolitis, probablemente en relación con una deficiencia de MUC-2, un gen de mucina importante para prevenir translocación bacteriana (2) . Por otro lado, la construcción de una colostomía es cada día menos favorecida en el tratamiento de la aganglionosis (3)(4)(5) .…”

Section: Comentariounclassified

Delayed diagnosis of colonic aganglionosis with primary treatment without colostomy

Uceda del Campo

2008

Rev Peru Pediatr

View full text Add to dashboard Cite

show abstract

Response to Orvar Swenson’s Hirschsprung’s disease—A complicated therapeutic problem: Some thoughts and solutions based on data and personal experience over 56 years

Cited by 4 publications

References 26 publications

Outcome of Primary Endorectal Pull-Through for the Treatment of Classic Hirschsprung Disease

Outcome of Primary Endorectal Pull-Through for the Treatment of Classic Hirschsprung Disease

Hirschsprung’s disease: 13 years’ experience in 112 patients from a single institution

Delayed diagnosis of colonic aganglionosis with primary treatment without colostomy

Contact Info

Product

Resources

About