Results of Transanal Endorrectal Descent in Hirschprung's Disease

Martínez-Criado, Yolanda; Cabrera, Rodolfo; Moya, María José; Valladares, Juan; López-Alonso, Manuel; Asensio, Juan Carlos de Agustín

doi:10.1016/j.cireng.2015.03.006

Cited by 2 publications

(3 citation statements)

References 13 publications

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“…In total, 99 studies reported on small bowel obstruction entailing 8,470 patients and 572 events of SBO all anomalies combined [ 10 , 11 , 14 ], [ 15 ], [ 16 ], [ 17 ], [ 18 ], [ 19 , 21 , 24 , 26 , 29 ], [ 30 ], [ 31 , 33 , 34 , 37 ], [ 38 ], [ 39 ], [ 40 ], [ 41 , 43 , 45 , 47 , 49 , 51 ], [ 52 ], [ 53 ], [ 54 , 56 ], [ 57 ], [ 58 ], [ 59 ], [ 60 , 62 , 63 , 67 , 70 ], [ 71 ], [ 72 ], [ 73 ], [ 74 , 79 ], [ 80 ], [ 81 , 85 ], [ 86 ], [ 87 ], [ 88 ], [ 89 , 92 ]...…”

Section: Resultsmentioning

confidence: 99%

“…In total, 40 studies reported on anastomotic stenosis after one month of follow-up entailing 4,468 patients and 214 events of anastomotic stenosis occurred [ 12 , 18 , 22 , 23 , 25 , 32 ], [ 33 ], [ 34 ], [ 35 ], [ 36 , 38 , 40 , 44 , 49 , 55 , 62 , 66 , 68 , 73 , 75 ], [ 76 ], [ 77 ], [ 78 , 81 , 83 , 84 , 95 , 99 , 102 , 104 , 105 , 107 , 109 , 111 , 113 , 115 , 116 , 119 , 120 , 122 , 129 , 130 , 132 ], [ 133 ], [ 134 ], [ 135 , 142 , 156 , 158 , 159 , 161 ]. ...…”

Section: Resultsmentioning

confidence: 99%

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The incidence of different forms of ileus following surgery for abdominal birth defects in infants: a systematic review with a meta-analysis method

Schattenkerk

Musters

Nijssen

et al. 2021

Innovative Surgical Sciences

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Objectives Ileus following surgery can arise in different forms namely as paralytic ileus, adhesive small bowel obstruction or as anastomotic stenosis. The incidences of these different forms of ileus are not well known after abdominal birth defect surgery in infants. Therefore, this review aims to estimate the incidence in general between abdominal birth defects. Content Studies reporting on paralytic ileus, adhesive small bowel obstruction or anastomotic stenosis were considered eligible. PubMed and Embase were searched and risk of bias was assessed. Primary outcome was the incidence of complications. A meta-analysis was performed to pool the reported incidences in total and per birth defect separately. Summary This study represents a total of 11,617 patients described in 152 studies of which 86 (56%) had a follow-up of at least half a year. Pooled proportions were calculated as follows; paralytic ileus: 0.07 (95%-CI, 0.05–0.11; I 2=71%, p≤0.01) ranging from 0.14 (95% CI: 0.08–0.23) in gastroschisis to 0.05 (95%-CI: 0.02–0.13) in omphalocele. Adhesive small bowel obstruction: 0.06 (95%-CI: 0.05–0.07; I 2=74%, p≤0.01) ranging from 0.11 (95% CI: 0.06–0.19) in malrotation to 0.03 (95% CI: 0.02–0.06) in anorectal malformations. Anastomotic stenosis after a month 0.04 (95%-CI: 0.03–0.06; I 2=59%, p=0.30) ranging from 0.08 (95% CI: 0.04–0.14) in gastroschisis to 0.02 (95% CI: 0.01–0.04) in duodenal obstruction. Anastomotic stenosis within a month 0.03 (95%-CI 0.01–0.10; I 2=81%, p=0.02) was reviewed without separate analysis per birth defect. Outlook This review is the first to aggregate the known literature in order approximate the incidence of different forms of ileus for different abdominal birth defects. We showed these complications are common and the distribution varies between birth defects. Knowing which birth defects are most at risk can aid clinicians in taking prompt action, such as nasogastric tube placement, when an ileus is suspected. Future research should focus on the identification of risk factors and preventative measures. The incidences provided by this review can be used in those studies as a starting point for sample size calculations.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

The incidence of different forms of ileus following surgery for abdominal birth defects in infants: a systematic review with a meta-analysis method

Schattenkerk

Musters

Nijssen

et al. 2021

Innovative Surgical Sciences

View full text Add to dashboard Cite

show abstract

“…[7][8][9] New studies are being published with favorable short and long-term outcomes in patients undergoing this procedure. [10][11][12][13] To the best of our knowledge, this is the first review assessing the short and long-term outcomes of primary endorectal pull-through in Sub-Saharan Africa. Primary ERP for short segment HD was introduced in our unit in 2007 and is currently the preferred elective procedure for short segment Hirschsprung's disease.…”

Section: Introductionmentioning

confidence: 99%

A comparison between primary endorectal pull-through and staged procedures for patients with Hirschsprung’s disease

Zbaida¹,

Vos²,

Sidler³

2021

J Neonatal Surg

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Background: Primary endorectal pull-through is becoming a standard of care across the globe. This study was done to compare the outcome of patients with Hirschsprung’s disease (HD) who underwent primary endorectal pull-through with patients who were treated with a staged approach. Methods: A retrospective data review was done of all patients diagnosed with Hirschsprung’s disease (HD) at Tygerberg Children’s Hospital, a tertiary hospital in Cape Town, during an 11-year period (2007 – 2018). The patients were divided into 2 groups: the primary Endorectal pull-through (ERP) group and the staged group and the two groups were compared. Results: Eighty patients with histologically confirmed Hirschsprung’s disease (HD) were seen at our institution during the study period (2007 – 2018). Four patients did not meet the inclusion criteria and were excluded. Of the remaining seventy-six who were included, forty-six patients (60.5%) had a primary endorectal-pull through (Primary group) and thirty patients (39.5%) had staged procedures (Staged group) with a stoma before the final ERP. The peri-operative complications were subdivided into major and minor complications. Minor perioperative complications in the primary group were less (13%) compared to the staged group (33%) with a p-value of 0.017, making the difference statistically significant. Anastomotic strictures were the most common complication in both groups with abdominal wound infection being more common in the staged group. The late complications were similar in both groups with a p-value of 0.43. Constipation was the most common complication in both groups, followed by soiling. Conclusion: The two groups had a similar outcome without statistically significant differences. We can safely conclude that the primary endorectal pull-through for HD is at least as safe as the staged approach in Sub- Saharan Africa. With this technique, we avoid a stoma and the necessity for two surgical procedures with added potential complications.

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Results of Transanal Endorrectal Descent in Hirschprung's Disease

Cited by 2 publications

References 13 publications

The incidence of different forms of ileus following surgery for abdominal birth defects in infants: a systematic review with a meta-analysis method

The incidence of different forms of ileus following surgery for abdominal birth defects in infants: a systematic review with a meta-analysis method

A comparison between primary endorectal pull-through and staged procedures for patients with Hirschsprung’s disease

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