The preliminary study of modified Swenson procedure in Hirschsprung disease

Yokoi, Akiko; Satoh, Shiiki; Takamizawa, Satoshi; Muraji, Toshihiro; Tsugawa, Chikara; Nishijima, Eiji

doi:10.1016/j.jpedsurg.2008.11.056

Cited by 9 publications

(3 citation statements)

References 11 publications

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“…8 ) is a protective factor for HAEC. Moreover, comparisons of Soave and Duhamel 45 , 48 , 56 , 57 , 63 – 65 , 71 , 72 , 78 , 80 , 82 (nine cohort studies and two case-control studies, I 2 =37%, RR=0.95, 95% CI 0.69–1.30, P =0.75), Swenson and Soave 38 , 45 , 63 , 64 , 72 , 82 (five cohort studies and one case-control study, I 2 =88%, RR=1.31, 95% CI 0.70–2.48, P =0.40), Duhamel and transanal endorectal pull-through (TEPT) 32 , 39 , 50 , 55 , 63 , 79 (six cohort studies, I 2 =0%, RR=0.93, 95% CI 0.59–1.45, P =0.74), Swenson and Duhamel 45 , 63 , 64 , 72 (three cohort studies and one case-control study, I 2 =0%, RR=0.95, 95% CI 0.67–1.33, P =0.75), laparotomy and laparoscope 12 , 34 , 41 , 54 , 69 , 71 , 79 , 82 , 83 (nine cohort studies, I 2 =23%, RR=1.14, 95% CI 0.87–1.49, P =0.35) did not reveal statistically significant differences.…”

Section: Resultsmentioning

confidence: 99%

Risk factors for Hirschsprung disease-associated enterocolitis: a systematic review and meta-analysis

Zhang

Sun

et al. 2023

International Journal of Surgery

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Background: The incidence of Hirschsprung disease (HSCR) is nearly 1/5000 and patients with HSCR are usually treated through surgical intervention. Hirschsprung disease-associated enterocolitis (HAEC) is a complication of HSCR with the highest morbidity and mortality in patients. The evidence on the risk factors for HAEC remains inconclusive to date. Methods: Four English databases and four Chinese databases were searched for relevant studies published until May 2022. The search retrieved 53 relevant studies. The retrieved studies were scored on the Newcastle–Ottawa Scale by three researchers. Revman 5.4 software was employed for data synthesis and analysis. Stata 16 software was employed for sensitivity analysis and bias analysis. Results: A total of 53 articles were retrieved from the database search, which included 10 012 cases of HSCR and 2310 cases of HAEC. The systematic analysis revealed anastomotic stenosis or fistula [I 2=66%, risk ratio (RR)=1.90, 95% CI 1.34–2.68, P<0.001], preoperative enterocolitis (I 2=55%, RR=2.07, 95% CI 1.71–2.51, P<0.001), preoperative malnutrition (I 2=0%, RR=1.96, 95% CI 1.52–2.53, P<0.001), preoperative respiratory infection or pneumonia (I 2=0%, RR=2.37, 95% CI 1.91–2.93, P<0.001), postoperative ileus (I 2=17%, RR=2.41, 95% CI 2.02–2.87, P<0.001), length of ganglionless segment greater than 30 cm (I 2=0%, RR=3.64, 95% CI 2.43–5.48, P<0.001), preoperative hypoproteinemia (I 2=0%, RR=1.91, 95% CI 1.44–2.54, P<0.001), and Down syndrome (I 2=29%, RR=1.65, 95% CI 1.32–2.07, P<0.001) as the risk factors for postoperative HAEC. Short-segment HSCR (I 2=46%, RR=0.62, 95% CI 0.54–0.71, P<0.001) and transanal operation (I 2=78%, RR=0.56, 95% CI 0.33–0.96, P=0.03) were revealed as the protective factors against postoperative HAEC. Preoperative malnutrition (I 2=35 % , RR=5.33, 95% CI 2.68–10.60, P<0.001), preoperative hypoproteinemia (I 2=20%, RR=4.17, 95% CI 1.91–9.12, P<0.001), preoperative enterocolitis (I 2=45%, RR=3.51, 95% CI 2.54–4.84, P<0.001), and preoperative respiratory infection or pneumonia (I 2=0%, RR=7.20, 95% CI 4.00–12.94, P<0.001) were revealed as the risk factors for recurrent HAEC, while short-segment HSCR (I 2=0%, RR=0.40, 95% CI 0.21–0.76, P=0.005) was revealed as a protective factor against recurrent HAEC. Conclusion: The present review delineated the multiple risk factors for HAEC, which could assist in preventing the development of HAEC.

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Section: Resultsmentioning

confidence: 99%

Risk factors for Hirschsprung disease-associated enterocolitis: a systematic review and meta-analysis

Zhang

Sun

et al. 2023

International Journal of Surgery

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“…Eighteen articles finally met the inclusion criteria and were analyzed in detail. 10,[14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30]…”

Section: Resultsmentioning

confidence: 99%

Open Versus Transanal Pull-Through for Hirschsprung Disease: A Systematic Review of Long-Term Outcome

et al. 2013

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Introduction?Various surgical techniques for the treatment of Hirschsprung disease (HD) have been proposed. The most relevant long-term complications of HD surgery include constipation, soiling/incontinence, enterocolitis, and anastomotic stricture. To date, there has been no randomized controlled trial evaluating the long-term outcome of OPEN surgery compared with transanal approaches with and without laparoscopy (laparoscopic-assisted transanal-endorectal pull-through [L-TERPT] and transanal-endorectal pull-through [TERPT]). We performed a systematic literature review of the long-term outcome of OPEN surgery compared with L-TERPT/TERPT. Methods?Our systematic review of the recent literature (2008 to 2012) included reports on long-term outcome of either OPEN surgery or L-TERPT/TERPT with a minimum follow-up period of 12 months. With the cumulative data, a comparative meta-analysis was performed for the outcome parameters ?constipation,? ?soiling/incontinence,? ?enterocolitis,? and ?anastomotic stricture.? Results?Functional outcome of surgical techniques for HD was highly variable. We could show a significant advantage of L-TERPT/TERPT over OPEN surgery regarding the incidence of soiling/incontinence and constipation. No differences were seen for enterocolitis and anastomotic stricture. Conclusion?Significant differences in the long-term outcome of OPEN surgery compared with L-TERPT/TERPT were identified in this review. We conclude from our data that L-TERPT/TERPT represents a valid option in the treatment of HD and might have some advantages over the OPEN techniques. However, the present data should be interpreted carefully due to limitations in the quality of the study design in most reports. Prospective, randomized, multicenter trials are urgently needed to overcome this weakness of the current literature.

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“…In this modification, the posterior muscular cuff is removed as close to the dentate line as possible, while preserving the anterior muscular cuff consistent with the Soave operation. 19 This modification theoretically eliminates the potential of a constrictive retained muscular cuff, although this has not been well studied with long-term follow-up to date. In the Duhamel operation, a composite graft is created from a short segment of distal aganglionic colon retained anteriorly and a segment of normally innervated colon pulled through posteriorly.…”

Section: Rectosigmoid Hirschsprung Diseasementioning

confidence: 99%

Hirschsprung Disease beyond Infancy

Calkins

2018

Clinics in Colon and Rectal Surgery

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Hirschsprung disease (HD) is a common cause of neonatal intestinal obstruction in which a variable segment of the distal intestinal tract lacks the normal enteric nervous system elements. Affected individuals present with varying degrees of obstructive symptoms, but today most patients are diagnosed within the first several months of life owing to the well-recognized symptoms and the ease of making the diagnosis by way of the bedside suction rectal biopsy. Thus, for the adult general or colorectal surgeon, the vast majority of patients who present for evaluation will have already undergone surgical treatment within the first year of life by a pediatric surgeon. Despite several safe operative interventions to treat patients with HD, the long-term results are far from perfect. These patients may reach adult life with ongoing defecation disorders that require a systematic evaluation by a multidisciplinary group that should be led by a surgeon with a thorough knowledge of HD operations and the potential problems. The evaluation of these patients will form the basis for the majority of this review-however, some patients manage to escape diagnosis beyond the infant and childhood period-and a section herein will briefly address the case of an older patient who is suspected of having HD.

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The preliminary study of modified Swenson procedure in Hirschsprung disease

Cited by 9 publications

References 11 publications

Risk factors for Hirschsprung disease-associated enterocolitis: a systematic review and meta-analysis

Risk factors for Hirschsprung disease-associated enterocolitis: a systematic review and meta-analysis

Open Versus Transanal Pull-Through for Hirschsprung Disease: A Systematic Review of Long-Term Outcome

Hirschsprung Disease beyond Infancy

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