Hirschsprung's disease: An 18-years experience

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dc.contributor.authorÖztürk H.
dc.contributor.authorOtçu S.
dc.contributor.authorÖnen A.
dc.contributor.authorDokucu A.I.
dc.contributor.authorGedik Ş.
dc.contributor.authorYücesan S.
dc.date.accessioned2024-04-24T17:58:42Z
dc.date.available2024-04-24T17:58:42Z
dc.date.issued2002
dc.departmentDicle Üniversitesien_US
dc.description.abstractAim: In this study, we aimed to analyse the diagnostic and therapeutic features, morbidity, mortality and long-term functional results of patients with Hirschsprung's disease, whom the majority were treated hy Duhamel-Martin procedure. Method: A total of 64 Hirschsprung's disease cases were diagnosed and treated in the department between June 1983 and February 2001. We reviewed the charts of these retrospectively and evaluated the age, sex, symptoms and signs, associated anomalies, the length of bowel involved, type of pull-through performed, functional results of treatment, morbidity and mortality of these patients. Results: There were 52 boys and 12 girls. Thirty seven percent of the cases were diagnosed below the age of one month. The most frequent presenting symptom was abdominal distention (34%). Thirteen of the cases had associated anomalies (20%). The most frequent site of aganglionosis was at the rectosigmoid (82%). A decompressing enterestomy was performed in 56 patients. Soave-Boley's and Duhamel-Martin's technique with protective colostomy were performed in 7 and 41 patients respectively. Postoperative complications were seen in 25 % of the patients. In 4 cases a Duhamed-Martin's procedure was performed without a colostomy. In the postoperative period 16 cases (25%) developed a complication. The most frequent complication was intestinal obstruction due to adhesions (33%). Preoperative and postoperative enterocolotis was found in three (2%) and 5 (9%) patients respectively. Eight children (12%) died, one related to associated anomalies and six due to sepsis one patient died from enterocolitis after the definitive procedure. In the 10 to 15 year age and the greater than 15 year age groups, functional scores were significantly increased when compared to the 5 to 10 year age group (p<0.05). A significant correlation was not found between the functional score and age of the patients. Conclusion. As a conclusion, we have used Duhamel-Martin procedure in majority of patients with Hirschsprung's disease. Long-term fonctional evaluations have shown an improvement in functional score in children older than 10 year in comparison with younger ones.en_US
dc.identifier.endpage106en_US
dc.identifier.issn1016-5142
dc.identifier.issue3en_US
dc.identifier.scopus2-s2.0-0036972721en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage101en_US
dc.identifier.urihttps://hdl.handle.net/11468/24060
dc.identifier.volume16en_US
dc.indekslendigikaynakScopus
dc.language.isotren_US
dc.relation.ispartofPediatrik Cerrahi Dergisien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAganglionosisen_US
dc.subjectFecal Continenceen_US
dc.subjectHirschsprung's Diseaseen_US
dc.titleHirschsprung's disease: An 18-years experienceen_US
dc.title.alternativeHirschsprung hastali?i: 18 Yillik deneyimimizen_US
dc.typeArticleen_US

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