Long-term results of treatment of Hirschsprung’s disease

• Published in: Seminars in pediatric surgery Vol. 13; no. 4; pp. 273 - 285
• Main Authors: Engum, Scott A., Grosfeld, Jay L.
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-11-2004
• Subjects: Child, Preschool; Complications; Constipation - epidemiology; Digestive System Surgical Procedures - adverse effects; Digestive System Surgical Procedures - methods; Duhamel; Endorectal pull-through; Fecal Incontinence; Female; Hirschsprung Disease - diagnosis; Hirschsprung Disease - epidemiology; Hirschsprung Disease - surgery; Humans; Infant; Laparoscopy - adverse effects; Laparoscopy - methods; Laparotomy - adverse effects; Laparotomy - methods; Long-Term Care; Long-term outcome; Male; Postoperative Complications - epidemiology; Prognosis; Pull-through procedures; Quality of Life; Risk Assessment; Severity of Illness Index; Soave; Swenson; Treatment Outcome; Pull-through procedures; Soave; Long-term outcome; Endorectal pull-through; Complications; Duhamel; Swenson
• ISSN: 1055-8586; 1532-9453
• DOI: 10.1053/j.sempedsurg.2004.10.015

Many children with Hirschsprung’s disease (HD) have a good outcome following surgical treatment, but long-term follow-up studies have identified a number of concerns. Analysis of long-term function in children after surgical management is difficult. The most commonly encountered problems include constipation, incontinence, enterocolitis and the overall impact of the disease on lifestyle (quality of life). Other complications are less frequent. Each of these problems will be discussed.