Long-term functional, manometric, and endosonographic evaluation of patients operated upon with the Duhamel technique

• Published in: Pediatric surgery international Vol. 13; no. 1; pp. 24 - 28
• Main Authors: BJØMLAND, K, DISETH, T. H, EMBLEM, R
• Format: Journal Article
• Language: English
• Published: Heidelberg Springer 01-01-1998; Berlin Springer Nature B.V
• Subjects: Adolescent; Adult; Biological and medical sciences; Child; Endosonography; Fecal Incontinence - etiology; Female; Follow-Up Studies; Hirschsprung Disease - diagnostic imaging; Hirschsprung Disease - physiopathology; Hirschsprung Disease - surgery; Humans; Male; Manometry; Medical sciences; Postoperative Complications; Stomach, duodenum, intestine, rectum, anus; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the digestive system; Treatment Outcome; Sonography; Human; Manometry; Postoperative; Prognosis; Neuronal intestinal malformation; Congenital disease; Long term; Anal sphincter; Colonic disease; Surgery; Hirschsprung disease; Digestive diseases; Intestinal disease; Anal incontinence; Technique; Anorectal disease
• ISSN: 0179-0358; 1437-9813
• DOI: 10.1007/s003830050236

Long-term functional results, anal endosonography (AES), and anal canal manometry were recorded in 48 patients aged 10 to 24 years (median 18) operated upon with the Duhamel technique for Hirschsprung's disease; 60.4% had perfect fecal control, 31.3% occasional staining and/or gas incontinence, and 8.3% constant fecal soiling, and 10.4% complained of constipation. Compared to normals, the patients had significantly reduced anal canal resting and squeeze pressures. AES visualized scar tissue in both the internal and external anal sphincter.