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Primary transanal rectosigmoidectomy for Hirschsprung's disease: Preliminary results in the initial 33 cases.
J Pediatr Surg. 2001 Dec; 36(12):1816-9.JP

Abstract

PURPOSE

The authors describe their newly developed technique-primary transanal rectosigmoidectomy for Hirschsprung's disease (HD) and its preliminary results in neonates and infants.

METHODS

Thirty-four consecutive patients (26 boys) with biopsy-proven rectosigmoid HD, aged 18 days to 4 years, underwent this new procedure. Rectal mucosectomy started 1 to 1.5 cm posteriorly and 2 to 3 cm anteriorly proximal to the dentate line. The rectal muscular sleeve below the peritoneal reflection was resected to the level of the striated muscle complex, leaving a shorter muscular cuff, into which a partial internal sphincterotomy was made posteriorly. An oblique anastomosis was constructed between the pull-through ganglionic colon and the anus canal.

RESULTS

The mean time for the operation was 160 minutes, and the average length of bowel resected was 29.5 cm (range, 12.5 to 41 cm). Two children (6.06%, 2 of 33) had 2 to 5 episodes of postoperative enterocolitis (EC). One was cured by rectal irrigation and dilation, and the another by Lynn's myectomy. Eighty-four percent of patients had 1 to 6 bowel movements per day during a 6- to 18-month follow-up period.

CONCLUSIONS

Primary transanal rectosigmoidectomy for HD is logical and associated with excellent early results. A long-term follow-up is required to determine bowel functions. J Pediatr Surg 36:1816-1819.

Authors+Show Affiliations

Department of Pediatric Surgery, The Second Hospital of Xi'an Jiaotong University, Xi'an, P.R. China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

11733913

Citation

Gao, Y, et al. "Primary Transanal Rectosigmoidectomy for Hirschsprung's Disease: Preliminary Results in the Initial 33 Cases." Journal of Pediatric Surgery, vol. 36, no. 12, 2001, pp. 1816-9.
Gao Y, Li G, Zhang X, et al. Primary transanal rectosigmoidectomy for Hirschsprung's disease: Preliminary results in the initial 33 cases. J Pediatr Surg. 2001;36(12):1816-9.
Gao, Y., Li, G., Zhang, X., Xu, Q., Guo, Z., Zheng, B., Li, P., & Li, G. (2001). Primary transanal rectosigmoidectomy for Hirschsprung's disease: Preliminary results in the initial 33 cases. Journal of Pediatric Surgery, 36(12), 1816-9.
Gao Y, et al. Primary Transanal Rectosigmoidectomy for Hirschsprung's Disease: Preliminary Results in the Initial 33 Cases. J Pediatr Surg. 2001;36(12):1816-9. PubMed PMID: 11733913.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Primary transanal rectosigmoidectomy for Hirschsprung's disease: Preliminary results in the initial 33 cases. AU - Gao,Y, AU - Li,G, AU - Zhang,X, AU - Xu,Q, AU - Guo,Z, AU - Zheng,B, AU - Li,P, AU - Li,G, PY - 2001/12/6/pubmed PY - 2002/4/16/medline PY - 2001/12/6/entrez SP - 1816 EP - 9 JF - Journal of pediatric surgery JO - J Pediatr Surg VL - 36 IS - 12 N2 - PURPOSE: The authors describe their newly developed technique-primary transanal rectosigmoidectomy for Hirschsprung's disease (HD) and its preliminary results in neonates and infants. METHODS: Thirty-four consecutive patients (26 boys) with biopsy-proven rectosigmoid HD, aged 18 days to 4 years, underwent this new procedure. Rectal mucosectomy started 1 to 1.5 cm posteriorly and 2 to 3 cm anteriorly proximal to the dentate line. The rectal muscular sleeve below the peritoneal reflection was resected to the level of the striated muscle complex, leaving a shorter muscular cuff, into which a partial internal sphincterotomy was made posteriorly. An oblique anastomosis was constructed between the pull-through ganglionic colon and the anus canal. RESULTS: The mean time for the operation was 160 minutes, and the average length of bowel resected was 29.5 cm (range, 12.5 to 41 cm). Two children (6.06%, 2 of 33) had 2 to 5 episodes of postoperative enterocolitis (EC). One was cured by rectal irrigation and dilation, and the another by Lynn's myectomy. Eighty-four percent of patients had 1 to 6 bowel movements per day during a 6- to 18-month follow-up period. CONCLUSIONS: Primary transanal rectosigmoidectomy for HD is logical and associated with excellent early results. A long-term follow-up is required to determine bowel functions. J Pediatr Surg 36:1816-1819. SN - 1531-5037 UR - https://www.unboundmedicine.com/medline/citation/11733913/Primary_transanal_rectosigmoidectomy_for_Hirschsprung's_disease:_Preliminary_results_in_the_initial_33_cases_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-3468(01)67000-3 DB - PRIME DP - Unbound Medicine ER -