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Long-term outcome, colonic motility, and sphincter performance after Swenson's procedure for Hirschsprung's disease: a single-center 2-decade experience with 346 cases.
Am J Surg. 2007 Jul; 194(1):40-7.AJ

Abstract

BACKGROUND

The aim of this study is to explore the long-term outcome and the colon and sphincter function in children undergoing the Swenson's operation for Hirschsprung's disease (HD).

METHODS

Three hundred forty-six children (266 males and 80 females) undergoing Swenson's operation for HD for 8 to 20 years were followed up. Barium enema and defecography, total and segmental colonic transit time with the simplified radioopaque markers, and the anorectal vector manometry were used.

RESULTS

Stooling patterns were fair in most patients, and the functional examinations were abnormal in few cases.

CONCLUSIONS

The long-term outcome is satisfactory in most of the children undergoing the Swenson's operation for HD, but it is still not as good as what the surgeons have expected. This is probably because of the abnormal colonic motility and/or the dysfunctions of the internal anal sphincter.

Authors+Show Affiliations

Department of Pediatric Surgery, The Second Affiliated Hospital, China Medical University, No. 36 Sanhao Street, Heping District, Shenyang, China 110004.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17560907

Citation

Zhang, Shu-Cheng, et al. "Long-term Outcome, Colonic Motility, and Sphincter Performance After Swenson's Procedure for Hirschsprung's Disease: a Single-center 2-decade Experience With 346 Cases." American Journal of Surgery, vol. 194, no. 1, 2007, pp. 40-7.
Zhang SC, Bai YZ, Wang W, et al. Long-term outcome, colonic motility, and sphincter performance after Swenson's procedure for Hirschsprung's disease: a single-center 2-decade experience with 346 cases. Am J Surg. 2007;194(1):40-7.
Zhang, S. C., Bai, Y. Z., Wang, W., & Wang, W. L. (2007). Long-term outcome, colonic motility, and sphincter performance after Swenson's procedure for Hirschsprung's disease: a single-center 2-decade experience with 346 cases. American Journal of Surgery, 194(1), 40-7.
Zhang SC, et al. Long-term Outcome, Colonic Motility, and Sphincter Performance After Swenson's Procedure for Hirschsprung's Disease: a Single-center 2-decade Experience With 346 Cases. Am J Surg. 2007;194(1):40-7. PubMed PMID: 17560907.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Long-term outcome, colonic motility, and sphincter performance after Swenson's procedure for Hirschsprung's disease: a single-center 2-decade experience with 346 cases. AU - Zhang,Shu-Cheng, AU - Bai,Yu-Zuo, AU - Wang,Wei, AU - Wang,Wei-Lin, PY - 2006/04/19/received PY - 2006/10/11/revised PY - 2006/10/11/accepted PY - 2007/6/15/pubmed PY - 2007/7/6/medline PY - 2007/6/15/entrez SP - 40 EP - 7 JF - American journal of surgery JO - Am J Surg VL - 194 IS - 1 N2 - BACKGROUND: The aim of this study is to explore the long-term outcome and the colon and sphincter function in children undergoing the Swenson's operation for Hirschsprung's disease (HD). METHODS: Three hundred forty-six children (266 males and 80 females) undergoing Swenson's operation for HD for 8 to 20 years were followed up. Barium enema and defecography, total and segmental colonic transit time with the simplified radioopaque markers, and the anorectal vector manometry were used. RESULTS: Stooling patterns were fair in most patients, and the functional examinations were abnormal in few cases. CONCLUSIONS: The long-term outcome is satisfactory in most of the children undergoing the Swenson's operation for HD, but it is still not as good as what the surgeons have expected. This is probably because of the abnormal colonic motility and/or the dysfunctions of the internal anal sphincter. SN - 1879-1883 UR - https://www.unboundmedicine.com/medline/citation/17560907/Long_term_outcome_colonic_motility_and_sphincter_performance_after_Swenson's_procedure_for_Hirschsprung's_disease:_a_single_center_2_decade_experience_with_346_cases_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9610(07)00157-2 DB - PRIME DP - Unbound Medicine ER -