Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Langenbeck's Archives of Surgery
Published in: Langenbeck's Archives of Surgery 4/2008

01-07-2008 | Original Article

Redo-endorectal pull through following various pull through procedures in Hirschsprung's disease

Authors: Florian Obermayr, Hans-Walter Hacker, Antje Bornemann, Martin Stern, Jörg Fuchs

Published in: Langenbeck's Archives of Surgery | Issue 4/2008

Login to get access

Abstract

Background

The purpose of this study was to analyse the outcome of redo-endorectal pull through in Hirschsprung's disease following different original pull through procedures. In the past, redo-endorectal pull through was mainly performed following endorectal pull through, but not following the Duhamel procedure. We present the outcome of eight patients after redo-endorectal pull through, including five who underwent Duhamel pull through as original procedure.

Materials and methods

Between 2002 and 2004, eight patients underwent redo-endorectal pull through following the Duhamel procedure (five), Rehbein procedure (one) and endorectal pull through (two). A retrospective study was performed to evaluate the clinical course after redo-endorectal pull through, reviewing inpatients' and outpatients' charts and performing standardised interviews.

Results

Four of eight patients had normal stool pattern after redo-endorectal pull through. In two patients mild and in another two patients severe chronic constipation occurred after redo-surgery. Constipation-associated incontinence was noted in four patients, which is terminated after initiation of laxative treatment in three. Enterocolitis occurred in one patient and recurrent ileitis in another child with total colonic aganglionosis. No impairment of bladder function was observed after redo-endorectal pull through.

Conclusion

Redo-endorectal pull through proved to be a safe technique and feasible even after prior Duhamel pull through, resulting in good clinical outcome.
Literature
1.
Rescorla FJ, Morrison AM, Engles D, West KW, Grosfeld JL (1992) Hirschsprung's disease: evaluation of mortality and long-term function in 260 cases. Arch Surg 127(8):934–941PubMed
2.
Lynn HB (1966) Rectal myectomy for aganglionic megacolon. Mayo Clin Proc 41(5):289–295PubMed
3.
Wildhaber BE, Pakarinen M, Rintala RJ, Coran AG, Teitelbaum DH (2004) Posterior myotomy/myectomy for persistent stooling problems in Hirschsprung's disease. J Pediatr Surg 6:920–926CrossRef
4.
Minkel RK, Langer JC (2000) A prospective study of botulinum toxin for internal anal sphincter hypertonicity in children with Hirschsprung's disease. J Pediatr Surg 35(12):1733–1736CrossRef
5.
Teitelbaum DH, Coran AG (2003) Reoperative surgery for Hirschsprung's disease. Semin Pediatr Surg 12(2):124–131PubMedCrossRef
6.
Van Leeuwen K, Teitelbaum DH, Elhalaby EA, Coran AG (2000) Long-term follow-up of redo pull-through procedures for Hirschsprung's disease: efficacy of the endorectal pull-through. J Pediatr Surg 35(6):829–834PubMedCrossRef
7.
Velcek FT, Klotz DH, Friedman A, Kottmeier PK (1982) Operative failure and secondary repair in Hirschsprung's disease. J Pediatr Surg 17(6):779–785PubMedCrossRef
8.
Benninga M, Candy DCA, Catto-Smith AG, Clayden G, Loening-Baucke V, Di Lorenzo C, Nurko S, Staiano A (2005) The Paris consensus on childhood constipation terminology (PACCT) group. J Pediatr Gastroenterol Nutr 40:273–275PubMedCrossRef
9.
Ghose SI, Squire BR, Stringer G, Batcup G, Crabbe DCG (2000) Hirschsprung's disease: problems with transitional-zone pull-through. J Pediatr Surg 35(12):1805–1809PubMedCrossRef
10.
Polley TZ, Coran AG, Wesley JR (1985) A ten-year experience with ninety-two cases of Hirschsprung's disease. Including sixty-seven consecutive endorectal pull-through procedures. Ann Surg 202(3):349–355PubMedCrossRef
11.
Langer JC (1999) Repeat pull-through surgery for complicated Hirschsprung's disease: indications, techniques, and results. J Pediatr Surg 34(7):1136–1141PubMedCrossRef
12.
Wilcox DT, Kiely EM (1998) Repeat pull-through for Hirschsprung's disease. J Pediatr Surg 33(10):1507–1509PubMedCrossRef
13.
Pena A, Elicevik M, Levitt MA (2007) Reoperations in Hirschsprung disease. Pediatr Surg 42:1008–1014CrossRef
14.
Moore SW, Albertyn A, Cywes S (1996) Clinical outcome and long-term quality of life after surgical correction of Hirschsprung's disease. J Pediatr Surg 31(11):1496–1502PubMedCrossRef
15.
Boemers TM, Bax NM, van Gool JD (2001) The effect of rectosigmoidectomy and Duhamel-type pull-through procedure on lower urinary tract function in children with Hirschsprung's disease. J Pediatr Surg 36(3):453–456PubMedCrossRef
16.
Holschneider AM, Börner W, Buurman O et al (1980) Clinical and electomanometrical investigations of postoperative continence in Hirschsprung's disease—an international workshop. Z Kinderchir 29:39–48
17.
Quinn FM, Surana R, Puri P (1994) The influence of trisomy 21 on outcome in children with Hirschprung's disease. J Pediatr Surg 29(6):781–783PubMedCrossRef
18.
Menezes M, Puri P (2005) Long-term clinical outcome in patients with Hirschsprung's disease and associated Down's syndrome. J Pediatr Surg 40(5):810–812PubMedCrossRef
19.
Morabito A, Lall A, Gull S, Mohee A, Bianchi A (2006) The impact of Down's syndrome on the immediate and long-term outcomes of children with Hirschsprung's disease. Pediatr Surg Int 22(2):179–181PubMedCrossRef
20.
Tariq GM, Brereton RJ, Wright VM (1991) Complications of endorectal pull-through for Hirschsprung's disease. J Pediatr Surg 26(10):1202–1206PubMedCrossRef
21.
Sarioglu A, Tanyel FC, Buyukpamukcu N, Hicsonmez A (1998) Redo operations of Hirschsprung's disease. Int Surg 83(4):333–335PubMed
22.
Weber TR, Fortuna RS, Silen ML, Dillon PA (1999) Reoperation for Hirschsprung's disease. J Pediatr Surg 34(1):153–156PubMedCrossRef
23.
Shayan K, Smith C, Langer JC (2004) Reliability of intraoperative frozen sections in the management of Hirschsprung's disease. J Pediatr Surg 39(9):1345–1348PubMedCrossRef
Metadata
Title
Redo-endorectal pull through following various pull through procedures in Hirschsprung's disease
Authors
Florian Obermayr
Hans-Walter Hacker
Antje Bornemann
Martin Stern
Jörg Fuchs
Publication date
01-07-2008
Publisher
Springer-Verlag
Published in
Langenbeck's Archives of Surgery / Issue 4/2008
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI
https://doi.org/10.1007/s00423-007-0259-1

Other articles of this Issue 4/2008

Langenbeck's Archives of Surgery 4/2008 Go to the issue

Original Article

Tobacco and the risk of pancreatic cancer: a review and meta-analysis

Original Article

Impact of hepatic vein deprivation on liver regeneration and function after major hepatectomy

Original Article

The tobacco carcinogen NNK is stereoselectively reduced by human pancreatic microsomes and cytosols

Original Article

Oral vs intravenous antibiotic prophylaxis in elective laparoscopic cholecystectomy—an exploratory trial

How to do it

Duodenum-preserving total pancreatic head resection for cystic neoplasm—a limited but cancer-preventive procedure

Original Article

Transition to pancreatic cancer in response to carcinogen