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J Pediatr Surg. 2012 Oct;47(10):1874-9. doi: 10.1016/j.jpedsurg.2012.04.022.

Late diagnosis of Hirschsprung disease--patient characteristics and results.

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1
Department of Paediatric Surgery, Oslo University Hospital, Oslo, Norway. kstensru@ous-hf.no

Abstract

PURPOSE:

The aim of the present study was to describe the characteristics and the postoperative results of children diagnosed as having Hirschsprung disease (HD) after the age of 3 years.

METHODS:

All patients with HD diagnosed after the age of 3 years in our hospital from 1998 to 2011 were included. Patient characteristics and postoperative results were prospectively registered.

RESULTS:

Eleven children were included. Age at diagnosis was 3.0 to 9.6 years. Ten patients had rectosigmoid disease, whereas 1 had total colonic aganglionosis. Three children were given a diverting ileostomy before the pull-through procedure, and all 3 had ileostomy-related complications. Early postoperative complications were seen in 5 children, of whom 2 had anastomotic leakage. At final follow-up, with a median of 3 years postoperatively, 7 had normal bowel function, 1 had frequent loose stools, and 3 were soiling.

CONCLUSIONS:

Early postoperative complications, especially anastomotic leakage, occurred frequently in children with late-diagnosed HD. Therefore, a diverting stoma should be considered in these patients. The long-term functional results were comparable with those seen in children operated on as neonates.

PMID:
23084200
DOI:
10.1016/j.jpedsurg.2012.04.022
[Indexed for MEDLINE]
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