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Mohajerzadeh, Leily, Soltani, Ashkan, Zakeri, Amir Mohammad, Khaleghnejad Tabari, Ahmad, Rouzrokh, Mohsen, Ghoroubi, Javad, Sarafi, Mehdi, Dara, Naghi, Rahimi, Farnoosh, Hatefi, Sayeh. (1399). Long-term Follow-up of Patients with Hirschsprung Disease: Unusual Late Complications After Pull-through. سامانه مدیریت نشریات علمی, 8(4), 175-180. doi: 10.30476/acrr.2021.88459.1066
Leily Mohajerzadeh; Ashkan Soltani; Amir Mohammad Zakeri; Ahmad Khaleghnejad Tabari; Mohsen Rouzrokh; Javad Ghoroubi; Mehdi Sarafi; Naghi Dara; Farnoosh Rahimi; Sayeh Hatefi. "Long-term Follow-up of Patients with Hirschsprung Disease: Unusual Late Complications After Pull-through". سامانه مدیریت نشریات علمی, 8, 4, 1399, 175-180. doi: 10.30476/acrr.2021.88459.1066
Mohajerzadeh, Leily, Soltani, Ashkan, Zakeri, Amir Mohammad, Khaleghnejad Tabari, Ahmad, Rouzrokh, Mohsen, Ghoroubi, Javad, Sarafi, Mehdi, Dara, Naghi, Rahimi, Farnoosh, Hatefi, Sayeh. (1399). 'Long-term Follow-up of Patients with Hirschsprung Disease: Unusual Late Complications After Pull-through', سامانه مدیریت نشریات علمی, 8(4), pp. 175-180. doi: 10.30476/acrr.2021.88459.1066
Mohajerzadeh, Leily, Soltani, Ashkan, Zakeri, Amir Mohammad, Khaleghnejad Tabari, Ahmad, Rouzrokh, Mohsen, Ghoroubi, Javad, Sarafi, Mehdi, Dara, Naghi, Rahimi, Farnoosh, Hatefi, Sayeh. Long-term Follow-up of Patients with Hirschsprung Disease: Unusual Late Complications After Pull-through. سامانه مدیریت نشریات علمی, 1399; 8(4): 175-180. doi: 10.30476/acrr.2021.88459.1066

Long-term Follow-up of Patients with Hirschsprung Disease: Unusual Late Complications After Pull-through

Iranian Journal of Colorectal Research
مقاله 3، دوره 8، شماره 4، اسفند 2020، صفحه 175-180    اصل مقاله (586.36 K)
نوع مقاله: Research/Original Article
شناسه دیجیتال (DOI): 10.30476/acrr.2021.88459.1066
نویسندگان
Leily Mohajerzadeh* 1؛ Ashkan Soltani1؛ Amir Mohammad Zakeri1؛ Ahmad Khaleghnejad Tabari1؛ Mohsen Rouzrokh1؛ Javad Ghoroubi1؛ Mehdi Sarafi1؛ Naghi Dara2؛ Farnoosh Rahimi1؛ Sayeh Hatefi2
1Pediatric Surgery Research Center, Research Institute for Children’s Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2Pediatric Gastroenterology, Hepatology, and Nutrition Research Center, Research Institute for Children’s Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
چکیده
Background:
A large number of patients who underwent pull-through surgery due to Hirschsprung's disease (HD) were not followed up properly and they suffered from many complications such as fecal soiling, constipation, and etc. Although some of these complications may relief over time, it is rational to consider an evaluative protocol to identify anatomical or pathological complications in these patients. Objective:
The aim of the present study is to evaluate and introduce these catastrophic complications.
Method:
In this historical cohort study, 193 patients with HD who had undergone pull- through surgery between 2006 to 2013 were considered. All files and questionnaires were used to collect patients' information and patients were physically examined individually. The mean duration of the follow-up was 96.4±17.2 months ranging from 60 to 144 months The follow-up performed for all patients via the outpatient clinics or by telephone. All statistical information was analyzed by SPSS software version 17.
Results:
Results:
At first presentation, intestinal obstruction was more frequent than constipation. The most common involved segment was in rectosigmoid. The most common early postoperative complication was stricture in anal canal and the most common late complications were constipation and focal soiling.
Conclusion:
Although surgical advancements, a large number of patients underwent surgical procedures due to HD experience long term complications. Surgical treatment of HD generally present with high-quality outcome and the majority of children survive in satisfactory situation for long time but occasionally pediatric surgeons meet head-on catastrophic complication in these patients that require extended team work to be resolved
کلیدواژه‌ها
constipation؛ enterocolitis؛ fecal soiling؛ Hirschsprung disease؛ incontinence pull through surgery
سایر فایل های مرتبط با مقاله
مراجع

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