지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.101 No.4
- 발행연도
- 2021.10
- 수록면
- 231 - 239 (9page)
이용수
초록· 키워드
오류제보하기
Purpose: Transanal single-stage endorectal pull-through (TERPT) procedure for patients with Hirschsprung disease (HD) has favorable outcomes, with a lower complication rate. Nevertheless, various degrees of bowel dysfunction and fecal incontinence can persist for a long time in some patients. The aim of this study was to assess the mid- and long-term outcomes of TERPT performed during the infantile period after the completion of toilet training.
Methods: We retrospectively reviewed 82 patients aged ≥4 years who underwent TERPT during the infantile period after the pathological diagnosis of HD between 2001 and 2013. Functional outcomes were investigated according to the answers of the Bowel Function Score (BFS) questionnaire, a previously validated 7-item questionnaire about bowel habits. Normal values were obtained in a previous study on BFS for children in Western countries, and a one-sample t-test was used for statistical analysis.
Results: Overall, BFS was similar in all investigated age groups. On comparing fecal soiling and social problems between the HD and normal populations, a lower score at an early age in patients with HD was noted; however, the scores became similar when the patients were 7 years of age. Stool frequency decreased continuously but was not significantly different between the 2 groups.
Conclusion: The functional outcomes of TERPT performed during the infantile period, after completing toilet training, were similar to that of the normal population. In most cases, uncomfortable symptoms were diminished and functions improved with age.
Methods: We retrospectively reviewed 82 patients aged ≥4 years who underwent TERPT during the infantile period after the pathological diagnosis of HD between 2001 and 2013. Functional outcomes were investigated according to the answers of the Bowel Function Score (BFS) questionnaire, a previously validated 7-item questionnaire about bowel habits. Normal values were obtained in a previous study on BFS for children in Western countries, and a one-sample t-test was used for statistical analysis.
Results: Overall, BFS was similar in all investigated age groups. On comparing fecal soiling and social problems between the HD and normal populations, a lower score at an early age in patients with HD was noted; however, the scores became similar when the patients were 7 years of age. Stool frequency decreased continuously but was not significantly different between the 2 groups.
Conclusion: The functional outcomes of TERPT performed during the infantile period, after completing toilet training, were similar to that of the normal population. In most cases, uncomfortable symptoms were diminished and functions improved with age.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (22)
참고문헌 신청
Rintala RJ / 2012 / Long-term outcomes of Hirschsprung’s disease / Semin Pediatr Surg 21:336~343
De la Torre-Mondragón L / 1998 / Transanal endorectal pull-through for Hirschsprung’s disease / J Pediatr Surg 33:1283~1286
Zimmer J / 2016 / Long-term results of transanal pull-through for Hirschsprung’s disease: a meta-analysis / Pediatr Surg Int 32:743~749
Neuvonen MI / 2017 / Bowel function and quality of life after transanal endorectal pull-through for hirschsprung disease:controlled outcomes up to adulthood / Ann Surg 265:622~629
Kyrklund K / 2012 / Evaluation of bowel function and fecal continence in 594Finnish individuals aged 4 to 26 years / Dis Colon Rectum 55:671~676
De la Torre-Mondragón L / 1998 / Transanal endorectal pull-through for Hirschsprung’s disease / J Pediatr Surg 33:1283~1286
Zimmer J / 2016 / Long-term results of transanal pull-through for Hirschsprung’s disease: a meta-analysis / Pediatr Surg Int 32:743~749
Neuvonen MI / 2017 / Bowel function and quality of life after transanal endorectal pull-through for hirschsprung disease:controlled outcomes up to adulthood / Ann Surg 265:622~629
Kyrklund K / 2012 / Evaluation of bowel function and fecal continence in 594Finnish individuals aged 4 to 26 years / Dis Colon Rectum 55:671~676
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