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10 papers 0 to 25 followers
By Ismael Medécigo Pediatric surgery resident.
https://www.readbyqxmd.com/read/27350541/current-practice-patterns-of-rectal-suction-biopsy-in-the-diagnostic-work-up-of-hirschsprung-s-disease-results-from-an-international-survey
#1
Florian Friedmacher, Prem Puri
PURPOSE: The diagnosis of Hirschsprung's disease (HD) was revolutionized by the introduction of rectal suction biopsy (RSB), allowing specimens to be taken without general anesthesia on the ward or as an out-patient procedure. However, insufficient tissue samples are not uncommon, and subsequently histopathologists often remain reluctant to confirm the presence or absence of enteric ganglion cells merely on the basis of submucosal RSBs. The aim of this study was to evaluate the current usage of RSB in the diagnostic work-up of HD based on an international survey...
August 2016: Pediatric Surgery International
https://www.readbyqxmd.com/read/27369964/laparoscopic-assisted-pull-through-operation-for-hirschsprung-s-disease-a-systematic-review-and-meta-analysis
#2
C Tomuschat, J Zimmer, P Puri
PURPOSE: In the last two decades, laparoscopic-assisted pull-through (LAPT) has gained much popularity in the treatment of Hirschsprung's disease. The aim of this meta-analysis was to determine the long-term outcome of patients treated laparoscopically. METHODS: A systematic literature-based search for relevant cohorts was performed using the terms "Hirschsprung's disease and Laparoscopy", "Laparoscopic-assisted pull-through outcome", "Laparoscopic-assisted Soave pull-through" "Laparoscopic-assisted Swenson pull-through" and Laparoscopic-assisted Duhamel pull-through...
August 2016: Pediatric Surgery International
https://www.readbyqxmd.com/read/27372298/primary-sigmoidectomy-and-appendicostomy-for-chronic-idiopathic-constipation
#3
Luis De La Torre, Kimberly Cogley, Juan Calisto, Gary Nace, Catalina Correa
PURPOSE: To present our experience in patients with chronic idiopathic constipation complicated by megarectosigmoid and fecal incontinence who underwent a primary sigmoidectomy and appendicostomy. METHODS: We reviewed eight patients referred to the Colorectal Center from 2014 to 2016 with chronic idiopathic constipation and undergoing a sigmoidectomy and appendicostomy. We analyzed the previous medical treatment, indications for the surgical procedure, and outcomes...
August 2016: Pediatric Surgery International
https://www.readbyqxmd.com/read/27385111/long-term-results-of-transanal-pull-through-for-hirschsprung-s-disease-a-meta-analysis
#4
J Zimmer, C Tomuschat, P Puri
INTRODUCTION: Several operative techniques have been developed for the treatment of Hirschsprung's disease (HD) in the past decades. Since one-stage transanal pull-through (TAPT) was first performed in 1998, multiple studies have shown favourable short-and midterm results compared to other techniques with shorter operation length, shorter hospital stay and lower complication rates. The aim of this meta-analysis was to determine the longterm results following TAPT for HD. METHODS: A systematic literature search for relevant articles was performed in four databases using the following terms "Hirschsprung/Hirschsprung's disease", "aganglionosis", "transanal", "pullthrough/pull-through", "longterm/long-term" "results", "follow-up" and "outcome"...
August 2016: Pediatric Surgery International
https://www.readbyqxmd.com/read/27586151/pathological-changes-of-interstitial-cells-of-cajal-and-ganglion-cells-in-the-segment-of-resected-bowel-in-hirschsprung-s-disease
#5
Xuyong Chen, Hongyi Zhang, Ning Li, Jiexiong Feng
OBJECTIVES: This study was conducted to investigate the pathological changes which occur in interstitial cells of Cajal (ICCs) and ganglion cells found in segments of resected bowel obtained from patients with Hirschsprung's disease (HD), as well as to explore the benefits of using a contrast enema (CE) with 24-h delayed X-ray films to predict the length of resected bowel. METHODS: We performed a retrospective analysis of 58 children with HD who had undergone the pull-through procedure...
November 2016: Pediatric Surgery International
https://www.readbyqxmd.com/read/27624566/damaged-anal-canal-as-a-cause-of-fecal-incontinence-after-surgical-repair-for-hirschsprung-disease-a-preventable-and-under-reported-complication
#6
Andrea Bischoff, Jason Frischer, Jennifer Leslie Knod, Belinda Dickie, Marc A Levitt, Monica Holder, Lyndsey Jackson, Alberto Peña
INTRODUCTION: Fecal incontinence after the surgical repair of Hirschsprung disease is a potentially preventable complication that carries a negative impact on patient's quality of life. METHODS: Patients that were previously operated for Hirschsprung disease and presented to our bowel management clinic with the complaint of fecal incontinence were retrospectively reviewed. All patients underwent a rectal examination under anesthesia looking for anatomic explanations for their incontinence...
September 4, 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27519558/correlation-between-magnetic-resonance-imaging-findings-after-posterior-sagittal-anorectoplasty-for-anorectal-malformations-and-the-clinical-outcome-preliminary-report
#7
Anna Morandi, Irene Borzani, Francesco Macchini, Giulia Brisighelli, Dario Consonni, Ernesto Leva
BACKGROUND/PURPOSE: To assess the anatomical results after posterior sagittal anorectoplasty (PSARP) by magnetic resonance imaging (MRI) and to evaluate the correlation of these findings with clinical outcomes. METHODS: Patients followed-up at our center after PSARP, being at least 6year old, with neither evidence of sacral abnormalities nor spinal dysraphisms were prospectively included. Complex ARMs were excluded. MRI was performed on a 1.5T unit. T1- and T2-weighted sequences were acquired, in orthogonal planes, according to the anal canal orientation...
November 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27586859/determinants-of-quality-of-life-in-children-with-colorectal-diseases
#8
Victoria A Lane, Kristine M Nacion, Jennifer N Cooper, Marc A Levitt, Katherine J Deans, Peter C Minneci
BACKGROUND: Health related Quality of Life (HRQoL) is an important outcome in medical care. The aim of our study was to identify characteristics associated with lower HRQoL scores in children with anorectal malformation (ARM) and Hirschsprung disease (HD). METHODS: Patients younger than 18years, with HD or ARM, who were evaluated at our center from April 2014 to August 2015, were identified. The results of comprehensive questionnaires regarding diagnosis, symptoms, comorbidities and previous medical/surgical history, and validated tools to assess urinary status, stooling status and HRQoL were evaluated...
November 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27554917/a-standardized-approach-for-the-assessment-and-treatment-of-internationally-adopted-children-with-a-previously-repaired-anorectal-malformation-arm
#9
Victoria A Lane, Clare Skerritt, Richard J Wood, Carlos Reck, Geri D Hewitt, Kate A McCracken, Venkata R Jayanthi, Daniel DaJusta, Christina Ching, Katherine J Deans, Peter C Minneci, Marc A Levitt
INTRODUCTION: A significant number of internationally adopted children have congenital birth defects. As a specialist center for colorectal diagnoses, we evaluate such children with an anorectal malformation (ARM) and have found that a significant number need a reoperation. Knowledge of the common complications following ARM surgery has led us to develop treatment algorithms for patients with unknown past medical and surgical history, a situation typically encountered in the adopted population...
November 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27567309/vaginal-agenesis-and-rectovestibular-fistula-experience-utilizing-distal-ileum-for-the-vaginal-replacement-in-these-patients-preserving-the-natural-fecal-reservoir
#10
Luis De la Torre, Kimberly Cogley, Juan L Calisto, Karla Santos, Alejandro Ruiz, María Zornoza
BACKGROUND: The association of rectovestibular fistula (RVF) and vaginal agenesis (VA) presents a diagnostic and management challenge. The vaginal replacement is usually performed with rectum or sigmoid, which are the natural fecal reservoirs; thus, the fecal control could be affected. We present our experience utilizing ileum to preserve the rectum and sigmoid. METHODS: We performed a retrospective study of eight patients with RVF and VA treated from May 2011 to June 2015 at two colorectal centers, at Pittsburgh and Mexico...
November 2016: Journal of Pediatric Surgery
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