Long-term follow-up of Hirschsprung's disease: review of early and late complications.
OBJECTIVE
Long term follow-up of Hirschsprung's disease to determine the early and late complications.


METHODS
Retrospective.


METHODS
Tertiary care referral hospital.


METHODS
Fifty children who underwent either Swenson's procedure [SP] (n = 16) or Martin's modification of Duhamel's procedure [MDP] (n = 34), for treatment of Hirschsprung's disease during the period 1981 through 1990.


RESULTS
Early complications observed were anastomotic leak (n = 4), stenosis (n = 8), wound infection (n = 8), and intestinal obstruction (n = 6). Follow-up period ranged from 2-10 years. Long term complications included constipation (n = 1), enterocolitis (n = 2), mild soiling (n = 4), and intestinal obstruction (n = 2).


CONCLUSIONS
Early complications were seen with equal frequency in patients with either SP or MDP but late complications were seen less often with the SP. Both SP and MDP were equally effective in the definitive treatment of Hirschprung's disease.
Agarwala
S
S
Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi.
Bhatnagar
V
V
Mitra
D K
DK
D000714:Anastomosis, Surgical / Q000379:methods*; D003906:Developing Countries; D005260:Female; D005500:Follow-Up Studies; D006627:Hirschsprung Disease / Q000150:complications* / Q000601:surgery; D006801:Humans; D015994:Incidence; D007194:India; D008297:Male; D011183:Postoperative Complications / Q000453:epidemiology / Q000503:physiopathology*; D011379:Prognosis; D012189:Retrospective Studies; D013997:Time Factors