title: Results of a modified Duhamel Operation for Hirschsprung's disease using the GIA stapler.
abstract: Thirty-six patients with Hirschsprung's disease underwent surgery using modified Duhamel operation with the GIA (gastrointestinal autosuture) stapler over a 12-year period at our institution. We now present our experience from the perspective of postoperative complications and anorectal function. Postoperative complications included minimal anal bleeding due to the GIA stapler in 2 patients, and mild enterocolitis in 6 patients. Severe complications such as anastomotic leakage or stricture were not observed in our series. Overall, postoperative anorectal function was good in patients without Down's syndrome or cerebral palsy. Follow-up of our patients showed that a good quality of life was achieved during childhood. We conclude, therefore, that the modified Duhamel operation, with the use of the GIA stapler, is a safe and easy procedure for correction of Hirschsprung's disease.
authors.affiliation: Division of Surgery, Children's Research Hospital, Kyoto Prefectural University of Medicine, Japan.
authors.forename: J
authors.initials: J
authors.lastname: Yanagihara
authors.forename: N
authors.initials: N
authors.lastname: Iwai
authors.forename: K
authors.initials: K
authors.lastname: Tokiwa
authors.forename: E
authors.initials: E
authors.lastname: Deguchi
authors.forename: T
authors.initials: T
authors.lastname: Shimotake
mesh_terms: D002675:Child, Preschool; D013505:Digestive System Surgical Procedures; D005260:Female; D005500:Follow-Up Studies; D006627:Hirschsprung Disease / Q000601:surgery*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008137:Longitudinal Studies; D008297:Male; D011183:Postoperative Complications; D011788:Quality of Life; D013528:Surgical Staplers; D016896:Treatment Outcome