Eighteen years' experience with neonatal Hirschsprung's disease treated by endorectal pull-through without colostomy.
METHODS
In the past 18 years, the authors have treated 84 patients with Hirschsprung's disease. Of these, 43 patients were under 1 month of age and underwent endorectal pull-through without colostomy. Some have undergone follow-up for as long as 18 years.


RESULTS
Thirty-four of these 43 (79%) newborn patients were available for follow-up. Twenty-two were totally continent. The remaining 12 have normal sphincter tone. Of the 41 patients above 1 month of age, 34 (83%) were available for follow-up. Some have undergone follow-up for as long as 18 years.


CONCLUSIONS
Twenty-two of this latter group (79%) have normal bowel control.
So
H B
HB
Long Island Jewish Medical Center, Schneider Children's Hospital, New Hyde Park, NY, USA.
Becker
J M
JM
Schwartz
D L
DL
Kutin
N D
ND
D000293:Adolescent; D000714:Anastomosis, Surgical; D002648:Child; D002675:Child, Preschool; D003125:Colostomy; D013505:Digestive System Surgical Procedures / Q000379:methods*; D005069:Evaluation Studies as Topic; D005260:Female; D005500:Follow-Up Studies; D006627:Hirschsprung Disease / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011379:Prognosis; D012007:Rectum / Q000601:surgery*