Long-term results of treatment of Hirschsprung's disease.
Many children with Hirschsprung's disease (HD) have a good outcome following surgical treatment, but long-term follow-up studies have identified a number of concerns. Analysis of long-term function in children after surgical management is difficult. The most commonly encountered problems include constipation, incontinence, enterocolitis and the overall impact of the disease on lifestyle (quality of life). Other complications are less frequent. Each of these problems will be discussed.
Engum
Scott A
SA
Section of Pediatric Surgery, Riley Children's Hospital, Indiana University Medical Center, 702 Barnhill Drive, Indianapolis, IN 46202, USA. sengum@iupui.edu
Grosfeld
Jay L
JL
D002675:Child, Preschool; D003248:Constipation / Q000453:epidemiology; D013505:Digestive System Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D005242:Fecal Incontinence; D005260:Female; D006627:Hirschsprung Disease / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery*; D006801:Humans; D007223:Infant; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods; D007813:Laparotomy / Q000009:adverse effects / Q000379:methods; D008134:Long-Term Care; D008297:Male; D011183:Postoperative Complications / Q000453:epidemiology*; D011379:Prognosis; D011788:Quality of Life; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome