[Diagnosis and surgical management for adult Hirschsprung's disease].
OBJECTIVE
To investigate the diagnosis and surgical management of adult Hirschsprung's disease.


METHODS
Clinical data of 15 patients with adult Hirschsprung's disease were reviewed retrospectively from June 1992 to June 2004.


RESULTS
Patients age ranged from 17 to 54 years old. The main manifestations included long-term (ranged from 9.5 month to 50 years) constipation and abdominal distention. Acute abdominal pain occurred in six patients, but no sign of de hydration and malnutrition occurred in all patients. Bowel stenosis and dilation could be examined by barium enema. Soave procedure was performed in 3 patients, subtotal colectomy with coloanal anastomosis was performed in twelve patients. The function of defecation was improved in all patients after operation.


CONCLUSIONS
The diagnosis of adult Hirschsprung's disease mainly depends on the history of constipation from infant and barium enema. Subtotal colectomy with coloanal anastomosis is an effective and safe operative procedure.
Lou
Zheng
Z
Department of General Surgery, Changhai Hospital, The Second Military Medical University, Shanghai 200433, China.
Meng
Rong-gui
RG
Yu
En-da
ED
Liu
Lian-jie
LJ
Hao
Li-qiang
LQ
Wang
Han-tao
HT
Fu
Chuan-gang
CG
D000293:Adolescent; D000328:Adult; D005260:Female; D006627:Hirschsprung Disease / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D055815:Young Adult