[Reoperation for postoperative constipation recurrences of Hirschsprung disease].
OBJECTIVE
To summarize the causes and treatment experiences of postoperative constipation recurrences of Hirschsprung disease.


METHODS
Clinical data of 37 cases receiving operation again for postoperative constipation recurrences of Hirschsprung disease were collected. The recurrent causes, reoperation procedures and therapeutic efficacy were analyzed.


RESULTS
Among 37 cases, the recurrent causes included insufficient resection of the intestine in 14 cases, co-existent intestinal neural hypogenesis in 6, gate syndrome in 5, and others in 12 cases. There was no postoperative death. Thirty-one cases (83.8%) were followed-up from 6 months to 11 years. The defecation frequency was 1-2 times per day in 15 cases, one times per two days in 7, one times per three days in 6 cases. Two cases could defecate with the help of laxative purgatives. Nobody had incontinence.


CONCLUSIONS
The main cause of postoperative constipation recurrences of Hirschsprung disease is insufficient resection of the intestine,and reoperation can get better results.
Yi
Bin
B
Department of Pediatric Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China. yibin580@sina.com
Huang
Shan
S
Wang
Xiao-lin
XL
Wei
Ming-fa
MF
Weng
Yi-zhen
YZ
Yuan
Ji-yan
JY
D002648:Child; D002675:Child, Preschool; D003248:Constipation / Q000209:etiology / Q000601:surgery*; D003672:Defecation; D013505:Digestive System Surgical Procedures / Q000379:methods; D005260:Female; D006627:Hirschsprung Disease / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D012008:Recurrence; D012086:Reoperation