[Diagnosis and surgical management of adult Hirschsprung disease].
OBJECTIVE
To investigate the diagnosis and surgical treatment of adult Hirschsprung disease (AHD).


METHODS
Clinical data of 10 patients with AHD undergoing operation from May 1985 to May 2005 were analyzed retrospectively.


RESULTS
There were 7 males and 3 females with an age ranged from 14 to 40 years. All the cases had constipation, and were diagnosed by barium enema. Aganglionosis was located in distal sigmoid and rectum in 2 cases, in rectum in 7 cases, unknown in one case. Colostomy was performed in one, Ikeda s operation in 6, Rehbein operation in two,modified Swenson operation in one. After radical operation,7 patients had excellent continence function, one had good function, one had poor function.


CONCLUSIONS
The diagnosis of adult HD mainly depends on the history of constipation, barium enema and manometry examination. The pull-through procedures are effective surgical treatments for adult HD. The operation type should be selected individually.
Ding
Shu-qing
SQ
The Third Affiliated Hospital of Nanjing University of Chinese Traditional Medicine, Nanjing 210001, China. dingshuq@hotmail.com
Chen
Yong-tian
YT
Ding
Yi-jiang
YJ
Liu
Fei
F
Ye
Hui
H
D000293:Adolescent; D000328:Adult; D005260:Female; D006627:Hirschsprung Disease / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D008297:Male; D055815:Young Adult