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| Content Provider | Springer Nature : BioMed Central |
|---|---|
| Author | Nakagawa, Yoichi Uchida, Hiroo Hinoki, Akinari Tainaka, Takahisa Shirota, Chiyoe Sumida, Wataru Makita, Satoshi Yokota, Kazuki Amano, Hizuru Yasui, Akihiro Maeda, Takuya Kato, Daiki Gohda, Yousuke |
| Abstract | Background Preoperative management of Hirschsprung’s disease (HD) is currently being conducted with the goal of performing single-stage radical surgery without ileostomy. Methods We retrospectively reviewed HD cases between 2013 and 2022, as well as their outcomes related to preoperative management. Results Thirty-nine patients with HD were included in this study, including short-segment HD (30 cases), long-segment HD (4 cases), and total colonic aganglionosis (5 cases). Among these 39 patients, 95% (37 of 39 patients) underwent single-stage radical surgery after management with glycerin enema use (n = 13), irrigation with tube insertion each time irrigation was performed (n = 13), and irrigation using a tube placed in the bowel (n = 11). Conclusions Preoperative management of patients with HD allowed for single-stage surgery of long-segment HD and total colonic aganglionosis. Cases that could be managed without performing an emergency enterostomy during the neonatal period were managed with irrigation until radical surgery was performed. |
| Related Links | https://bmcsurg.biomedcentral.com/counter/pdf/10.1186/s12893-023-02232-y.pdf |
| Ending Page | 7 |
| Page Count | 7 |
| Starting Page | 1 |
| File Format | HTM / HTML |
| ISSN | 14712482 |
| DOI | 10.1186/s12893-023-02232-y |
| Journal | BMC Surgery |
| Issue Number | 1 |
| Volume Number | 23 |
| Language | English |
| Publisher | BioMed Central |
| Publisher Date | 2023-11-01 |
| Access Restriction | Open |
| Subject Keyword | Surgery Internal Medicine Hirschsprung’s disease Preoperative management Irrigation Single-stage surgery |
| Content Type | Text |
| Resource Type | Article |
| Subject | Surgery |
| Journal Impact Factor | 1.6/2023 |
| 5-Year Journal Impact Factor | 1.9/2023 |
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