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Pediatric Surgery International

Erschienen in:

01.11.2012 | Original Article

Comparative review of functional outcomes post surgery for Hirschsprung’s disease utilizing the paediatric incontinence and constipation scoring system

verfasst von: Olugbenga Michael Aworanti, Dermot Thomas Mcdowell, Ian Michael Martin, Judy Hung, Feargal Quinn

Erschienen in: Pediatric Surgery International | Ausgabe 11/2012

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Abstract

Purpose

We aim to analyze differences in functional outcomes in children operated on for Hirschsprung’s disease (HD) using the Paediatric incontinence/constipation scoring system (PICSS) validated in a normative group.

Methods

A retrospective review of the records of all children operated on for HD between 1997 and 2010 was performed. Patients had either a Soave or transanal endorectal pull-through. Children with total colonic aganglionosis and Down’s syndrome were excluded. Utilizing the PICSS children who scored below their age-specific lower limit 95 % confidence interval PICSS scores were considered to have incomplete continence or constipation. The rates of incomplete continence and constipation were compared between groups. Significance was set at p < 0.05.

Results

PICSS analysis could be completed in 51 (Soave 35, transanal 16). The median age at interview was 71 months (range 6–191 months). The rate of incomplete continence was 75 % (n = 21) and 71 % (n = 10) for the Soave and transanal groups, respectively (p = 1.00). The constipation rate was 34 % (n = 12) and 25 % (n = 4) for the Soave and transanal groups, respectively (p = 0.74). The overall rates of incomplete continence and constipation rates were 74 and 31 %, respectively, compared with 14 and 10 %, respectively, when rates were calculated by review of records.

Conclusion

The PICSS is a sensitive tool for assessing functional outcome post HD surgery. The Soave and transanal procedures have similar functional outcomes.

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Titel: Comparative review of functional outcomes post surgery for Hirschsprung’s disease utilizing the paediatric incontinence and constipation scoring system
verfasst von: Olugbenga Michael Aworanti
Dermot Thomas Mcdowell
Ian Michael Martin
Judy Hung
Feargal Quinn
Publikationsdatum: 01.11.2012
Verlag: Springer-Verlag
Erschienen in: Pediatric Surgery International / Ausgabe 11/2012
Print ISSN: 0179-0358
Elektronische ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-012-3170-y

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Comparative review of functional outcomes post surgery for Hirschsprung’s disease utilizing the paediatric incontinence and constipation scoring system

Abstract

Purpose

Methods

Results

Conclusion

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