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Pediatric Surgery International

Erschienen in:

27.11.2020 | Original Article

Predictive factors for the development of postoperative Hirschsprung-associated enterocolitis in children operated during infancy

verfasst von: Tsuyoshi Sakurai, Hiromu Tanaka, Naobumi Endo

Erschienen in: Pediatric Surgery International | Ausgabe 2/2021

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Abstract

Purpose

The risk factors for postoperative Hirschsprung-associated enterocolitis (HAEC) are still incompletely understood, especially age at which surgery is performed. Therefore, the aim of this study was to identify the risk factors for the development of postoperative HAEC in children operated during infancy.

Methods

Thirty-five children who had undergone radical surgery for Hirschsprung disease (HD) during infancy were included in the study. They were divided into two groups; those who developed postoperative HAEC (HAEC, 14 patients) and those who did not (no HAEC, 21 patients). Their medical records were retrospectively reviewed for clinical details.

Results

Developing postoperative HAEC was significantly associated with long-segment HD (p = 0.020) and the age at radical surgery (p = 0.0241). No other factors had a significant association with postoperative HAEC. In the patients who developed postoperative HAEC (n = 14), those with Trisomy 21 had significantly longer hospitalizations than those without. Patients with long-segment HD had a higher hospitalization rate than those with short-segment HD.

Conclusion

This study clearly showed that long-segment HD and older age at radical surgery are risk factors for developing postoperative HAEC.

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Titel: Predictive factors for the development of postoperative Hirschsprung-associated enterocolitis in children operated during infancy
verfasst von: Tsuyoshi Sakurai
Hiromu Tanaka
Naobumi Endo
Publikationsdatum: 27.11.2020
Verlag: Springer Berlin Heidelberg
Erschienen in: Pediatric Surgery International / Ausgabe 2/2021
Print ISSN: 0179-0358
Elektronische ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-020-04784-z

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Predictive factors for the development of postoperative Hirschsprung-associated enterocolitis in children operated during infancy

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Purpose

Methods

Results

Conclusion

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