ADULT HIRSCHSPRUNGS-DISEASE - RESULTS OF THE DUHAMEL PROCEDURE

被引：14

作者：

KIM, CY ^{[1
]}

PARK, JG ^{[1
]}

PARK, KW ^{[1
]}

PARK, KJ ^{[1
]}

CHO, MH ^{[1
]}

KIM, WK ^{[1
]}

机构：

[1] CHOSUN UNIV HOSP,DEPT SURG,KWANGJU,SOUTH KOREA

来源：

INTERNATIONAL JOURNAL OF COLORECTAL DISEASE | 1995年 / 10卷 / 03期

关键词：

D O I：

10.1007/BF00298539

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Eleven patients with adult Hirschsprung's disease were treated at Seoul National University Hospital (SNUH, 8 cases) and Chosun University Hospital (CUH, 3 cases) between 1985 and 1992. Of the 11 patients, seven were male. The age of the patients ranged from 11 to 30 years, and all presented with chronic constipation and recurrent faecal impactions that required periodic enemas and laxatives. The Duhamel's operation, as a single or staged procedure, was performed in all patients. Levels of aganglionosis in 9 patients were confined to the rectosigmoid colon (82%). There were three major post-operative complications. Two patients developed fistula-in-ano at the anastomotic site, and one patient developed ileus. However, these complications resolved with conservative management. The longterm results were excellent except for one patient who developed impotence. The mean frequency of bowel movements was usually once or twice a day without the aid of other treatments. Our results indicate that Duhamel's operation is a highly acceptable procedure in the management of adult Hirschsprung's disease.

引用

页码：156 / 160

页数：5

共 40 条

[1]

Hirschsprung H., Stuhlträgheit Neugeborener in Folge von Dilatation und Hypertrophie des Colons, Jahrb Kinderh, 27, pp. 1-7, (1887)

[2]

Robertson H.E., Kernohan J.W., The myenteric plexus in congenital megacolon, Proc Staff Meet Mayo Clin, 13, pp. 123-125, (1938)

[3]

Swenson O., Bill A.H., Resection of rectum and rectosigmoid with preservation of the sphincter for benign spastic lesions producing megacolon: an experimental study, Surgery, 24, pp. 212-220, (1948)

[4]

Duhamel B., Retrorectal and transanal pull-through procedure for the treatment of Hirschsprung's disease, Diseases of the Colon & Rectum, 7, pp. 455-458, (1964)

[5]

Soave F., Hirschsprung's disease: a new surgical technique, Arch Dis Child, 39, pp. 116-124, (1964)

[6]

Steichen F.M., Talbert J.L., Ravitch M.M., Primary side-to-side colorectal anastomosis in the Duhamel operation for Hirschsprung's disease, Surgery, 64, pp. 475-483, (1968)

[7]

McCready R.A., Beart R.W., Adult Hirschsprung's disease: results of surgical treatment at Mayo Clinic, Dis Colon Rectum, 23, pp. 401-407, (1980)

[8]

Roslin J.D., Bargan J.A., Waugh J.M., Congenital megacolon in a man of 54 years of age: a report a case, Mayo Clin Proc, 25, pp. 710-715, (1950)

[9]

Kempton J.J., Hirschsprung's disease in a man aged 23, Proc R Soc Med, 47, pp. 545-546, (1954)

[10]

Hamdy M.H., Scobie W.G., Anorectal myectomy in adult Hirschsprung's disease: a report of six cases, Br J Surg, 71, pp. 611-613, (1984)

← 1 2 3 4 →