TREATMENT OF HIRSCHSPRUNGS-DISEASE WITHOUT COLOSTOMY

被引：11

作者：

GHINELLI, C ^{[1
]}

DELROSSI, C ^{[1
]}

机构：

[1] HOSP PARMA,DEPT PEDIAT SURG,VIA GRAMSCI 14,I-43100 PARMA,ITALY

来源：

PEDIATRIC SURGERY INTERNATIONAL | 1993年 / 8卷 / 01期

关键词：

NEONATAL HIRSCHSPRUNGS DISEASE; SOAVE PULLTHROUGH;

D O I：

10.1007/BF02352996

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

The authors report 21 cases of Hirschsprung's disease with severe neonatal symptoms: intestinal obstruction, enterocolitis, and necrotizing enterocolitis. The goal of the approach was to avoid colostomy. After the diagnosis was established, prompt treatment was begun usually with total parenteral nutrition (TPN) via a central catheter. In the first 11 patients surgery was performed at an average age of 8 months, starting preoperatively with an elemental diet. From 1987 to 1990, 10 patients were treated. After a period of TPN and complete resolution of intestinal symptoms, an early Soave pull-through was performed at an average age of 34 days. Follow-up varied from 16 months to 8 years. The results were excellent: there were no anastomotic leaks or infections and stenosis was prevented by means of periodic calibrations and/or dilatations. Evacuations were regular in all cases.

引用

页码：27 / 30

页数：4

共 11 条

[1]

Arham P., Faverdin C., Penaud J., Thouvenot J., Donnée physiologiques et physiopatologiques sur la motricité du canal anal chez les enfantes, Soc Biol Extr tome, 165, (1971)

[2]

Arham P., Faverdin C., Penaud J., Thouvenot J., Ano-rectal motility in sick children, Scand J Gastroent, 7, pp. 309-314, (1971)

[3]

Brenner R.W., Swenson O., Colostomy in infants and children, Surg Gynecol Obstet, 124, pp. 1239-1244, (1967)

[4]

Carcassonne M., Guys J.M., Et al., Management of Hirschsprung's disease: curative surgery before 3 months of age, J Pediatr Surg, 24, pp. 1032-1034, (1989)

[5]

Del Rossi C., Ghinelli C., Proposte per il nursing difficile nel morbo di Hirschsprung neonatale, Pediatr Med Chir, 6, pp. 319-322, (1984)

[6]

Mollit D.L., Malamgoni M.A., Ballantine T.V.N., Et al., Colostomy complications in children, Arch Surg, 115, (1980)

[7]

Shandling R., Auldist A.W., Punch biopsy of the rectum for the diagnosis of Hirschsprung's disease, J Pediatr Surg, 7, pp. 546-552, (1972)

[8]

Shim W.K.T., Swenson O., Treatment of congenital megacolon in 50 infants, Pediatrics, 38, pp. 185-193, (1966)

[9]

So H.B., Schwartz D.L., Becker J., Dawn F., Et al., Endorectal “pull-through” without preliminary colostomy in neonates with Hirschsprung's disease, J Pediatr Surg, 15, pp. 470-471, (1980)

[10]

Soave F., A new surgical technique for treatment of Hirschsprung's disease, Surgery, 56, (1964)

← 1 2 →