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- W2033993891 abstract "<h2>Abstract</h2><h3>Background</h3> It has been hypothesized that the extensive transanal dissection in transanal endorectal pull-through (TEPT) for Hirschsprung disease (HD) can impair the anal sphincters in neonates and thereby cause incontinence. Theoretically, transabdominal endorectal pull-through might have less impact on the sphincters. The aim of this study was to compare functional outcome in HD patients operated with either TEPT or laparotomy-assisted endorectal pull-through (LEPT) with particular focus on soiling and fecal incontinence. <h3>Patients and Methods</h3> Anorectal function in 52 children older than 3 years is reported. The patients were operated for HD with either TEPT (n = 28) or LEPT (n = 24) and followed prospectively. Functional outcome was recorded by standardized interviews. The Krickenbeck criteria were used to classify voluntary bowel movements, soiling, and constipation. <h3>Results</h3> The median age at follow-up was 5.7 years (3.1-13.2) for TEPT and 10.1 years (7.7-16.2) for LEPT. Twenty-nine patients reported soiling at final follow-up. There was no difference in the rate of soiling between children operated with TEPT (54%) or LEPT (58%). Constipation was reported in 11 children (TEPT, 25%; LEPT, 17%). <h3>Conclusions</h3> The functional outcome and in particular the rate of soiling did not differ between patients operated with LEPT or TEPT." @default.
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- W2033993891 date "2010-08-01" @default.
- W2033993891 modified "2023-10-05" @default.
- W2033993891 title "Functional outcome after operation for Hirschsprung disease—transanal vs transabdominal approach" @default.
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- W2033993891 doi "https://doi.org/10.1016/j.jpedsurg.2010.02.065" @default.
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