Systematic review and meta-analysis of enterocolitis after one-stage transanal pull-through procedure for Hirschsprung's disease.

Hdl Handle:
http://hdl.handle.net/10147/207390
Title:
Systematic review and meta-analysis of enterocolitis after one-stage transanal pull-through procedure for Hirschsprung's disease.
Authors:
Ruttenstock, Elke; Puri, Prem
Affiliation:
National Children's Research Centre, Our Lady's Children's Hospital, Crumlin,, Dublin-12, Ireland.
Citation:
Pediatr Surg Int. 2010 Nov;26(11):1101-5.
Journal:
Pediatric surgery international
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207390
DOI:
10.1007/s00383-010-2695-1
PubMed ID:
20711596
Abstract:
PURPOSE: The transanal one-stage pull-through procedure (TERPT) has gained worldwide popularity over open and laparoscopic-assisted one-stage techniques in children with Hirschsprung's disease (HD). It offers the advantages of avoiding laparotomy, laparoscopy, scars, abdominal contamination, and adhesions. However, enterocolitis associated with Hirschsprung's disease (HAEC) still remains to be a potentially life-threatening complication after pull-through operation. The reported incidence of HAEC ranges from 4.6 to 54%. This meta-analysis was designed to evaluate postoperative incidence of HAEC following TERPT procedure. METHODS: A meta-analysis of cases of TERPT reported between 1998 and 2009 was performed. Detailed information was recorded regarding intraoperative details and postoperative complications with particular emphasis on incidence of HAEC. Diagnosis of HAEC in a HD patient was based on the clinical presentation of diarrhoea, abdominal distension, and fever. RESULTS: Of the 54 published articles worldwide, 27 articles, including 899 patients were identified as reporting entirely TERPT procedure. Postoperative HAEC occurred in 92 patients (10.2%). Recurrent episodes of HAEC were reported in 18 patients (2%). Conservative treatment of HAEC was successful in 75 patients (81.5%), whereas in 17 patients (18.5%) surgical treatment was needed. CONCLUSIONS: This systematic review reveals that TERPT is a safe and less-invasive procedure with a low incidence of postoperative HAEC.
Language:
eng
MeSH:
Child; Digestive System Surgical Procedures/*adverse effects/methods; Enterocolitis/*etiology/prevention & control; Hirschsprung Disease/*surgery; Humans
ISSN:
1437-9813 (Electronic); 0179-0358 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorRuttenstock, Elkeen_GB
dc.contributor.authorPuri, Premen_GB
dc.date.accessioned2012-02-01T10:23:48Z-
dc.date.available2012-02-01T10:23:48Z-
dc.date.issued2012-02-01T10:23:48Z-
dc.identifier.citationPediatr Surg Int. 2010 Nov;26(11):1101-5.en_GB
dc.identifier.issn1437-9813 (Electronic)en_GB
dc.identifier.issn0179-0358 (Linking)en_GB
dc.identifier.pmid20711596en_GB
dc.identifier.doi10.1007/s00383-010-2695-1en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207390-
dc.description.abstractPURPOSE: The transanal one-stage pull-through procedure (TERPT) has gained worldwide popularity over open and laparoscopic-assisted one-stage techniques in children with Hirschsprung's disease (HD). It offers the advantages of avoiding laparotomy, laparoscopy, scars, abdominal contamination, and adhesions. However, enterocolitis associated with Hirschsprung's disease (HAEC) still remains to be a potentially life-threatening complication after pull-through operation. The reported incidence of HAEC ranges from 4.6 to 54%. This meta-analysis was designed to evaluate postoperative incidence of HAEC following TERPT procedure. METHODS: A meta-analysis of cases of TERPT reported between 1998 and 2009 was performed. Detailed information was recorded regarding intraoperative details and postoperative complications with particular emphasis on incidence of HAEC. Diagnosis of HAEC in a HD patient was based on the clinical presentation of diarrhoea, abdominal distension, and fever. RESULTS: Of the 54 published articles worldwide, 27 articles, including 899 patients were identified as reporting entirely TERPT procedure. Postoperative HAEC occurred in 92 patients (10.2%). Recurrent episodes of HAEC were reported in 18 patients (2%). Conservative treatment of HAEC was successful in 75 patients (81.5%), whereas in 17 patients (18.5%) surgical treatment was needed. CONCLUSIONS: This systematic review reveals that TERPT is a safe and less-invasive procedure with a low incidence of postoperative HAEC.en_GB
dc.language.isoengen_GB
dc.subject.meshChilden_GB
dc.subject.meshDigestive System Surgical Procedures/*adverse effects/methodsen_GB
dc.subject.meshEnterocolitis/*etiology/prevention & controlen_GB
dc.subject.meshHirschsprung Disease/*surgeryen_GB
dc.subject.meshHumansen_GB
dc.titleSystematic review and meta-analysis of enterocolitis after one-stage transanal pull-through procedure for Hirschsprung's disease.en_GB
dc.contributor.departmentNational Children's Research Centre, Our Lady's Children's Hospital, Crumlin,, Dublin-12, Ireland.en_GB
dc.identifier.journalPediatric surgery internationalen_GB
dc.description.provinceLeinster-
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