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Preoperative management comprising tube irrigation using a trans-anal indwelling tube for infants with hirschsprung disease can allow single-stage radical surgery

BACKGROUND: Preoperative management of Hirschsprung’s disease (HD) is currently being conducted with the goal of performing single-stage radical surgery without ileostomy. METHODS: We retrospectively reviewed HD cases between 2013 and 2022, as well as their outcomes related to preoperative managemen...

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Autores principales: Nakagawa, Yoichi, Uchida, Hiroo, Hinoki, Akinari, Tainaka, Takahisa, Shirota, Chiyoe, Sumida, Wataru, Makita, Satoshi, Yokota, Kazuki, Amano, Hizuru, Yasui, Akihiro, Maeda, Takuya, Kato, Daiki, Gohda, Yousuke
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10621192/
https://www.ncbi.nlm.nih.gov/pubmed/37915052
http://dx.doi.org/10.1186/s12893-023-02232-y
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author Nakagawa, Yoichi
Uchida, Hiroo
Hinoki, Akinari
Tainaka, Takahisa
Shirota, Chiyoe
Sumida, Wataru
Makita, Satoshi
Yokota, Kazuki
Amano, Hizuru
Yasui, Akihiro
Maeda, Takuya
Kato, Daiki
Gohda, Yousuke
author_facet Nakagawa, Yoichi
Uchida, Hiroo
Hinoki, Akinari
Tainaka, Takahisa
Shirota, Chiyoe
Sumida, Wataru
Makita, Satoshi
Yokota, Kazuki
Amano, Hizuru
Yasui, Akihiro
Maeda, Takuya
Kato, Daiki
Gohda, Yousuke
author_sort Nakagawa, Yoichi
collection PubMed
description BACKGROUND: Preoperative management of Hirschsprung’s disease (HD) is currently being conducted with the goal of performing single-stage radical surgery without ileostomy. METHODS: We retrospectively reviewed HD cases between 2013 and 2022, as well as their outcomes related to preoperative management. RESULTS: Thirty-nine patients with HD were included in this study, including short-segment HD (30 cases), long-segment HD (4 cases), and total colonic aganglionosis (5 cases). Among these 39 patients, 95% (37 of 39 patients) underwent single-stage radical surgery after management with glycerin enema use (n = 13), irrigation with tube insertion each time irrigation was performed (n = 13), and irrigation using a tube placed in the bowel (n = 11). CONCLUSIONS: Preoperative management of patients with HD allowed for single-stage surgery of long-segment HD and total colonic aganglionosis. Cases that could be managed without performing an emergency enterostomy during the neonatal period were managed with irrigation until radical surgery was performed.
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spelling pubmed-106211922023-11-03 Preoperative management comprising tube irrigation using a trans-anal indwelling tube for infants with hirschsprung disease can allow single-stage radical surgery Nakagawa, Yoichi Uchida, Hiroo Hinoki, Akinari Tainaka, Takahisa Shirota, Chiyoe Sumida, Wataru Makita, Satoshi Yokota, Kazuki Amano, Hizuru Yasui, Akihiro Maeda, Takuya Kato, Daiki Gohda, Yousuke BMC Surg Research BACKGROUND: Preoperative management of Hirschsprung’s disease (HD) is currently being conducted with the goal of performing single-stage radical surgery without ileostomy. METHODS: We retrospectively reviewed HD cases between 2013 and 2022, as well as their outcomes related to preoperative management. RESULTS: Thirty-nine patients with HD were included in this study, including short-segment HD (30 cases), long-segment HD (4 cases), and total colonic aganglionosis (5 cases). Among these 39 patients, 95% (37 of 39 patients) underwent single-stage radical surgery after management with glycerin enema use (n = 13), irrigation with tube insertion each time irrigation was performed (n = 13), and irrigation using a tube placed in the bowel (n = 11). CONCLUSIONS: Preoperative management of patients with HD allowed for single-stage surgery of long-segment HD and total colonic aganglionosis. Cases that could be managed without performing an emergency enterostomy during the neonatal period were managed with irrigation until radical surgery was performed. BioMed Central 2023-11-01 /pmc/articles/PMC10621192/ /pubmed/37915052 http://dx.doi.org/10.1186/s12893-023-02232-y Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Nakagawa, Yoichi
Uchida, Hiroo
Hinoki, Akinari
Tainaka, Takahisa
Shirota, Chiyoe
Sumida, Wataru
Makita, Satoshi
Yokota, Kazuki
Amano, Hizuru
Yasui, Akihiro
Maeda, Takuya
Kato, Daiki
Gohda, Yousuke
Preoperative management comprising tube irrigation using a trans-anal indwelling tube for infants with hirschsprung disease can allow single-stage radical surgery
title Preoperative management comprising tube irrigation using a trans-anal indwelling tube for infants with hirschsprung disease can allow single-stage radical surgery
title_full Preoperative management comprising tube irrigation using a trans-anal indwelling tube for infants with hirschsprung disease can allow single-stage radical surgery
title_fullStr Preoperative management comprising tube irrigation using a trans-anal indwelling tube for infants with hirschsprung disease can allow single-stage radical surgery
title_full_unstemmed Preoperative management comprising tube irrigation using a trans-anal indwelling tube for infants with hirschsprung disease can allow single-stage radical surgery
title_short Preoperative management comprising tube irrigation using a trans-anal indwelling tube for infants with hirschsprung disease can allow single-stage radical surgery
title_sort preoperative management comprising tube irrigation using a trans-anal indwelling tube for infants with hirschsprung disease can allow single-stage radical surgery
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10621192/
https://www.ncbi.nlm.nih.gov/pubmed/37915052
http://dx.doi.org/10.1186/s12893-023-02232-y
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