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Appendicostomy for Bowel Control in Children after Transanal Endorectal Pull-Through for Hirschsprung Disease - Abstract

Christina Granéli, Anna Börjesson, Pernilla Stenström, Einar Arnbjörnsson

 

Abstract

AimTo evaluate the indications for, and outcome, of appendicostomy for patients with Hirschsprungs disease (HD) who underwent transanal endorectal pull-through (TERPT).

Method: Children with HD > 4 years old who received an appendicostomy between 2005 and 2011 at a tertiary pediatric surgery center were included. Pre- and post-appendicostomy bowel function was evaluated by a bowel function score. HD-patients not receiving an appendicostomy were the controls. The study was approved by an institutional ethics committee (2010/49).

Results: Seven of 37 HD-patients received an appendicostomy. Syndromes were present in 43% of the appendicostomy and 6% of the controls (controls reported absence of fecal accidents (p=0.297). Three (60%) with appendicostomy and 14 (47%) controls, respectively, reported absence of soiling or soiling RPT.

Keywords: Hirschsprungs disease, transanal endorectal pull through, bowel function score, antegrade continence enema, appendicostomy.

 

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