Postoperative bowel function in children operated for Hirschsprung's disease in a low-income setting: Institution-based cross-sectional study.

IF 1.3 4区 医学 Q3 NURSING
Belachew Dejene Wondemagegnehu, Addisu Andargie
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引用次数: 0

Abstract

Hirschsprung's disease is a common cause of lower intestinal obstruction in newborns. It has variable postoperative outcomes affecting quality of life. The study was aimed at assessing postoperative bowel function in children with Hirschsprung's disease. It was conducted on 120 children operated for Hirschsprung's disease. A structured questionnaire for bowel function score was used and analyzed using relevant statistical tests. Of the 120 children in the study, 97 (80.8%) were male with 49 (40.8%) diagnosed during neonatal age and others by 2 years of age. Ninety-three (77.5%) of them had the classic type. Diversion colostomy was done in 104 (86.6%), and two-staged endorectal pullthrough was performed in 62 (72.5%) of cases with a 16% rate of retained aganglionosis. Postoperative continence was excellent in 46 (57%) and good in 26 (32%) with an incontinence rate of 11%. None of the outcome predictor showed significant influence. Optimal postoperative bowel function was obtained in the majority of patients with two-stage procedures, and the overall outcome of bowel function in children was not influenced by age, gender, level of aganglionosis, and type of procedure. Longer follow-up periods are required for definitive information.

在低收入地区接受赫氏普隆氏病手术的儿童术后肠道功能:基于机构的横断面研究。
赫氏肠梗阻是导致新生儿下肠梗阻的常见原因。其术后效果不一,影响生活质量。这项研究旨在评估赫氏普隆氏病患儿的术后肠道功能。研究对象为 120 名接受赫氏普隆氏病手术的儿童。采用结构化问卷对肠道功能进行评分,并使用相关统计检验进行分析。在参与研究的 120 名患儿中,97 名(80.8%)为男性,49 名(40.8%)在新生儿期被确诊,其他患儿在两岁前被确诊。其中 93 人(77.5%)为典型类型。104例(86.6%)进行了分流结肠造口术,62例(72.5%)进行了两段式肛门直肠内牵拉术,aganglionosis留置率为16%。46例(57%)患者术后尿失禁情况良好,26例(32%)患者术后尿失禁情况良好,尿失禁率为11%。所有结果预测指标均无明显影响。大多数接受两阶段手术的患者都能获得最佳的术后肠道功能,儿童肠道功能的总体结果不受年龄、性别、无肛症程度和手术类型的影响。要获得确切的信息,还需要更长时间的随访。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Child Health Care
Journal of Child Health Care NURSING-PEDIATRICS
CiteScore
4.10
自引率
15.80%
发文量
60
审稿时长
>12 weeks
期刊介绍: Journal of Child Health Care is a broad ranging, international, professionally-oriented, interdisciplinary and peer reviewed journal. It focuses on issues related to the health and health care of neonates, children, young people and their families, including areas such as illness, disability, complex needs, well-being, quality of life and mental health care in a diverse range of settings. The Journal of Child Health Care publishes original theoretical, empirical and review papers which have application to a wide variety of disciplines.
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