| Primary Swenson's pull-through in children with chronic constipation: a preliminary report. | |
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MedLine Citation:
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PMID: 20431213 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The discrepancy in diameters of the resected ends coupled with the heavy faecal loads in the colon of chronically constipated children with Hirschsprung's disease makes definitive primary pull-through procedure quite difficulty in this group. PATIENTS AND METHODS: Four consecutive patients (aged 5 months to 11 years) who presented with chronic constipation were given warm saline enema along with Castor oil per oram twice daily for 1 week before and 2 weeks after full-thickness biopsies that confirmed Hirschsprung's disease. All patients had intravenous Cefuroxime or Ceftriaxone plus Metronidazole at induction of anaesthesia. Intra-operatively, the levels of resections were 6-8 cm proximal to the most contractile part of the colon adjacent to the transition zone observed after complete division of mesenteric vessels. RESULTS: There were three males and one female, aged 5 months to 11 years. The levels of aganglionosis were in the rectosigmoid region, except one in the descending colon. There was one case each of anastomotic stenoses, mild enterocolitis and deep peri-anal excoriation. The bowel motions were two to four times daily within 1 month post-operatively. CONCLUSION: It can be concluded from this preliminary study that with pre-operative saline enema and oral Castor oil for about 3 weeks in chronically constipated children with Hirschsprung's disease primary pull-through procedures can be performed successfully. However, further prospective work is required with this method. |
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Authors:
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I B Bakare Tajudeen; T A Badmus; A O Lawal; A I Katung |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: African journal of paediatric surgery : AJPS Volume: 7 ISSN: 0974-5998 ISO Abbreviation: Afr J Paediatr Surg Publication Date: 2010 May-Aug |
Date Detail:
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Created Date: 2010-04-30 Completed Date: 2010-06-21 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101255062 Medline TA: Afr J Paediatr Surg Country: Nigeria |
Other Details:
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Languages: eng Pagination: 71-4 Citation Subset: IM |
Affiliation:
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Department of Surgery, Federal Medical Centre, Owo, Ondo State, Nigeria. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anastomosis, Surgical
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methods Child Child, Preschool Colon / pathology, surgery* Constipation / etiology*, surgery Digestive System Surgical Procedures / methods* Enema Female Hirschsprung Disease / complications, surgery* Humans Infant Length of Stay Male Postoperative Complications / surgery Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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