Clinical risk factors of hirschsprung-associated enterocolitis. II: Postoperative enterocolitis

Among 302 Hirschsprung patients diagnosed between 1976 and 1993, 213 patients who had undergone definitive operations for Hirschsprung's disease (HD) were reviewed for the occurrence of postoperative Hirschsprung-associated enterocolitis (HAEC). The role of 42 parameters were analyzed. W...

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Main Authors: A Sarioğlu, F C Tanyel, N Büyükpamukçu, A Hiçsönmez
Format: Article
Language:English
Published: Hacettepe University Institute of Child Health 1997-01-01
Series:The Turkish Journal of Pediatrics
Online Access:https://turkjpediatr.org/article/view/3373
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author A Sarioğlu
F C Tanyel
N Büyükpamukçu
A Hiçsönmez
author_facet A Sarioğlu
F C Tanyel
N Büyükpamukçu
A Hiçsönmez
author_sort A Sarioğlu
collection DOAJ
description Among 302 Hirschsprung patients diagnosed between 1976 and 1993, 213 patients who had undergone definitive operations for Hirschsprung's disease (HD) were reviewed for the occurrence of postoperative Hirschsprung-associated enterocolitis (HAEC). The role of 42 parameters were analyzed. We detected 34 patients (14.0%) with postoperative HAEC with no mortality. In nine patients (26.5%) HAEC persisted postoperatively but no effect of preoperative HAEC on postoperative HAEC was detected. The length of the aganglionic segment did not have any effect on HAEC. Down's syndrome was not present in any of our patients with HAEC. Enterocolitis appeared after Swenson, Duhamel and Boley operations in 23, 10 and one patient, respectively. The incidence of HAEC was inversely proportional to age and weight at the time of definitive operation. The presence of colostomy before or during definitive operation had no effect on postoperative HAEC. Complications of definitive operations, including stricture, did not have any effect on HAEC.
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spelling doaj.art-4a3ac218104e47148f2efb724d042b042025-03-07T19:44:44ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64211997-01-01391Clinical risk factors of hirschsprung-associated enterocolitis. II: Postoperative enterocolitisA Sarioğlu0F C TanyelN BüyükpamukçuA HiçsönmezDepartment of Pediatric Surgery, Hacettepe University Faculty of Medicine, Ankara. Among 302 Hirschsprung patients diagnosed between 1976 and 1993, 213 patients who had undergone definitive operations for Hirschsprung's disease (HD) were reviewed for the occurrence of postoperative Hirschsprung-associated enterocolitis (HAEC). The role of 42 parameters were analyzed. We detected 34 patients (14.0%) with postoperative HAEC with no mortality. In nine patients (26.5%) HAEC persisted postoperatively but no effect of preoperative HAEC on postoperative HAEC was detected. The length of the aganglionic segment did not have any effect on HAEC. Down's syndrome was not present in any of our patients with HAEC. Enterocolitis appeared after Swenson, Duhamel and Boley operations in 23, 10 and one patient, respectively. The incidence of HAEC was inversely proportional to age and weight at the time of definitive operation. The presence of colostomy before or during definitive operation had no effect on postoperative HAEC. Complications of definitive operations, including stricture, did not have any effect on HAEC. https://turkjpediatr.org/article/view/3373
spellingShingle A Sarioğlu
F C Tanyel
N Büyükpamukçu
A Hiçsönmez
Clinical risk factors of hirschsprung-associated enterocolitis. II: Postoperative enterocolitis
The Turkish Journal of Pediatrics
title Clinical risk factors of hirschsprung-associated enterocolitis. II: Postoperative enterocolitis
title_full Clinical risk factors of hirschsprung-associated enterocolitis. II: Postoperative enterocolitis
title_fullStr Clinical risk factors of hirschsprung-associated enterocolitis. II: Postoperative enterocolitis
title_full_unstemmed Clinical risk factors of hirschsprung-associated enterocolitis. II: Postoperative enterocolitis
title_short Clinical risk factors of hirschsprung-associated enterocolitis. II: Postoperative enterocolitis
title_sort clinical risk factors of hirschsprung associated enterocolitis ii postoperative enterocolitis
url https://turkjpediatr.org/article/view/3373
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AT ahicsonmez clinicalriskfactorsofhirschsprungassociatedenterocolitisiipostoperativeenterocolitis