인문학
사회과학
자연과학
공학
의약학
농수해양학
예술체육학
복합학
DBpia AI
AI 에이전트
AI 아이디어
AI 리더
AI 뷰어
Citeasy
크롬 서지관리 다운로드
지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록·키워드
Hirschsprung’s disease is a congenital disorder of intestinal innervation requiring surgical correction. The modified Duhamel retro-rectal pull-through is widely used for rectosigmoid hirschsprung’s disease, but long-term functional outcomes remain variable. This study aimed to evaluate bowel function, complications, and quality of life in children undergoing this procedure. Fifty children with biopsy-confirmed rectosigmoid HD who underwent the modified Duhamel pull-through were included, with ≥ 3 years follow-up. Functional outcomes were assessed using the Rintala Bowel Function Score and clinical evaluation. Secondary outcomes included postoperative complications, need for medical/surgical interventions, and quality of life indicators. The study comprised 38 males (76%) and 12 females (24%), mean age at surgery 1.5 ± 0.5 years, and at assessment 6.2 ± 2.1 years. Early complications included anastomotic leak (2%), wound infection (8%), and Hirschsprung-associated enterocolitis (HAEC) (10%). Late morbidities included constipation requiring prolonged medical management (20%), residual spur (4%), and recurrent HAEC (14%). The mean BFS was 17.1 ± 2.9; 48% achieved good outcomes (≥ 18), 38% fair (13–17), and 14% poor (≤ 12). Symptom analysis showed no soiling in 64%, no constipation in 76%, and normal stool frequency in 76%. Quality of life was favorable, with 86% parental satisfaction, 92% regular school attendance, and 6% reporting social embarrassment. The modified Duhamel procedure provides satisfactory long-term functional outcomes in most children with rectosigmoid hirschsprung’s disease. Constipation and recurrent HAEC remain the most significant late morbidities, underscoring the need for structured follow-up and individualized bowel management.
인공지능 문자 인식 모델을 통해 추출된 텍스트로, 일부 오타나 오류가 포함될 수 있으나 지속적으로 개선 중입니다.
오류를 발견하셨다면 해당 부분을 드래그한 후 ' 를 통해 신고해주세요.
오류를 발견하셨다면 해당 부분을 드래그한 후 ' 를 통해 신고해주세요.
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