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Amerstorfer, EE; Fasching, G; Till, H; Huber-Zeyringer, A; Höllwarth, ME.
Long-term results of total colonic agangliosis patients treated by preservation of the aganglionic right hemicolon and the ileo-cecal valve.
Pediatr Surg Int. 2015; 31(8):773-780
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Autor/innen der Med Uni Graz:
Amerstorfer Eva Elisa
Höllwarth Michael
Till Holger
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Abstract:
In 1989, Sauer introduced a technique to treat patients with total colonic aganglionosis (TCA) where he preserved the ileo-cecal valve and the right hemicolon to retain water and electrolyte absorption. This report examines the long-term outcome of patients who underwent this technique. All TCA patients treated between 1981 and 2005 according to Sauer were invited in 2013 to participate in a questionnaire survey to assess their long-term outcome focusing on bowel function and quality of life (QoL), using standardized scores. Of eight TCA patients (2 females, 6 males), seven participated in the follow-up survey (median follow-up time 13.5 years (range 8-31.6). Early postoperative complications involving bouts of enterocolitis in 3 and anal strictures in 5 patients ceased with age. Bowel movements ranged from median 3-4 times a day (range 1-8). Bowel-function score (BFS) was reduced in 6 patients (median 16 points, range 8-19, max 20), who also reported soiling incidences with the need for night-time protective aids in two. QoL assessment, however, documented a good outcome with a median score of 10 points (range 7-13, max 13). This long-term investigation of TCA patients treated according to Sauer's technique documented a good QoL despite a reduced BFS.
Find related publications in this database (using NLM MeSH Indexing)
Child, Preschool -
Colon -
Digestive System Surgical Procedures - methods
Female -
Hirschsprung Disease - surgery
Humans -
Ileocecal Valve -
Infant -
Male -
Organ Sparing Treatments -
Quality of Life -
Retrospective Studies -
Surveys and Questionnaires -
Time Factors -
Treatment Outcome -

Find related publications in this database (Keywords)
Total colonic aganglionosis
Sauer's procedure
Long-term study
Ileo-cecal valve
Bowel function
Quality of life
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