Hirschsprung Disease
Conditions
Keywords
Hirschsprung disease, conservative treatment, surgery treatment, infants
Brief summary
The present study was designed to compare the efficacy of conservative treatment to operative treatment for improvement of constipation symptoms in infants with short or normal-segment Hirschsprung disease.
Interventions
one staged pull-through left-colectomy
anal dilation
colonic lavage
oral probiotic
Sponsors
Study design
Eligibility
Inclusion criteria
* Hard or firm stools for twice or less per week * Age were from newborn to 3 months * Histochemical acetylcholinesterase reaction (AChE) in rectal mucosa was positive * The narrowed distal bowel on barium enema was characterized as normal or short-segment Hirschsprung disease with a 24h barium retention
Exclusion criteria
* Children \>3months of age * Patients presented severe inflammation or malnutrition, unconsciousness, and symptoms of a ruptured hollow viscus * Barium enema showed long-segment or total colonic aganglionic bowel
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the change of defecation frequence | 6~12 months | the changes of defecation frequence at 6\ 12 months after treatment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| stool pattern | 6~12 months | stool pattern as Forming soft stool or Loose stool |
| controlling defecation ability | 6~12 months | whether patients' controlling of defecation be better or not after treatment |
| complications | 6~12 months | complications were suffered by patients or not, such as enterolitis, anastomotic stenosis etc. |