Diagnosis and surgical management for adult Hirschsprung's disease.
- Author:
Zheng LOU
1
;
Rong-gui MENG
;
En-da YU
;
Lian-jie LIU
;
Li-qiang HAO
;
Han-tao WANG
;
Chuan-gang FU
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Female; Hirschsprung Disease; diagnosis; surgery; Humans; Male; Middle Aged; Retrospective Studies; Young Adult
- From: Chinese Journal of Gastrointestinal Surgery 2005;8(4):304-305
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate the diagnosis and surgical management of adult Hirschsprung's disease.
METHODSClinical data of 15 patients with adult Hirschsprung's disease were reviewed retrospectively from June 1992 to June 2004.
RESULTSPatients age ranged from 17 to 54 years old. The main manifestations included long-term (ranged from 9.5 month to 50 years) constipation and abdominal distention. Acute abdominal pain occurred in six patients, but no sign of de hydration and malnutrition occurred in all patients. Bowel stenosis and dilation could be examined by barium enema. Soave procedure was performed in 3 patients, subtotal colectomy with coloanal anastomosis was performed in twelve patients. The function of defecation was improved in all patients after operation.
CONCLUSIONSThe diagnosis of adult Hirschsprung's disease mainly depends on the history of constipation from infant and barium enema. Subtotal colectomy with coloanal anastomosis is an effective and safe operative procedure.
