COMPLICATIONS OF SWENSON’S PROCEDURE IN HIRSCHSPRUNG’S DISEASE- A HOSPITAL BASED 5 YEAR STUDY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2019, Vol 8, Issue 21
Abstract
BACKGROUND Hirschsprung’s Disease (HD) is the commonest cause of functional intestinal obstruction in children and poses challenges to paediatricians and paediatric surgeons in resource- limited countries. This disease results from failure of ganglion cells to migrate cephalocaudally through the neural crest during 4th to 12th weeks of gestation, causing an absence of ganglion cells in all or part of the colon. This study describes the clinical characteristics and management of this disease in our setup and highlights the challenges associated with the care of such patients. METHODS This was a prospective observational study of children from neonatal age group up to 10 years who were histologically diagnosed and treated for HD at our institute between March 20013 and February 2018. RESULTS A total of 63 patients (M: F= 2.5: 1) with a median age of 3.2 months (IQR of 0.17–10.00 months) were studied. Almost all patients presented with intestinal obstruction followed by constipation in 93.65% cases. We did not encounter enterocolitis. All the patients underwent Swenson’s definitive pull-through. Postoperative complications were very minimal. Mortality rate was 12.69%. During the follow-up period results of Swenson’s procedure was found to be good. CONCLUSIONS HD is the commonest cause of functional intestinal obstruction in children and in older children presenting with constipation. This disease is associated with high morbidity and mortality especially in those older children who present late and when the disease becomes complicated. Early diagnosis and treatment are the cornerstones of the management of this malady.
Authors and Affiliations
Kinkar Mahanta, Manoj Gogoi
Keywords
Related Articles
- EP ID EP619095
- DOI 10.14260/jemds/2019/372
- Views 79
- Downloads 0
PATTERN OF INJURIES IN FATAL TWO WHEELER ACCIDENTS- AN AUTOPSY STUDY
BACKGROUND Everyday around the world, more than 3000 people die from road traffic accidents. 1 It is estimated that by 2020, 8.4 million people will die every year of injuries from road traffic accidents. Over 90% of fat...
CORRELATION OF OBESITY, INSULIN RESISTANCE AND LIPID PROFILE IN WOMEN WITH PCOS IN KIMS HOSPITAL BANGALORE
[b]BACKGROUND[/b]: Polycystic ovary syndrome is a condition associated with chronic anovulation, insulin resistance and androgen excess. Dyslipidemia, diabetes, obesity are all potent cardiovascular risk factor...
A CORRELATIVE STUDY OF ANTHROPOMETRIC AND ELECTROPHYSIOLOGICAL DATA OF PATIENTS WITH CARPAL TUNNEL SYNDROME ATTENDING THE DEPARTMENT OF PHYSICAL MEDICINE AND REHABILITATION OF A TERTIARY CARE HOSPITAL
BACKGROUND Carpal Tunnel syndrome is the most common entrapment neuropathy of upper limb. The established diagnostic tool for CTS is an electrodiagnostic study, which requires sophisticated machine and trained personnel...
NUCLEAR AND INFRANUCLEAR LESIONS OF 3, 4, 6 CRANIAL NERVES AND THEIR CLINICORADIOLOGICAL CORRELATION
BACKGROUND Palsies of any of the three cranial nerves supplying the extraocular muscles have their own presentations, disturbing ocular motility. The aim is to study the demography and clinicoradiological manifestations...
ASSESSMENT OF CORRELATION BETWEEN ACUTE VIRAL HEPATITIS AND SERUM LIPID LEVELS
BACKGROUND As liver is an essential organ in lipid metabolism, several stages of lipid synthesis and transportation, it is reasonable to expect an abnormal lipid profile in those with severe liver dysfunction. There is p...