Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul (Apr 2005)
A comparison between one stage and stages pull-through in patients with Hirschsprung’s disease (HD)
Abstract
Background and Objective: Pathology of Hirschsprung’s disease is a ganglionic colon, and the most common symptoms is chronic constipation. Surgical intervention started with stages pull-through from last decades, but since 1980, many pediatric surgeons have performed on stage pull-through with excellent results. Methods: From 1992 to 1998, 40 patients with Hirschsprung’s disease who were divided into 2 patient groups (20 patients in each group) operated with different stages (Swenson) and one-stage pull through procedures in Mofid children’s hospital and the results of these 2 procedures were compared with each other. Findings: 6 years evaluation reveals one stage pull-through takes less time, has less cost, short staying in hospital, less complications and earlier recovery than stages procedures. Conclusion: One stage pull-through in HD is a safe and effective procedure, but most important point is patient selection.
