ENTEROCOLITIS IN HIRSCHSPRUNGS-DISEASE

被引：3

作者：

CARNEIRO, PMR ^{[1
]}

BRERETON, RJ ^{[1
]}

DRAKE, DP ^{[1
]}

KIELY, EM ^{[1
]}

SPITZ, L ^{[1
]}

TURNOCK, R ^{[1
]}

机构：

[1] INST CHILD HLTH,NUFFIELD DEPT SURG,30 GUILFORD ST,LONDON WC1N 1EH,ENGLAND

来源：

PEDIATRIC SURGERY INTERNATIONAL | 1992年 / 7卷 / 05期

关键词：

ENTEROCOLITIS; HIRSCHSPRUNGS DISEASE;

D O I：

暂无

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

During the 5 years 1985-1989, 24 (32%) of 76 patients treated for Hirschsprung's disease (HD) developed enterocolitis, this being present at the time of diagnosis in 10 (13%) infants, 7 of whom were neonates. HD presented as necrotizing enterocolitis in 5 neonates, 4 of whom were premature. The enterocolitis developed postoperatively in 14 (18%) patients, in 7 after an enterostomy and in 7 after a pull-through procedure. Recurrent episodes of enterocolitis occurred in 4 of the patients who developed postoperative enterocolitis. The risk of enterocolitis was increased in girls, in patients with associated Down's syndrome, those with a family history of HD, and those managed by an endorectal pull-through procedure. The Duhamel procedure was associated with a low (5%) incidence of postoperative enterocolitis. Long-segment aganglionosis was not associated with an increased risk of enterocolitis and preoperative enterocolitis conferred no increased risk of postoperative enterocolitis.

引用

页码：356 / 360

页数：5