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Development of Frequency of Stools over Time in Children with Hirschsprung Disease Posttransanal Endorectal One-Stage Pull-through.
[hirschsprung disease]
Background
 
The
transanal
endorectal
one
-
stage
pull-through
(
TERPT
)
procedure
in
children
with
Hirschsprung
disease
(
HD
)
is
frequently
used
worldwide
.
To
give
the
children
's
families
realistic
expectations
and
to
plan
the
medical
care
for
the
period
after
TERPT
,
the
outcome
is
of
great
importance
.
Aim
 
The
aim
of
this
article
is
to
collect
information
on
the
number
of
stools
passed
daily
after
one
-
stage
TERPT
procedure
for
HD
.
Patients
and
Methods
 
A
prospective
follow-up
study
for
collecting
information
on
the
outcome
of
planned
TERPT
from
2005
through
2012
was
performed
.
A
control
group
consisting
of
age
and
gender
matched
children
was
used
.
Results
 
The
results
show
an
initial
high
frequency
of
daily
stools
,
median
12
stools
/
day
(
range
,
3
-
30
stools
/
day
)
,
reaching
an
acceptable
situation
with
median
4
stools
/
day
(
range
,
0
-
10
stools
/
day
)
after
1
year
.
After
4
years
,
the
number
of
stools
did
not
differ
significantly
from
healthy
controls
.
Conclusion
 
This
study
shows
that
it
takes
4
years
after
TERPT
before
the
number
of
stools
becomes
normalized
.
To
compare
the
long
-term
outcome
,
it
would
be
desirable
to
have
uniform
regular
reports
on
the
daily
frequency
of
passed
stools
,
incontinence
,
and
constipation
during
the
years
after
TERPT
.
