Long-term outcomes and quality of life after subtotal colectomy combined with modified Duhamel procedure for adult Hirschsprung's disease.

[hirschsprung disease]

Subtotal colectomy combined with modified Duhamel procedure (Jinling procedure ) was used in patients with adult Hirschsprung 's disease (AHD ) at Jinling Hospital in the last decade . The aim of this study is to evaluate the safety , effectiveness and quality of life of Jinling procedure for AHD .A ll the data are from the database of the Jinling Hospital Constipation Registry System . Primary outcomes , including safety (morbidity and adverse events ), effectiveness (satisfaction rate , Wexner constipation scale (WCS ) and bowel function score (BFS )) and gastrointestinal quality of life index (GIQLI ), were all evaluated .Fifty -nine patients were available for this study and the mean postoperative period was 44 months . Seventeen major complications were found in 11 patients and most of the complications could be managed conservatively . A significant improvement in WCS , BFS and GIQLI at 6 months postoperatively was obtained .Jinling procedure is safe and effective for AHD .

Diseases
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Diseases presenting "mean postoperative period" symptom

hirschsprung disease

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