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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
Validation
Diseases presenting
"primary outcomes"
symptom
allergic bronchopulmonary aspergillosis
child syndrome
congenital diaphragmatic hernia
hirschsprung disease
thoracic outlet syndrome
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