Comparative results after transabdominal Duhamel and Boley procedures in Hirschsprung disease

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dc.authorscopusid55622347300
dc.authorscopusid56192353000
dc.authorscopusid57197743368
dc.authorscopusid26028989300
dc.authorscopusid56251336100
dc.contributor.authorÇelikkaya, Mehmet Emin
dc.contributor.authorAtici, Ahmet
dc.contributor.authorEl, Çi?dem
dc.contributor.authorUrfali, Senem
dc.contributor.authorAkçora, Bülent
dc.date.accessioned2024-09-19T15:45:20Z
dc.date.available2024-09-19T15:45:20Z
dc.date.issued2019
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractObjective: Hirschsprung Disease (HD) is a neurocristopathy resulting from the migration failure of neural crest cells during intestinal development. It results in aganglionic colon and causes a functional constipation in children. We aimed to compare functional outcomes such as voluntary bowel movements, encopresis and constipation in patients with HD following Boley and Duhamel procedures. Method: Patients who underwent pull through procedures using Boley or Duhamel methods were included in the study. All patients underwent a three-stage operation (opening of the ostomy, definitive operation and closure of the ostomy). Krickenbeck criteria were used to evaluate postoperative functional outcomes including voluntary bowel movements, soiling and constipation. Results: Twenty-seven patients were male and 12 were female. 12 patients underwent Boley and 27 patients Duhamel procedure. In the majority of patients, the pathology was in the rectosigmoid region (n:28, 71.79%). The rates of voluntary bowel movement were 83.33% in the Boley and 85.18% in the Duhamel group. There was no statistically significant difference between the two groups (p<0.05). No significant difference was found between the two groups in terms of the frequency and degree of soiling (Duhamel 22.21%, and Boley 16.66%, p>0.05). In the Duhamel group, constipation was more frequent than Boley group (p<0.05). Conclusion: Each technique has advantages and disadvantages compared to each other. In the majority of cases no serious complication is encountered, regardless of which technique is chosen for definitive surgery. It is recommended that the surgeon should continue to use the technique it is accustomed to and does well. © 2019 Turkey Association of Pediatric Surgery.en_US
dc.identifier.doi10.5222/JTAPS.2019.04935
dc.identifier.endpage49en_US
dc.identifier.issn1305-5194
dc.identifier.issue2en_US
dc.identifier.scopus2-s2.0-85072777493en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage45en_US
dc.identifier.urihttps://doi.org/10.5222/JTAPS.2019.04935
dc.identifier.urihttps://hdl.handle.net/20.500.12483/14594
dc.identifier.volume33en_US
dc.indekslendigikaynakScopusen_US
dc.language.isotren_US
dc.publisherLogos Medical Publishingen_US
dc.relation.ispartofCocuk Cerrahisi Dergisien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectBoley pull-throughen_US
dc.subjectConstipationen_US
dc.subjectHirschsprung diseaseen_US
dc.subjectSoilingen_US
dc.subjectVoluntary bowel movementen_US
dc.titleComparative results after transabdominal Duhamel and Boley procedures in Hirschsprung diseaseen_US
dc.title.alternativeHirschsprung hastali?inda transabdominal Duhamel ve Boley prosedürlerinin karşilaştirmali sonuçlarien_US
dc.typeArticleen_US

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