Hirschsprung's disease in adolescents and adults
dc.contributor.author | Wheatley, Michael J. | en_US |
dc.contributor.author | Polley, Theodore Z. | en_US |
dc.contributor.author | Wesley, John R. | en_US |
dc.contributor.author | Coran, Arnold G. | en_US |
dc.date.accessioned | 2006-09-08T19:12:29Z | |
dc.date.available | 2006-09-08T19:12:29Z | |
dc.date.issued | 1990-07 | en_US |
dc.identifier.citation | Wheatley, Michael J.; Wesley, John R.; Coran, Arnold G.; Polley, Theodore Z.; (1990). "Hirschsprung's disease in adolescents and adults." Diseases of the Colon & Rectum 33(7): 622-629. <http://hdl.handle.net/2027.42/41392> | en_US |
dc.identifier.issn | 1530-0358 | en_US |
dc.identifier.issn | 0012-3706 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/41392 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=2193786&dopt=citation | en_US |
dc.description.abstract | Hirschsprung's disease in the adolescent and adult is a rare and often misdiagnosed cause of lifelong refractory constipation. Two adolescent and three adult patients with Hirschsprung's disease treated between 1973 and 1987 at the University of Michigan Medical Center are reported. Each patient presented with chronic constipation requiring enemas, cathartics, and multiple hospital admissions for management. Diagnosis in each case was made with barium enema and full-thickness rectal biopsy. Four patients underwent endorectal pull-through procedures, all with good long-term results. The fifth patient, initially treated with a Duhamel retrorectal pull-through procedure, required reoperation for constipation secondary to a retained rectal septum. Review of 199 cases of adult Hirschsprung's disease enables comparison of the various operative procedures for this disorder with respect to postoperative complications and functional outcomes. Anorectal myectomy with low anterior resection, the Duhamel-Martin procedure, and the Soave endorectal pull-through procedure are the most acceptable methods for surgical management . | en_US |
dc.format.extent | 1016808 bytes | |
dc.format.extent | 3115 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.language.iso | en_US | |
dc.publisher | Springer-Verlag; American Society of Colon and Rectal Surgeons | en_US |
dc.subject.other | Hirschsprung's Disease | en_US |
dc.subject.other | Adult | en_US |
dc.subject.other | Gastroenterology | en_US |
dc.subject.other | Adolescent | en_US |
dc.subject.other | Surgery | en_US |
dc.subject.other | Constipation | en_US |
dc.subject.other | Oncology | en_US |
dc.subject.other | Medicine & Public Health | en_US |
dc.subject.other | Surgical Oncology | en_US |
dc.subject.other | Colorectal Surgery | en_US |
dc.title | Hirschsprung's disease in adolescents and adults | en_US |
dc.type | Article | en_US |
dc.subject.hlbsecondlevel | Internal Medicine and Specialities | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Department of Surgery, Section of Pediatric Surgery, Mott Children's Hospital, University of Michigan Medical Center, Ann Arbor, Michigan | en_US |
dc.contributor.affiliationum | Department of Surgery, Section of Pediatric Surgery, Mott Children's Hospital, University of Michigan Medical Center, Ann Arbor, Michigan | en_US |
dc.contributor.affiliationum | Department of Surgery, Section of Pediatric Surgery, Mott Children's Hospital, University of Michigan Medical Center, Ann Arbor, Michigan | en_US |
dc.contributor.affiliationum | Department of Surgery, Section of Pediatric Surgery, Mott Children's Hospital, University of Michigan Medical Center, Ann Arbor, Michigan | en_US |
dc.contributor.affiliationumcampus | Ann Arbor | en_US |
dc.identifier.pmid | 2193786 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/41392/1/10350_2005_Article_BF02052222.pdf | en_US |
dc.identifier.doi | http://dx.doi.org/10.1007/BF02052222 | en_US |
dc.identifier.source | Diseases of the Colon & Rectum | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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