The mid-term outcomes of TRM–PIAS, proctocolectomy and ileoanal anastomosis for total colonic aganglionosis

Qi Li, Long Li, Jiang Qian, Zhen Zhang, Ping Xiao

Research output: Contribution to journalArticle

Abstract

Aims: The present study aimed to evaluate the mid-term outcomes of total colonic aganglionosis (TCA) after transanal rectal mucosectomy and partial internal anal sphincterectomy (TRM–PIAS), proctocolectomy and ileoanal anastomosis. Patients and methods: From 2012 to 2014, 12 patients (7 boys; 58.3 %) diagnosed with TCA and treated with the TRM–PIAS, proctocolectomy and ileoanal anastomosis. Seven TCA patients who underwent laparotomy-assisted endorectal pull-through (LEPT) between 2010 and 2012 were used as control group. Demographic features and complication of the two groups were evaluated. The functional outcomes were assessed by using a score system. Results: The procedure was successfully performed in all patients. The incidence of postoperative HAEC in the TRM–PIAS group was significantly lower (25.0 vs 85.7 %; p 

Original languageEnglish (US)
Pages (from-to)477-482
Number of pages6
JournalPediatric Surgery International
Volume32
Issue number5
DOIs
StatePublished - May 1 2016
Externally publishedYes

Keywords

  • Partial internal anal sphincterectomy
  • Total colonic aganglionosis

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery

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