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本月影像：迟发性先天性巨结肠症手术中的决策制定

Image of the Month: Decision-Making in Surgery for Late Onset Hirschsprung Disease.

作者信息

Apte Anisha, McKenna Elise, Levitt Marc A

机构信息

Department of Surgery, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, United States.

Department of General and Thoracic Surgery, Children's National Medical Center, Washington, District of Columbia, United States.

出版信息

European J Pediatr Surg Rep. 2020 Jan;8(1):e99-e101. doi: 10.1055/s-0040-1721049. Epub 2020 Dec 3.

DOI:10.1055/s-0040-1721049
PMID:33294308
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7714618/
Abstract

We present a case of a 14-year-old boy with chronic distension, poor growth, and chronic constipation. He undergoes anorectal manometry and rectal biopsy, confirming the diagnosis of Hirschsprung disease (HD). The case is presented with a key image and associated questions to prompt discussion on strategies for management and treatment of HD in late-diagnosed children.

摘要

我们报告一例14岁男孩，有慢性腹胀、生长发育不良及慢性便秘症状。他接受了肛门直肠测压和直肠活检，确诊为先天性巨结肠（HD）。本文展示了关键图像并提出相关问题，以促进对晚发性HD患儿管理和治疗策略的讨论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5106/7714618/248eb7d40e91/10-1055-s-0040-1721049-i200540cr-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5106/7714618/7e1ffd41820f/10-1055-s-0040-1721049-i200540cr-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5106/7714618/248eb7d40e91/10-1055-s-0040-1721049-i200540cr-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5106/7714618/7e1ffd41820f/10-1055-s-0040-1721049-i200540cr-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5106/7714618/248eb7d40e91/10-1055-s-0040-1721049-i200540cr-2.jpg

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Transanal-only Swenson-like pull-through for late diagnosed Hirschsprung disease.仅经肛门的类斯文森拖出术治疗晚发型先天性巨结肠病
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引用本文的文献

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Controversies in Hirschsprung surgery.先天性巨结肠症手术中的争议
World J Pediatr Surg. 2024 Sep 25;7(3):e000887. doi: 10.1136/wjps-2024-000887. eCollection 2024.

本文引用的文献

1
Transanal-only Swenson-like pull-through for late diagnosed Hirschsprung disease.仅经肛门的类斯文森拖出术治疗晚发型先天性巨结肠病
J Surg Case Rep. 2019 Dec 16;2019(12):rjz341. doi: 10.1093/jscr/rjz341. eCollection 2019 Dec.
2
Laparoscopic and transanal pull-through for Hirschsprung disease.腹腔镜及经肛门拖出术治疗先天性巨结肠症
Semin Pediatr Surg. 2012 Nov;21(4):283-90. doi: 10.1053/j.sempedsurg.2012.07.002.
3
Transanal endorectal pull-through for Hirschsprung disease: technique, controversies, pearls, pitfalls, and an organized approach to the management of postoperative obstructive symptoms.
经肛门直肠内拖出术治疗先天性巨结肠：技术、争议、要点、陷阱及术后梗阻症状的系统性处理方法
Semin Pediatr Surg. 2010 May;19(2):96-106. doi: 10.1053/j.sempedsurg.2009.11.016.
4
Reoperations in Hirschsprung disease.先天性巨结肠的再次手术
J Pediatr Surg. 2007 Jun;42(6):1008-13; discussion 1013-4. doi: 10.1016/j.jpedsurg.2007.01.035.
5
Diagnosis and outcome of Hirschsprung's disease: does age really matter?先天性巨结肠症的诊断与预后：年龄真的有影响吗？
Pediatr Surg Int. 2004 May;20(5):319-22. doi: 10.1007/s00383-004-1188-5. Epub 2004 Jun 5.