Guidelines for the management of postoperative soiling in children with Hirschsprung disease

The American Pediatric Surgical Association Hirschsprung Disease Interest Group

Research output: Contribution to journalReview article

1 Citation (Scopus)

Abstract

Although most children with Hirschsprung disease ultimately achieve functional and comfortable stooling, some will experience a variety of problems after pull-through surgery. The most common problems include soiling, obstructive symptoms, enterocolitis, and failure to thrive. The purpose of this guideline is to present a rational approach to the management of postoperative soiling in children with Hirschsprung disease. The American Pediatric Surgical Association Hirschsprung Disease Interest Group engaged in a literature review and group discussions. Expert consensus was then used to summarize the current state of knowledge regarding causes, methods of diagnosis, and treatment approaches to children with soiling symptoms following pull-through for Hirschsprung disease. Causes of soiling after pull-through are broadly categorized as abnormalities in sensation, abnormalities in sphincter control, and “pseudo-incontinence.” A stepwise algorithm for the diagnosis and management of soiling after a pull-through for Hirschsprung disease is presented; it is our hope that this rational approach will facilitate treatment and optimize outcomes.

Original languageEnglish (US)
JournalPediatric Surgery International
DOIs
StatePublished - Jan 1 2019

Fingerprint

Hirschsprung Disease
Guidelines
Hope
Enterocolitis
Failure to Thrive
Public Opinion
Consensus
Pediatrics

Keywords

  • Bowel management
  • Hirschsprung disease
  • Incontinence
  • Pseudo-incontinence
  • Pull-through
  • Soiling

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery

Cite this

Guidelines for the management of postoperative soiling in children with Hirschsprung disease. / The American Pediatric Surgical Association Hirschsprung Disease Interest Group.

In: Pediatric Surgery International, 01.01.2019.

Research output: Contribution to journalReview article

The American Pediatric Surgical Association Hirschsprung Disease Interest Group. / Guidelines for the management of postoperative soiling in children with Hirschsprung disease. In: Pediatric Surgery International. 2019.
@article{258bcf36fa494642b342a75c13624cfd,
title = "Guidelines for the management of postoperative soiling in children with Hirschsprung disease",
abstract = "Although most children with Hirschsprung disease ultimately achieve functional and comfortable stooling, some will experience a variety of problems after pull-through surgery. The most common problems include soiling, obstructive symptoms, enterocolitis, and failure to thrive. The purpose of this guideline is to present a rational approach to the management of postoperative soiling in children with Hirschsprung disease. The American Pediatric Surgical Association Hirschsprung Disease Interest Group engaged in a literature review and group discussions. Expert consensus was then used to summarize the current state of knowledge regarding causes, methods of diagnosis, and treatment approaches to children with soiling symptoms following pull-through for Hirschsprung disease. Causes of soiling after pull-through are broadly categorized as abnormalities in sensation, abnormalities in sphincter control, and “pseudo-incontinence.” A stepwise algorithm for the diagnosis and management of soiling after a pull-through for Hirschsprung disease is presented; it is our hope that this rational approach will facilitate treatment and optimize outcomes.",
keywords = "Bowel management, Hirschsprung disease, Incontinence, Pseudo-incontinence, Pull-through, Soiling",
author = "{The American Pediatric Surgical Association Hirschsprung Disease Interest Group} and Payam Saadai and Trappey, {A. F.} and Goldstein, {A. M.} and Cowles, {R. A.} and {De La Torre}, L. and Durham, {M. M.} and Huang, {E. Y.} and Levitt, {M. A.} and K. Rialon and M. Rollins and Rothstein, {D. H.} and Langer, {J. C.}",
year = "2019",
month = "1",
day = "1",
doi = "10.1007/s00383-019-04497-y",
language = "English (US)",
journal = "Pediatric Surgery International",
issn = "0179-0358",
publisher = "Springer Verlag",

}

TY - JOUR

T1 - Guidelines for the management of postoperative soiling in children with Hirschsprung disease

AU - The American Pediatric Surgical Association Hirschsprung Disease Interest Group

AU - Saadai, Payam

AU - Trappey, A. F.

AU - Goldstein, A. M.

AU - Cowles, R. A.

AU - De La Torre, L.

AU - Durham, M. M.

AU - Huang, E. Y.

AU - Levitt, M. A.

AU - Rialon, K.

AU - Rollins, M.

AU - Rothstein, D. H.

AU - Langer, J. C.

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Although most children with Hirschsprung disease ultimately achieve functional and comfortable stooling, some will experience a variety of problems after pull-through surgery. The most common problems include soiling, obstructive symptoms, enterocolitis, and failure to thrive. The purpose of this guideline is to present a rational approach to the management of postoperative soiling in children with Hirschsprung disease. The American Pediatric Surgical Association Hirschsprung Disease Interest Group engaged in a literature review and group discussions. Expert consensus was then used to summarize the current state of knowledge regarding causes, methods of diagnosis, and treatment approaches to children with soiling symptoms following pull-through for Hirschsprung disease. Causes of soiling after pull-through are broadly categorized as abnormalities in sensation, abnormalities in sphincter control, and “pseudo-incontinence.” A stepwise algorithm for the diagnosis and management of soiling after a pull-through for Hirschsprung disease is presented; it is our hope that this rational approach will facilitate treatment and optimize outcomes.

AB - Although most children with Hirschsprung disease ultimately achieve functional and comfortable stooling, some will experience a variety of problems after pull-through surgery. The most common problems include soiling, obstructive symptoms, enterocolitis, and failure to thrive. The purpose of this guideline is to present a rational approach to the management of postoperative soiling in children with Hirschsprung disease. The American Pediatric Surgical Association Hirschsprung Disease Interest Group engaged in a literature review and group discussions. Expert consensus was then used to summarize the current state of knowledge regarding causes, methods of diagnosis, and treatment approaches to children with soiling symptoms following pull-through for Hirschsprung disease. Causes of soiling after pull-through are broadly categorized as abnormalities in sensation, abnormalities in sphincter control, and “pseudo-incontinence.” A stepwise algorithm for the diagnosis and management of soiling after a pull-through for Hirschsprung disease is presented; it is our hope that this rational approach will facilitate treatment and optimize outcomes.

KW - Bowel management

KW - Hirschsprung disease

KW - Incontinence

KW - Pseudo-incontinence

KW - Pull-through

KW - Soiling

UR - http://www.scopus.com/inward/record.url?scp=85068014422&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85068014422&partnerID=8YFLogxK

U2 - 10.1007/s00383-019-04497-y

DO - 10.1007/s00383-019-04497-y

M3 - Review article

C2 - 31201486

AN - SCOPUS:85068014422

JO - Pediatric Surgery International

JF - Pediatric Surgery International

SN - 0179-0358

ER -