RESUMEN
@#Introduction: Hirschsprung’s disease (HSCR) is a congenital abnormality which marked as an absence of ganglion cells in the distal intestine. The definitive treatment for HSCR is pull-through surgery. It has been reported that some pull-through resulted in more complications than others. The aim of this study is to analyze the type of pull-through surgery as a prognostic factor that may affect the presence of Hirschsprung-associated enterocolitis (HAEC) and nutritional status as outcomes of the surgery. Methods: A retrospective cross-sectional analytic study was conducted from medical record data at Arifin Achmad General Hospital of Riau Province archives. The population of this study was all the patients who diagnosed with HSCR after pull-through (trans-anal and trans-abdominal) and confirmed by colon biopsy in the Pediatric Surgery Division between January 2016 and December 2018 period. HAEC was assessed using Delphi analysis with cutoff score ≥ 10 and nutritional status was assessed using WHO Z-score. Fisher exact test was used with (p≤0.05) determine significance. Results: No significant correlation found between the method of pull-through with the incidence of HAEC and nutritional status (p>0.05). However, only patients who underwent Duhamel pull-through showed the presence of HAEC (23.5%). Presence of HAEC significantly correlates with nutritional status (p-value 0.005, OR 6.0, 95% CI 2.136 - 16.857). Conclusion: Findings of this study showed the presence of HAEC and poor nutritional status were likely to occur in patient underwent Duhamel rather than Soave procedure. The presence of HAEC may be the key to poor nutrition status that disrupt gastrointestinal function.