Diagnosis and surgical management of adult Hirschsprung disease / 中华胃肠外科杂志

ABSTRACT

<p><b>OBJECTIVE</b>To investigate the diagnosis and surgical treatment of adult Hirschsprung disease (AHD).</p><p><b>METHODS</b>Clinical data of 10 patients with AHD undergoing operation from May 1985 to May 2005 were analyzed retrospectively.</p><p><b>RESULTS</b>There were 7 males and 3 females with an age ranged from 14 to 40 years. All the cases had constipation, and were diagnosed by barium enema. Aganglionosis was located in distal sigmoid and rectum in 2 cases, in rectum in 7 cases, unknown in one case. Colostomy was performed in one, Ikeda s operation in 6, Rehbein operation in two,modified Swenson operation in one. After radical operation,7 patients had excellent continence function, one had good function, one had poor function.</p><p><b>CONCLUSIONS</b>The diagnosis of adult HD mainly depends on the history of constipation, barium enema and manometry examination. The pull-through procedures are effective surgical treatments for adult HD. The operation type should be selected individually.</p>