Evaluation of one-Stage Transanal Endorectal Pull-Through(TERPT) Technique on Defecation in Patients with Hirschsprung Disease over Last 10 Years in TEHRAN PEDIATRICS MEDICAL CENTER

Maryam Ghavami Adel, Bahar Ashjaei, Sima Sinafar, Jaleh Parizad, Leili Maghbouli, Rahman Khosravi, Behdad Gharib



One of the suggested methods for the treatment of Hirschprung disease is  of Evaluation of one-stage Tran's anal Endo rectal pull-through (TERPT).The purpose of this study is to evaluate the status of deification and complications of surgery in patients undergoing pull-through surgery in THERAN pediatrics Medical center during past 10 years.

Materials & methods:

This descriptive study was performed on patients undergoing one-stage Transanal Endo rectal pull-through operation in Tehran pediatrics Medical center over  past 10 years.

Exclusion Criteria include the parent's lack of consent to participate in the study, age below 3 years, and inability to complete the checklist. For all patients, a check list including: Age/ family history of disease/ readmission/ age / Follow-up time/ presence of soiling/ complete & partial fecal incontinence/ constipation/ laxative use/ use of Boogie/ the presence & absence of RAIR in manometers, TR stricture and enterocolitis before & after surgery, Was gathered. Data analysis was performed using spss 19.


4.81% of the subjects were male. 3.9% of them had underlying disease, such as heart & kidney disease. And only 6.81% of them had to be re-admitted because of enterocolitis.  5.39% of patients had soiling, and complete & partial fecal incontinence were 3.2% and 7.4% .respectively total incidence of fecal incontinency was 7%. 6.11% of cases had constipation. 3/9% of cases did not have RAIR in manometery.the incidence of rectal stenosis was 7%. 93%of patients had TZ in barium enema befor the operation. The result showed that there was no significant relationship between post- operative complications in both sexes. (o5<Op)

DISCUSSION & Conclusion:

This study shows that the complications of Endo rectal Trans anal pull-through surgery as a method for treatment of Hirschsprung disease are infrequent, therefore this method can be considered as a selective method. Further investigations are recommended to prove the hypothesis.


Hirsch sprung; Trans anal; Endo rectal; pull-through; Soiling; fecal Incontinency; constipation

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DOI: https://doi.org/10.22037/irjps.v3i2.18381


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