From: Long-term functional outcomes of patients with Hirschsprung disease following pull-through
BFS | Pull-through | p | ||
---|---|---|---|---|
Duhamel (n, %) | Soave (n, %) | TEPT (n, %) | ||
Ability to hold back defecation | ||||
▪ No voluntary control | 1 (25) | 3 (37.5) | 1 (7.7) | 0.383 |
▪ Weekly problems | 1 (25) | 0 | 2 (15.4) | |
▪ Problems less than 1/week | 1 (25) | 0 | 2 (15.4) | |
▪ Always | 1 (25) | 5 (62.5) | 8 (61.5) | |
Feels/reports the urge to defecate | ||||
▪ Absent | 1 (25) | 1 (12.5) | 0 | 0.542 |
▪ Uncertain | 1 (25) | 1 (12.5) | 1 (7.7) | |
▪ Most of the time | 1 (25) | 1 (12.5) | 2 (15.3) | |
▪ Always | 1 (25) | 5 (62.5) | 10 (77) | |
Frequency of defecation | ||||
▪ More often/less often | 2 (50) | 3 (37.5) | 2 (15.4) | 0.310 |
▪ Every other day to twice a day | 2 (50) | 5 (62.5) | 11 (84.6) | |
Soiling | ||||
▪ Daily soiling, requires protective aids | 2 (50) | 0 | 0 | 0.030* |
▪ Frequent staining, change of underwear often required | 1 (25) | 3 (37.5) | 1 (23) | |
▪ Staining less than 1/week, no change of underwear required | 1 (25) | 1 (12.5) | 5 (38.5) | |
▪ Never | 0 | 4 (50) | 5 (38.5) | |
Accidents | ||||
▪ Daily, require protective aids during day and night | 3 (75) | 2 (25) | 1 (7.7) | 0.035* |
▪ Weekly accidents; often require protective aids | 0 | 0 | 1 (23) | |
▪ Fewer than 1/week | 1 (25) | 0 | 2 (23) | |
▪ Never | 0 | 6 (75) | 6 (46.2) | |
Constipation | ||||
▪ Manageable with enemas | 0 | 0 | 0 | 0.181 |
▪ Manageable with laxative | 1 (25) | 2 (25) | 0 | |
▪ Manageable with diet | 0 | 1 (12.5) | 0 | |
▪ No constipation | 3 (75) | 5 (62.5) | 13 (100) | |
Social problems | ||||
▪ Several social and/or psychic problem | 0 | 0 | 0 | 0.647 |
▪ Problems causing restrictions in social life | 0 | 0 | 0 | |
▪ Sometimes (foul odors) | 1 (25) | 1 (12.5) | 1 (7.7) | |
▪ No social problems | 3 (75) | 7 (78.5) | 12 (92.3) |