The Outcomes of Transanal Endorectal Pull-Through for Hirschsprung’s Disease According to the Mucosectomy-Commencing Points: A Study Based on the Results of a Nationwide Survey in Japan
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Read the article on jpedsurg.org ↗Article · Nov 2019 · 1 min read
In brief
In brief
This nationwide Japanese study compares surgical outcomes of transanal endorectal pull-through for Hirschsprung disease based on where surgeons begin the mucosectomy relative to the dentate line. Analysis of 1,087 patients aims to identify the optimal mucosectomy-commencing point to improve postoperative results.
Written by the GCMD Library team from the article.
Background/Aim
Although the mucosectomy-commencing points on transanal endorectal pull-through (TAEPT) differ among reports, the optimal point is unclear. This study assessed the outcomes among different mucosectomy-commencing points.
Methods
We conducted a nationwide survey from 2008 to 2012. The data of 1,087 Hirschsprung's disease patients were collected, and data on those who underwent TAEPT were extracted. The patients were divided according to the mucosectomy-commencing points into two groups: in Group A, mucosectomy was started ≥5 mm from the dentate line (DL), and in Group B, mucosectomy was started