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

Space: StayCurrentMD Author: Satoshi Obata, Satoshi Ieiri, Takashi Akiyama, Naoto Urushihara, Hisayoshi Kawahara, Masayuki Kubota, Miyuki Kono, Yuji Nirasawa, Shohei Honda, Masaki Nio, Tomoaki Taguchi Published:

Author / Expert

Satoshi Obata, Satoshi Ieiri, Takashi Akiyama, Naoto Urushihara, Hisayoshi Kawahara, Masayuki Kubota, Miyuki Kono, Yuji Nirasawa, Shohei Honda, Masaki Nio, Tomoaki Taguchi

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Abstract

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

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