Abstract
Transition is defined as serving as an intermediary from the pediatric (surgical) field to the adult clinical department for follow-up including multidisciplinary medical management in the long term.
However, what kind of clinical department of doctors follows up postoperative patients aged over 20 years old with pediatric surgical field disease? This issue is crucial as the transitional problem arises when such patients reach the adolescent age. In postoperative patients with HD aged above 20 years old, there are patients who require some kinds of complicated management methods in long or extensive type. Fecal incontinence, accident, constipation, bloating with gas, and urinary disturbance were often identified in these patients. To resolve the transitional problems, there is a recently proposed establishment of medical complex-type center based on the combination of hospital and transition center. It is an important effort to improve the quality in the medical service and to relieve the workload by discussing matters about transition to be solved by patients and medical staff as well as management of chronic disease by pediatrician.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Swenson O, Bill AH. Resection of the rectum and rectosigmoid with preservation of the sphincter for benign spastic lesions producing megacolon. Surgery. 1948;24:212–20.
Soave F. A new surgical technique for treatment of Hirschsprung’s disease. Surgery. 1964;56:1007–14.
Duhamel B. A new operation for the treatment of Hirschsprung’s disease. Arch Dis Child. 1960;35:38–9.
Rehbein F, Von Zimmermann H. Results with abdominal resection in Hirschsprung’s disease. Arch Dis Child. 1960;35:29–37.
So HB, Schwartz DL, Becker JM, et al. Endorectal “pull-through” without preliminary colostomy in neonates with Hirschsprung’s disease. J Pediatr Surg. 1980;15:470–1.
Teitelbaum DH, Cilley RE, Sherman NJ, et al. A decade of experience with the primary pull-through for Hirschsprung disease in the newborn period: a multicenter analysis of outcomes. Ann Surg. 2000;232:372–80.
Langer JC, Durrant AC, de La Torre L, et al. One-stage transanal Soave pullthrough for Hirschsprung disease: a multicenter experience with 141 children. Ann Surg. 2003;238:569–83.
Georgeson KE, Fuenfer MM, Hardin WD. Primary laparoscopic pullthrough for Hirschsprung’s disease in infants and children. J Pediatr Surg. 1995;30:1017–22.
Rintala RJ, Pakarinen MP. Outcome of anorectal malformations and Hirschsprung’s disease beyond childhood. Semin Pediatr Surg. 2010;19:160–7.
Levitt MA, Dickie B, Peña A. The Hirschsprung’s patient who is soiling after what was considered a “successful” pull-through. Semin Pediatr Surg. 2012;21:344–53.
Yagi M, Obana K, Taguchi T, Nio M. Long-term prognosis and transition in the post-operative patients of pediatric surgical field. J Jpn Med Assoc. 2015;143(10):2148–51. (in Japanese).
Aoi S, Furukawa T, Fumino S, et al. Current status and issues in the growing up cases of Hirschsprung’s disease. Journal of Japanese Society of Pediatric Surgeons. 2016;52(3):555. (in Japanese).
Taguchi T, Maeda K, Nio M. Transition from pediatric surgery to internal medicine. Shindan to Chiryo. 2013;101:1785–91. (in Japanese)
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Yagi, M., Fukahori, S. (2019). Transition in the Patients with Hirschsprung’s Disease. In: Taguchi, T., Matsufuji, H., Ieiri, S. (eds) Hirschsprung’s Disease and the Allied Disorders. Springer, Singapore. https://doi.org/10.1007/978-981-13-3606-5_45
Download citation
DOI: https://doi.org/10.1007/978-981-13-3606-5_45
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-13-3605-8
Online ISBN: 978-981-13-3606-5
eBook Packages: MedicineMedicine (R0)