Advertisement

Transition in the Patients with Hirschsprung’s Disease

  • Minoru YagiEmail author
  • Suguru Fukahori
Chapter

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.

Keywords

Transition Multidisciplinary management Summary sheet Medical complex 

References

  1. 1.
    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.PubMedGoogle Scholar
  2. 2.
    Soave F. A new surgical technique for treatment of Hirschsprung’s disease. Surgery. 1964;56:1007–14.PubMedGoogle Scholar
  3. 3.
    Duhamel B. A new operation for the treatment of Hirschsprung’s disease. Arch Dis Child. 1960;35:38–9.CrossRefGoogle Scholar
  4. 4.
    Rehbein F, Von Zimmermann H. Results with abdominal resection in Hirschsprung’s disease. Arch Dis Child. 1960;35:29–37.CrossRefGoogle Scholar
  5. 5.
    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.CrossRefGoogle Scholar
  6. 6.
    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.CrossRefGoogle Scholar
  7. 7.
    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.PubMedPubMedCentralGoogle Scholar
  8. 8.
    Georgeson KE, Fuenfer MM, Hardin WD. Primary laparoscopic pullthrough for Hirschsprung’s disease in infants and children. J Pediatr Surg. 1995;30:1017–22.CrossRefGoogle Scholar
  9. 9.
    Rintala RJ, Pakarinen MP. Outcome of anorectal malformations and Hirschsprung’s disease beyond childhood. Semin Pediatr Surg. 2010;19:160–7.CrossRefGoogle Scholar
  10. 10.
    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.CrossRefGoogle Scholar
  11. 11.
    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).Google Scholar
  12. 12.
    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).Google Scholar
  13. 13.
    Taguchi T, Maeda K, Nio M. Transition from pediatric surgery to internal medicine. Shindan to Chiryo. 2013;101:1785–91. (in Japanese)Google Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  1. 1.Department of Pediatric SurgeryKurume University School of MedicineKurume, FukuokaJapan

Personalised recommendations