Table 1.
Patient Characteristics and Defecation Patterns of the 53 Patients With and Without Anorectal Manometry After Surgical Management for Hirschsprung’s Disease at Investigation
| Patient characteristics | N | With AM n (n/N, %) |
Without AM n (n/N, %) |
P-value |
|---|---|---|---|---|
| Age (mean ± SD, yr) | 16.1 ± 7.6 | 11.3 ± 6.3 | 18.8 ± 7.0 | < 0.001 |
| Age groups (yr) | 0.025 | |||
| > 4, < 10 | 12 | 8 (66.7) | 4 (33.3) | |
| 10–16 | 13 | 5 (38.5) | 8 (61.5) | |
| > 16 | 28 | 6 (21.4) | 22 (78.6) | |
| Gender | > 0.999 | |||
| Male | 36 | 13 (36.1) | 23 (63.9) | |
| Female | 17 | 6 (35.3) | 11 (64.7) | |
| Neurological status | 0.118 | |||
| NI patients | 8 | 5 (62.5) | 3 (37.5) | |
| Non-NI patients | 45 | 14 (31.1) | 31 (68.9) | |
| Enterostomy | 0.358 | |||
| Yes | 16 | 4 (25.0) | 12 (75.0) | |
| No | 37 | 15 (40.5) | 22 (59.5) | |
| Resected colon | 0.746 | |||
| Recto-sigmoid colon | 38 | 15 (39.5) | 23 (60.5) | |
| Descending colon | 8 | 3 (37.5) | 5 (62.5) | |
| Transverse colon | 3 | 0 (0.0) | 3 (100.0) | |
| Total colon | 4 | 1 (25.0) | 3 (75.0) | |
| Operative procedure | 0.044 | |||
| Open Soave | 40 | 11 (27.5) | 29 (72.5) | |
| MIS Soave | 13 | 8 (61.5) | 5 (38.5) | |
| Enterocolitis | > 0.999 | |||
| No | 44 | 16 (36.4) | 28 (63.6) | |
| Single time | 5 | 2 (40.0) | 3 (60.0) | |
| Several times | 4 | 1 (25.0) | 3 (75.0) | |
| Postoperative complicationsa | ||||
| Anastomotic leak | 3 | 2 | 1 | |
| Bowel obstruction | 3 | 1 | 2 | |
| Twisted colon | 1 | 1 | 0 | |
| Residual aganglionosis | 1 | 0 | 1 | |
| Total complication | 8 | 4 | 4 | 0.436 |
| Fecal incontinence | < 0.001 | |||
| Yes | 12 | 12 (100.0) | 0 (0.0) | |
| No | 41 | 7 (17.1) | 34 (82.9) | |
| Constipation | 0.691 | |||
| Yes | 7 | 3 (42.9) | 4 (57.1) | |
| No | 46 | 16 (34.8) | 30 (65.2) | |
| Total | 53 | 19 (35.8) | 34 (64.2) | |
a
Postoperative complications reported by number of encountered cases.
AM, anorectal manometry; NI, neurologically impaired; MIS Soave, minimally invasive surgery Soave includes transanal endorectal pull-through with or without laparoscopic assistance.