Table 2.
Technique | Papers (N=24)* |
Patients (N=449)** |
Comments |
---|---|---|---|
Duhamel | 11(45%) | 228 (50%) | • Papers do not differentiate LSHD from TCA • >40% incidence of incontinence (not unique to Duhamel) |
Left colon patch (Martin) | 5 (20%) | 94 (21%) | • Technically difficult vs. Duhamel or Soave • Long-term dilation of colon pouch requiring revisional surgery |
Soave/Swenson | 6 (25%) | 60 (13%) | • Outcomes similar to Duhamel • Stool frequency decreases after ileal adaption |
Right colon patch (Kimura) | 4 (18%) | 19 (4%) | • Primarily used for Small Intestinal HD • Long-term dilation requiring revisional surgery |
Ileoanal +/− Pouch | 4 (16%) | 40 (8 %) | • High failure rates/need for revision |
Small bowel transplantation | 2 (8%) | 8 (1.8%) | • Rare due to advances in intestinal rehabilitation • Only appropriate for total intestinal HD |
denotes number of articles, some articles contain multiple types of surgical procedures
denotes number of total patients that had surgery for HD, and excludes if cases can’t be assigned to a specific operation, i.e., some studies grouped patients without identifying the numbers of cases of the specific operation.