Clinical and radiological assessment of transanal endorectal pull-through in children with Hirschsprung's disease

Objective The aim of this study was to evaluate the late outcome of transanal endorectal pull-through technique (TEPT) clinically and radiologically in patients with Hirschsprung's disease (HD). Background HD is a relatively common neonatal developmental disorder of the enteric nervous system. It leads to absent peristalsis in the affected bowel, which results in functional intestinal obstruction. Many surgical operations have been used to treat it; here we discuss TEPT, especially the late results of it. Patients and methods A retrospective study was conducted on 40 patients in whom TEPT was performed from 2010 and who were followed up for 2 years. Results The outcome of TEPT is satisfactory for both surgeons and patients, especially with respect to bowel habits; however, as it is a new surgical technique, we are awaiting further study results to support its more widespread use in the treatment of HD. Conclusion The clinical outcome is satisfactory. Postoperatively, a gradual recovery could be noted in the stooling patterns over time. The younger the patient operated on, the faster the recovery of stooling function.