PDF(Pubmed)
Abstract：
(1) Background: Bowel management contributes throughout the pathway of care for children with Hirschsprung. Preoperative bowel management prepares the child and family for the pull-through surgery. Perioperative bowel management supports early recovery and tailored bowel management in the follow-up supports the achievement of social continence. (2) Methods: We conducted a cross-sectional assessment of our institutional bowel management program to illustrate the pre-, peri- and postoperative bowel management strategies. (3) Results: A total of 31 children underwent primary pull-through, 23 without a stoma and 8 with a stoma, at a median age of 9 months. All children without a stoma were prepared for surgery by using rectal irrigations. Children with a stoma were prepared for surgery with a transfer of stoma effluent. Transanal irrigation supported early recovery. (4) Conclusions: Bowel management is a key pillar of the management of children with Hirschsprung disease. Incorporating bowel management in the pathway of care facilitates primary pull-through and supports perioperative recovery.
摘要：
（1）背景：肠道管理有助于整个Hirschsprung患儿的护理途径。术前肠道管理为儿童和家庭进行牵拉手术做好准备。围手术期肠道管理支持早期恢复，随访中量身定制的肠道管理支持社会节制的实现。（2）方法：我们对我们的机构肠道管理计划进行了横断面评估，以说明前，围手术期及术后肠道管理策略。（3）结果：共有31名儿童接受了初级拉拔，23个没有造口，8个有造口，平均年龄为9个月。所有没有造口的儿童都通过直肠冲洗准备手术。有造口的儿童准备进行手术，并转移造口流出物。经肛门灌溉支持早期恢复。(4)结论:肠道管理是先天性巨结肠患儿管理的重要支柱。将肠道管理纳入护理途径可促进初级牵拉并支持围手术期恢复。
