Does surgical approach affect Hirschsprung-associated enterocolitis risk? A comparison between transanal Swenson-like and endorectal pull-throughs.

ABSTRACT: Hirschsprung-associated enterocolitis (HAEC) is a complication of Hirschsprung disease (HSCR) that may occur both before or after surgery. Transanal endorectal pull-through (TEPT) is one of the standard treatments for HSCR. In addition, transanal Swenson-like pull-through (TSLPT) is a recent technique combining the Swenson method with the posterior sagittal approach. We aimed to compare the incidence of HAEC following TSLPT versus TEPT in HSCR patients and examine their association with predictor factors. We retrospectively reviewed the medical records of HSCR patients who underwent either TSLPT or TEPT at our institution between 2018 and 2023. The diagnosis of HAEC was established using an HAEC scoring system with cut-off values of 4 and 10. This study included 29 patients who underwent T

SUBMITTER: Putri AFAP 

PROVIDER: S-EPMC12782437 | biostudies-literature | 2026

REPOSITORIES: biostudies-literature