Changes in postoperative quality of life of pediatric total colonic aganglionosis patients: effect of pull-through technique.
Pediatr Surg Int
; 38(12): 1867-1872, 2022 Dec.
Article
in En
| MEDLINE
| ID: mdl-36173457
ABSTRACT
AIM:
To assess mid-/long-term quality of life (QOL) of total colonic aganglionosis (TCA) patients.METHODS:
Modified pre-existing QOL assessment tools for general lifestyle (GL), bowel function (BF), and mental health (MH) were administered to postoperative TCA patients from five institutions, who were at least 7 years old to compare Duhamel (with pouch) and Swenson/Soave (without pouch) techniques between children (Ch 7-12 years old), teenagers (Tn 13-19), and adults (Ad 20 and over). For MH, caregivers were also interviewed, but separately. Maximum scores were 12 for GL/MH and 18 for BF.RESULTS:
There were 32 subjects. GL and BF scores increased significantly from Ch (GL 4.8 ± 2.5, BF 11.3 ± 4.6) to Tn (GL 7.8 ± 2.6, BF 16.2 ± 3.0); scores for MH did not change significantly. Mean caregiver MH scores were significantly lower than mean subject MH scores for all age groups (subject scores 10.1, 10.7, 10.7 versus caregiver scores 6.8, 7.8, 8.1 for Ch, Tn, Ad, respectively). PT technique/presence of a pouch did not influence the incidence of enterocolitis or QOL scores.CONCLUSION:
MH responses showed subjects felt better than caregivers believed. This discrepancy could cause conflict despite steadily improving GL/BF. QOL was unaffected by PT technique/presence of a pouch.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Enterocolitis
/
Hirschsprung Disease
Type of study:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Aspects:
Patient_preference
Limits:
Adolescent
/
Adult
/
Child
/
Humans
Language:
En
Journal:
Pediatr Surg Int
Journal subject:
PEDIATRIA
Year:
2022
Document type:
Article
Affiliation country:
Japan