NOTES for surgical treatment of long-segment hirschsprung's disease: report of three cases.

Purpose: The aim of this study was to evaluate the feasibility of natural orifice translumenal endoscopic surgery (NOTES(®); American Society for Gastrointestinal Endoscopy [Oak Brook, IL] and Society of American Gastrointestinal and Endoscopic Surgeons [Los Angeles, CA]) for the surgical management of long-segment Hirschsprung's disease.

Patients And Methods: Three children with long-segment Hirschsprung's disease were enrolled in this study. In all three cases the transition zone was proximal to the splenic flexure, with too long a segment of distal aganglionic colon to perform an isolated transanal pull-through.

[Transumbilical laparoscopic pull-through for children with hypoganglionosis].

Objective: To investigate the surgical outcomes after on transumbilical laparoscopic pull-through procedure for pediatric hypoganglionosis(HYP).

Methods: Twelve children with HYP had received transumbilical laparoscopic pull-through procedure from June 2009 to June 2010. Specially designed curved and elongated laparoscopic instruments were used during the procedures.

Comparison of clinical outcomes and anorectal manometry in patients with congenital anorectal malformations treated with posterior sagittal anorectoplasty and laparoscopically assisted anorectal pull through.

Purpose: The objective of this study is to analyze the clinical outcomes and anorectal manometry (AM) in infants with congenital high anorectal malformations treated with posterior sagittal anorectoplasty (PSARP) and laparoscopically assisted anorectal pull through (LAARP).

Materials And Methods: From August 2005 to December 2008, 23 patients with congenital high anorectal malformations were randomly distributed into PSARP and LAARP groups. All of them underwent LAARP (11 cases) or PSARP (12 cases) at 2 or 3 months old.

[Reoperation for postoperative constipation recurrences of Hirschsprung disease].

Objective: To summarize the causes and treatment experiences of postoperative constipation recurrences of Hirschsprung disease.

Methods: Clinical data of 37 cases receiving operation again for postoperative constipation recurrences of Hirschsprung disease were collected. The recurrent causes, reoperation procedures and therapeutic efficacy were analyzed.

Rare causes of gastric outlet obstruction in children.

Gastric outlet obstruction (GOO) presenting beyond the newborn period is a relatively rare condition, when infantile hypertrophic pyloric stenosis (IHPS) is excluded. This report describes the clinical features, evaluation and management of 18 patients with GOO which was not caused by IHPS. The sex, age, and main presenting features were recorded on admission.

Acute phlegmonous gastritis in an infant.

The authors present a case of acute phlegmonous gastritis occurring in an 11-month-old infant in whom the diagnosis was made by microscopic examination after surgery for perforation of the stomach. The patient recovered uneventfully. The pathogenesis, diagnosis, and treatment in this inflammatory process are discussed.

Heart-shaped anastomosis for Hirschsprung's disease: Operative technique and long-term follow-up.

Aim: To study the long-term therapeutic effect of "heart-shaped" anastomosis for Hirschsprung's disease.

Methods: From January 1986 to October 1997, we performed one-stage "heart-shaped" anastomosis for 193 patients with Hirschsprung's disease (HD). One hundred and fifty-two patients were followed up patients (follow-up rate 79%).

[Long-term follow-up of Hirschsprung's disease patients treated by heart-shaped anastomosis operation].

Objective: To summarize the experience of heart-shaped anastomosis operation in patients with Hirschsprung's disease.

Methods: Hirschsprung's disease treated by heart-shaped anastomosis, improvement of surgery procedure, and complications were reviewed retrospectively.

Results: Of 193 cases, 152 completed follow-up.