Hirschsprung's Disease의 진단과 치료 : 1992년도 현황 -대한소아외과학회 회원대상 선호도 설문조사-

유수영; 김상윤; 김우기; 김인구; 김재억; 박귀원; 박우현; 박주섭; 송영택; 오수명; 이두선; 이명덕; 이성철; 장수일; 정상영; 정을삼; 정풍만; 주종수; 최금자; 최순옥; 최승훈; 허영수; 황의호

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자료유형: 학술저널

저자정보: 유수영 김상윤 김우기 김인구 김재억 박귀원 박우현 박주섭 송영택 오수명 이두선 이명덕 이성철 장수일 정상영 정을삼 정풍만 주종수 최금자 최순옥 최승훈 허영수 황의호

저널정보: 대한소아외과학회 Journal of the Korean Association of Pediatric Surgeons : JKAPS Journal of the Korean Association of Pediatric Surgeons : JKAPS 제2권 제1호

발행연도: 1996.1

수록면: 33 - 41 (9page)

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This report present the result of the national survey of pediatric surgeons' preferences on diagnosis and treatment of Hirschsprung's disease(HD) carried out in 1993. The questionnaires were sent to twenty-seven members of the Korean Association of Pediatric Surgeons (KAPS) working in twenty-four institutions. The questionnaires were designed to determine the individual surgeon's preference for the methods of diagnosis and treatment of the disease. Twenty-three pediatric surgeons from twenty institutions returned completed forms. The total number of patients diagnosed with HD in 1992 was 190 in this group. The estimated incidence of HD was 1/3,900. The most important symptom was delayed meconium passing and the most preferred diagnostic procedure was barium study. Anorectal manometric examination was carried out by 13 pediatric surgeons and 19 confirmed the diagnosis before operation by rectal biopsy, 12 with full-thickness biopsy and 7 with suction. Frozen section biopsy during operation was done by 22 surgeons. Eight surgeons did one stage operation if the age of the patient is suitable. Definitive operation was usually done at the age of 6 to 11 months. The most preferred operation was Duhamel procedure done by 19. Enterocolitis was the most serious complication of HD. Most of patients had normal continence within 6 to 12 months after operation. The follow-up period was less than 6 years in 16 surgeons. The results were presented at the 9th annual meeting of KAPS in June of 1993. This is the first national survey of HD and it can provide guidelines of diagnosis and treatment of Hirschprung's disease even though it is not a detailed study of patient data.

#Hirschsprung's disease #National survey #Korea

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