Open AccessHirschsprung Disease
Author(s) -
Harrington Amanda W.,
Gasior Alessandra C.,
Einarsdottir Hulda,
Rothstein David H.,
Rollins Michael D.,
Ozgediz Doruk E.
Publication year - 2019
Publication title -
journal of pediatric gastroenterology and nutrition
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.206
H-Index - 131
eISSN - 1536-4801
pISSN - 0277-2116
DOI - 10.1097/mpg.0000000000002385
Subject(s) - medicine , disease , intensive care medicine , quality of life (healthcare) , complication , hirschsprung's disease , transition (genetics) , population , general surgery , pediatrics , surgery , nursing , biochemistry , chemistry , environmental health , gene
Hirschsprung disease, like most surgically correctable congenital anomalies, is now survivable well into adulthood. Patients are, therefore, presenting later in life with problems that were previously infrequently encountered by colorectal surgeons or gastroenterologists. The goals of our review are to describe the current state of care transition for this patient population, identify the specific needs for these patients, and propose guidelines which could inform a future model of transition from the pediatric to adult setting. This is a review of the current state of care transition and long‐term outcomes for patients with Hirschsprung disease. Although these patients report a generally good quality of life, the majority suffer from some degree of lifelong gastrointestinal complication, regardless of the type of operative repair. A more formalized transition of care will provide a guide for pediatric surgeons and patients, alleviate colorectal surgeon and gastroenterologist concerns, and provide better long‐term care for these patients.