Anorectal changes and clinical outcomes after the Duhamel operation

Table 1 Manometric and clinical results of patients experiencing Duhamel operation due to Hirschsprung’s disease (n = 28, 23 males and 5 females), n (%)

Postoperative gut function parameter	Postoperative 1 evaluation1	Postoperative 2 evaluation2	Postoperative 3 evaluation3
MARP in mmHg	58.94 ± 13.39 (range 35-92)	57.35 ± 13.04	53.65 ± 16.72 (range 34-81)
RAIR	23 (-)/5 (+)	21 (-)/1 (+)	7 (-)/3 (+)
Constipation	7 (25)	4 (18)	1 (10)
Soiling	8 (28.5)	4 (18)	1 (10)
Enterocilitis	5 (17.8)	1 (4.5)	-
Incontinance	2 (7.1)	-	1 (10)
Clinical follow-up
Good	15 (53.6)	20 (90)	9 (90)
Moderate	8 (28.6)	-	1 (10)
Bad	5 (17.8)	2 (10)	-

¹Age range: 3.2-7.8 years, mean 4.46 ± 1.79 years.

²Age range: 5.2-9.6 years, mean 6.7 ± 1.56 years.

³Age range: 19-25 years, mean 21.55 ± 1.87 years.

MARP: Maximum anal resting pressure; RAIR: Rectoanal inhibitory reflex.

Table 2 Parameters with significant improvement in the adult patient group, n (%)

Clinical follow-up evaluation parameter	Early period	Adult period	P value
Sensation of defecation	5 (50)	9 (90)	0.044
Ability to postpone defecation	4 (44.4)	9 (90)	0.028
Medication-free patient	3 (30)	10 (100)	0.030