mersin univ saglık bilim derg

Mersin Üniversitesi Sağlık Bilimleri Dergisi

1308-0830

Mersin University

10.26559/mersinsbd.1579271

Public Health (Other)

Halk Sağlığı (Diğer)

Yenidoğan Hirschsprung Hastalığında Preoperatif Dönem Semptomatik Olma Süresinin Tedavi Sonuçları Üzerine Etkisi

The Impact of the Duration of Preoperative Symptomatic Period on Treatment Outcomes in Neonatal Hirschsprung's Disease

https://orcid.org/0000-0002-4370-9779

Kıllı

İsa

MERSİN ÜNİVERSİTESİ

https://orcid.org/0000-0003-1783-0185

Orman

Ayşen

MERSİN ÜNİVERSİTESİ, TIP FAKÜLTESİ

https://orcid.org/0000-0002-9737-3270

Taşkınlar

Hakan

MERSİN ÜNİVERSİTESİ, TIP FAKÜLTESİ

https://orcid.org/0000-0003-0887-9817

İsbir

Caner

MERSİN ÜNİVERSİTESİ, TIP FAKÜLTESİ

https://orcid.org/0009-0003-2904-5181

Çocuk

Emre

MERSİN ÜNİVERSİTESİ, TIP FAKÜLTESİ

04 29 2025

18 1 102 108 11 04 2024 11 22 2024

2008

Mersin Üniversitesi Sağlık Bilimleri Dergisi

Amaç: Hirschsprung hastalığının yenidoğanlardaki preoperatif dönemde semptomatik olma süresinin tedavi sonuçları üzerine olan etkisinin araştırılmasıdır. Yöntem: Çalışmaya Ocak 2014-Ocak 2024 tarihleri arasında Mersin Üniversitesi Tıp Fakültesi Hastanesi Yenidoğan Yoğun Bakım ünitesinde Hirschsprung hastalığı nedeni ile tedavi edilen ve kolostomi açılan 15 hasta dahil edildi. Hastaların preoperatif klinik durumları, kolostomi açılma yaşları (= preoperatif dönem izlem süresi), kısa ve uzun segment Hirschsprung hastalığı olma durumları, postoperatif komplikasyonları kaydedildi. Hastaların kolostomi açılma yaşları, preoperatif klinik özelliklerine ve postoperatif komplikasyon durumlarına göre analiz edildi. Bulgular: Ortalama kolostomi açılma yaşı preoperatif dönemde intestinal pasaj sorunu (n=6), ileus (n=8) veya intestinal perforasyon (n=1) deneyimleyen hastalarda istatistiksel farklılık göstermedi (p=0.597). Postoperatif komplikasyon gelişen hastaların (n=6) ortalama kolostomi açılma yaşı, postoperatif komplikasyon gelişmeyen hastalara (n=9) göre daha büyük saptandı (88.8±8.3 güne karşılık 28.1±9.1 gün, p

Aim: To investigate the effect of the duration of symptomatic period in the preoperative phase of Hirschsprung's disease on treatment outcomes in newborns. Methods: A retrospective study was conducted on 15 neonates diagnosed with Hirschsprung's disease and who underwent colostomy at Mersin University Faculty of Medicine Hospital between January 2014 and January 2024. Patient data including preoperative clinical status, age at colostomy (serving as a proxy for preoperative symptom duration), presence of short-segment or long-segment disease, and postoperative complications were collected. The primary objective was to investigate the correlation between age at colostomy and preoperative clinical features, as well as postoperative outcomes. Results: There was no statistically significant difference in the mean age at colostomy among patients presenting with preoperative intestinal passage problems (n=6), ileus (n=8), or perforation (n=1) (p=0.597). However, patients who developed postoperative complications (n=6) had a significantly higher mean age at colostomy compared to those without complications (n=9) (88.8±8.3 days vs. 28.1±9.1 days, p

Hirschsprung hastalığı yenidoğan komplikasyon

Hirschsprung disease newborn complication

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