MedPath

Risk Factors of Perforated HSCR in Neonates

Completed
Conditions
Bowel; Perforation, Fetus or Newborn
Hirschsprung Disease
Interventions
Procedure: Emergency surgical enterostomy
Registration Number
NCT05044741
Lead Sponsor
Tongji Hospital
Brief Summary

Hirschsprung's disease (HSCR) is a common digestive malformation with radiographic evidence of distal bowel obstruction and clinical signs of abdominal distension, vomiting, constipation, and failure to pass meconium. Bowel perforation (perforated HSCR) is a very serious complication of HSCR, but if this occurs it is most often in the neonatal period. The current study collected information on all cases diagnosed with perforated HSCR from multi-centers in China over 10 years, the aim was to evaluate the clinical features of perforated HSCR, and investigate possible risk factors for perforated HSCR in neonates.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
600
Inclusion Criteria
  • Neonates (≤1 month age)
  • Diagnosed with HSCR
  • Suffered with bowel perforation
Exclusion Criteria
  • Patients complicated with suspected necrotizing enterocolitis (NEC), imperforate anus (IA), intestinal atresia, and meconium plug syndrome
  • Neonates who transferred from outside participating hospitals.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Perforated groupEmergency surgical enterostomy-
Primary Outcome Measures
NameTimeMethod
Rate of bowel perforation in neonatal Hirschsprung disease (perforated HSCR)14 years

Cases with bowel perforation in neonatal Hirschsprung disease/ total neonatal Hirschsprung disease

Secondary Outcome Measures
NameTimeMethod
© Copyright 2025. All Rights Reserved by MedPath