{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,17]],"date-time":"2026-05-17T07:49:45Z","timestamp":1779004185224,"version":"3.51.4"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2020,10,19]],"date-time":"2020-10-19T00:00:00Z","timestamp":1603065600000},"content-version":"vor","delay-in-days":292,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Hirschsprung\u2019s disease (HSCR) or megacolon congenital is the most common congenital intestinal motility disorder and characterized by the absence of ganglion cells (aganglionosis) in the myenteric plexus and submucosa of the distal intestine.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case<\/jats:title>\n                    <jats:p>This study reports three cases of adult HSCR, with all young female patients who underwent colostomy for obstructive ileus. The chosen definitive therapies were Duhamel pull-through procedure combined with a temporary coloanal stump.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The three patients underwent Duhamel pull-through procedure with temporary anal stump in conjunction with stoma reversal. The temporary anal stumps were removed within 1\u20132 weeks after pull-through procedure. All patients were discharged from the hospital and underwent routine follow-up. All patients had fecal incontinence in early follow-up which resolved shortly afterwards. Long term follow-up showed normal intestinal functions and good cosmetic results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The combination of Duhamel pull-through procedure with temporary coloanal stump in definitive therapy of adults with HSCR is a safe and effective technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2020.10.066","type":"journal-article","created":{"date-parts":[[2020,10,28]],"date-time":"2020-10-28T12:46:24Z","timestamp":1603889184000},"page":"174-177","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Modified Duhamel with lateral anal sphincterotomy and coloanal stump for adult Hirschsprung\u2019s disease"],"prefix":"10.1097","volume":"77","author":[{"given":"Adeodatus Yuda","family":"Handaya","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aditya Rifqi","family":"Fauzi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua","family":"Andrew","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmad Shafa","family":"Hanif","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-41-20260114","doi-asserted-by":"crossref","first-page":"628","DOI":"10.1016\/j.mpsur.2016.10.002","article-title":"Hirschsprung\u2019s disease","volume":"34","author":"Chhabra","year":"2016","journal-title":"Surgery (Oxford"},{"key":"R3-41-20260114","first-page":"2726","article-title":"Adult congenital megacolon with acute fecal obstruction and diabetic nephropathy: a case report","volume":"18","author":"Zhang","year":"2019","journal-title":"Exp. Ther. Med"},{"key":"R4-41-20260114","first-page":"24","article-title":"Surgical management for Hirschsprung disease: a review for primary care providers","volume":"29","author":"Green","year":"2016","journal-title":"J. Am. Acad"},{"key":"R6-41-20260114","doi-asserted-by":"crossref","first-page":"1313","DOI":"10.1097\/DCR.0b013e3182270c41","article-title":"Laparoscopic rectosigmoid resection with transanal colonic pull-through and delayed coloanal anastomosis: a new approach to adult Hirschsprung disease","volume":"54","author":"Jarry","year":"2011","journal-title":"Dis. Colon Rectum"},{"key":"R7-41-20260114","first-page":"1624","article-title":"Adult Hirschsprung\u2019s disease: report of four cases","volume":"6","author":"Qiu","year":"2013","journal-title":"Int. J. Clin. Exp. Pathol"},{"key":"R9-41-20260114","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1007\/s00384-007-0297-8","article-title":"Morbidity and mortality assessment of modified Duhamel operation with immediate mechanical end-to-side colorectal anastomosis for chagasic megacolon: the role of the diverting stoma","volume":"23","author":"Gomes da Silva","year":"2008","journal-title":"Int. J. Colorectal Dis"},{"key":"R10-41-20260114","first-page":"110","article-title":"The Duhamel\/Martin operation in the treatment of Hirschsprung\u2019s disease","volume":"39","author":"Hickey","year":"1984","journal-title":"Zeitschrift fuer Kinderchirurgie"},{"key":"R11-41-20260114","doi-asserted-by":"crossref","first-page":"1710","DOI":"10.1016\/j.jpedsurg.2017.10.047","article-title":"Duhamel operation vs. Transanal endorectal pull-through procedure for Hirschsprung disease: a systematic review and meta-analysis","volume":"53","author":"Mao","year":"2018","journal-title":"J. Pediatr. Surg"},{"key":"R12-41-20260114","first-page":"293","article-title":"The pull-through: back to the future","volume":"34","author":"Prete","year":"2013","journal-title":"G. Chir"},{"key":"R13-41-20260114","doi-asserted-by":"crossref","first-page":"9235","DOI":"10.3748\/wjg.v22.i41.9235","article-title":"Reoperation in an adult female with \u201cright-sided\u201d Hirschsprung\u2019s disease complicated by refractory hypertension and cough","volume":"22","author":"Wei","year":"2016","journal-title":"World J. 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