{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T08:42:56Z","timestamp":1789980176934,"version":"4.0.1"},"reference-count":53,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2012,11,1]],"date-time":"2012-11-01T00:00:00Z","timestamp":1351728000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Seminars in Pediatric Surgery"],"published-print":{"date-parts":[[2012,11]]},"DOI":"10.1053\/j.sempedsurg.2012.07.009","type":"journal-article","created":{"date-parts":[[2012,9,15]],"date-time":"2012-09-15T06:58:15Z","timestamp":1347692295000},"page":"344-353","source":"Crossref","is-referenced-by-count":86,"title":["The Hirschsprungs patient who is soiling after what was considered a \u201csuccessful\u201d pull-through"],"prefix":"10.1053","volume":"21","author":[{"given":"Marc A.","family":"Levitt","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Belinda","family":"Dickie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Pe\u00f1a","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1053\/j.sempedsurg.2012.07.009_bib1","first-page":"212","article-title":"Resection of the rectum and rectosigmoid with preservation of the sphincter for benign spastic lesions producing megacolon","volume":"24","author":"Swenson","year":"1948","journal-title":"Surgery"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib2","first-page":"1007","article-title":"A new surgical technique for treatment of Hirschsprung's disease","volume":"56","author":"Soave","year":"1964","journal-title":"Surgery"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib3","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1136\/adc.35.179.38","article-title":"A new operation for the treatment of Hirschsprung's disease","volume":"35","author":"Duhamel","year":"1960","journal-title":"Arch Dis Child"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib4","first-page":"2249","article-title":"Une nouvelle op\u00e9ration pour le m\u00e9gacolon cong\u00e9nital: L'abaissement r\u00e9trorectal et trans-anal du colon, et son application possible au traitement de quelques autres malformations","volume":"64","author":"Duhamel","year":"1956","journal-title":"Presse Med"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib5","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1136\/adc.35.179.29","article-title":"Results with abdominal resection in Hirschsprung's disease","volume":"35","author":"Rehbein","year":"1960","journal-title":"Arch Dis Child"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib6","doi-asserted-by":"crossref","first-page":"470","DOI":"10.1016\/S0022-3468(80)80755-X","article-title":"Endorectal \u201cpull-through\u201d without preliminary colostomy in neonates with Hirschsprung's disease","volume":"15","author":"So","year":"1980","journal-title":"J Pediatr Surg"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib7","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1016\/S0022-3468(96)90315-2","article-title":"One-stage versus two-stage Soave pull-through for Hirschsprung's disease in the first year of life","volume":"31","author":"Langer","year":"1996","journal-title":"J Pediatr Surg"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib8","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1016\/S1084-2756(03)00026-5","article-title":"Primary pull-through for Hirschsprung's disease","volume":"8","author":"Teitelbaum","year":"2003","journal-title":"Semin Neonatol"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib9","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1097\/00000658-200009000-00009","article-title":"A decade of experience with the primary pull-through for Hirschsprung disease in the newborn period: A multicenter analysis of outcomes","volume":"232","author":"Teitelbaum","year":"2000","journal-title":"Ann Surg"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib10","doi-asserted-by":"crossref","first-page":"1283","DOI":"10.1016\/S0022-3468(98)90169-5","article-title":"Transanal endorectal pull-through for Hirschsprung's disease","volume":"33","author":"De la Torre-Mondrag\u00f3n","year":"1998","journal-title":"J Pediatr Surg"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib11","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1097\/01.sla.0000089854.00436.cd","article-title":"One-stage transanal Soave pullthrough for Hirschsprung disease: A multicenter experience with 141 children","volume":"238","author":"Langer","year":"2003","journal-title":"Ann Surg"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib12","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1053\/j.sempedsurg.2009.11.016","article-title":"Transanal endorectal pull-through for Hirschsprung disease: Technique, controversies, pearls, pitfalls, and an organized approach to the management of postoperative obstructive symptoms","volume":"19","author":"de La Torre","year":"2010","journal-title":"Semin Pediatr Surg"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib13","doi-asserted-by":"crossref","first-page":"2163","DOI":"10.1007\/s00464-007-9317-6","article-title":"Duhamel procedure: A comparative retrospective study between an open and a laparoscopic technique","volume":"21","author":"Travassos","year":"2007","journal-title":"Surg Endosc"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib14","doi-asserted-by":"crossref","first-page":"1017","DOI":"10.1016\/0022-3468(95)90333-X","article-title":"Primary laparoscopic pull-through for Hirschsprung's disease in infants and children","volume":"30","author":"Georgeson","year":"1995","journal-title":"J Pediatr Surg"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib15","first-page":"9","article-title":"Primary laparoscopic endorectal pull-through for Hirschsprung's disease in infants and children","volume":"5","author":"Wulkan","year":"1998","journal-title":"Semin Laparosc Surg"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib16","doi-asserted-by":"crossref","first-page":"678","DOI":"10.1097\/00000658-199905000-00010","article-title":"Primary laparoscopic-assisted endorectal colon pull-through for Hirschsprung's disease: A new gold standard","volume":"229","author":"Georgeson","year":"1999","journal-title":"Ann Surg"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib17","doi-asserted-by":"crossref","first-page":"1152","DOI":"10.1016\/S0022-3468(99)90588-2","article-title":"Long-term outcome after Hirschsprung's disease: Patients' perspectives","volume":"34","author":"Yanchar","year":"1999","journal-title":"J Pediatr Surg"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib18","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1053\/j.sempedsurg.2004.10.015","article-title":"Long-term results of treatment of Hirschsprung's disease","volume":"13","author":"Engum","year":"2004","journal-title":"Semin Pediatr Surg"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib19","doi-asserted-by":"crossref","first-page":"869","DOI":"10.1089\/lap.2007.0223","article-title":"Outcome of primary endorectal pull-through for the treatment of classic Hirschsprung disease","volume":"18","author":"Mattioli","year":"2008","journal-title":"J Laparoendosc Adv Surg Tech A"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib20","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1053\/j.sempedsurg.2009.11.021","article-title":"Outcome of anorectal malformations and Hirschsprung's disease beyond childhood","volume":"19","author":"Rintala","year":"2010","journal-title":"Semin Pediatr Surg"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib21","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1053\/j.sempedsurg.2009.11.013","article-title":"Evaluation and treatment of the patient with Hirschsprung disease who is not doing well after a pull-through procedure","volume":"19","author":"Levitt","year":"2010","journal-title":"Semin Pediatr Surg"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib22","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1055\/s-2008-1039190","article-title":"Update on pediatric faecal incontinence","volume":"19","author":"Levitt","year":"2009","journal-title":"Eur J Pediatr Surg"},{"issue":"3","key":"10.1053\/j.sempedsurg.2012.07.009_bib23","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1542\/pir.31-3-91","article-title":"Pediatric fecal incontinence: A surgeon's perspective","volume":"31","author":"Levitt","year":"2010","journal-title":"Pediatr Rev"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib24","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1016\/j.jpedsurg.2008.10.053","article-title":"Hirschsprung disease and fecal incontinence: Diagnostic and management strategies","volume":"44","author":"Levitt","year":"2009","journal-title":"J Pediatr Surg"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib25","doi-asserted-by":"crossref","first-page":"1008","DOI":"10.1016\/j.jpedsurg.2007.01.035","article-title":"Reoperations in Hirschsprung disease","volume":"42","author":"Pe\u00f1a","year":"2007","journal-title":"J Pediatr Surg"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib26","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1097\/MPG.0b013e3181efe551","article-title":"Colonic hyperactivity results in frequent fecal soiling in a subset of children after surgery for Hirschsprung disease","volume":"52","author":"Kaul","year":"2011","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib27","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1097\/MPG.0b013e318212eb53","article-title":"Defecation disorders in children after surgery for Hirschsprung disease","volume":"53","author":"Chumpitazi","year":"2011","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib28","doi-asserted-by":"crossref","first-page":"1759","DOI":"10.1111\/j.1572-0241.2000.02183.x","article-title":"Colonic motility after surgery for Hirschsprung's disease","volume":"95","author":"Di Lorenzo","year":"2000","journal-title":"Am J Gastroenterol"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib29","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1046\/j.1365-2982.2002.00342.x","article-title":"In search of objective manometric criteria for colonic high-amplitude propagated pressure waves","volume":"14","author":"De Schryver","year":"2002","journal-title":"Neurogastroenterol Motil"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib30","first-page":"G660","article-title":"Manometric investigation of high-amplitude propagated contractile activity of the human colon","volume":"255","author":"Bassotti","year":"1988","journal-title":"Am J Physiol"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib31","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1136\/gut.41.3.381","article-title":"Gastrointestinal transit and prolonged ambulatory colonic motility in health and faecal incontinence","volume":"41","author":"Herbst","year":"1997","journal-title":"Gut"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib32","doi-asserted-by":"crossref","first-page":"1278","DOI":"10.1016\/j.jpedsurg.2009.02.047","article-title":"Treatment of fecal incontinence with a comprehensive bowel management program","volume":"44","author":"Bischoff","year":"2009","journal-title":"J Pediatr Surg"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib33","doi-asserted-by":"crossref","first-page":"1236","DOI":"10.1016\/j.jpedsurg.2011.03.060","article-title":"The appendix as a conduit for antegrade continence enemas in patients with anorectal malformations: Lessons learned from 163 cases treated over 18 years","volume":"46","author":"Rangel","year":"2011","journal-title":"J Pediatr Surg"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib34","doi-asserted-by":"crossref","first-page":"639","DOI":"10.1053\/jpsu.2002.31625","article-title":"Long-term outcome and quality of life after Swenson procedure for Hirschsprung's disease","volume":"37","author":"Bai","year":"2002","journal-title":"J Pediatr Surg"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib35","doi-asserted-by":"crossref","first-page":"934","DOI":"10.1001\/archsurg.1992.01420080068011","article-title":"Hirschsprung's disease: Evaluation of mortality and long-term function in 260 cases","volume":"127","author":"Rescorla","year":"1992","journal-title":"Arch Surg"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib36","series-title":"Hirschsprung's Disease and Allied Disorders","first-page":"431","article-title":"Late complications of Hirschsprung's disease","author":"Snyder","year":"2000"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib37","doi-asserted-by":"crossref","first-page":"1458","DOI":"10.1016\/j.jpedsurg.2004.06.008","article-title":"Persistent obstructive symptoms after surgery for Hirschsprung's disease: Development of a diagnostic and therapeutic algorithm","volume":"39","author":"Langer","year":"2004","journal-title":"J Pediatr Surg"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib38","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1055\/s-2006-924729","article-title":"Duhamel lecture: The incurability of Hirschsprung's disease","volume":"16","author":"Bax","year":"2006","journal-title":"Eur J Pediatr Surg"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib39","doi-asserted-by":"crossref","first-page":"1766","DOI":"10.1016\/j.jpedsurg.2005.07.027","article-title":"Stooling patterns and colonic motility after transanal one-stage pull-through operation for Hirschsprung's disease in children","volume":"40","author":"Zhang","year":"2005","journal-title":"J Pediatr Surg"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib40","doi-asserted-by":"crossref","first-page":"1049","DOI":"10.1016\/S0022-3468(97)90397-3","article-title":"Long-term stooling patterns in infants undergoing primary endorectal pull-through for Hirschsprung's disease","volume":"32","author":"Teitelbaum","year":"1997","journal-title":"J Pediatr Surg"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib41","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1002\/bjs.18004720602","article-title":"Sensory nerve-endings and sensation in the anal region of man","volume":"47","author":"Duthie","year":"1960","journal-title":"Br J Surg"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib42","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1016\/S0022-3468(99)90497-9","article-title":"Endosonographic study of anal sphincters in patients after surgery for Hirschsprung's disease","volume":"34","author":"Kuwahara","year":"1999","journal-title":"J Pediatr Surg"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib43","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1007\/s00383-002-0897-x","article-title":"Investigations for incontinence and constipation after surgery for Hirschsprung's disease in children","volume":"19","author":"Keshtgar","year":"2003","journal-title":"Pediatr Surg Int"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib44","doi-asserted-by":"crossref","first-page":"1443","DOI":"10.1016\/S0022-3468(97)90557-1","article-title":"Long-term anal sphincter performance after surgery for Hirschsprung's disease","volume":"32","author":"Heikkinen","year":"1997","journal-title":"J Pediatr Surg"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib45","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1053\/jpsu.2003.50041","article-title":"Anorectal manometric evaluation of children and adolescents postsurgery for Hirschsprung's disease","volume":"38","author":"Zaslavsky","year":"2003","journal-title":"J Pediatr Surg"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib46","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1007\/s10350-007-9182-3","article-title":"Overlap technique improves results of primary surgery after obstetric anal sphincter tear","volume":"51","author":"Lepist\u00f6","year":"2008","journal-title":"Dis Colon Rectum"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib47","series-title":"Fecal Incontinence Diagnosis and Treatment","first-page":"341","article-title":"Pediatric fecal incontinence","author":"Levitt","year":"2007"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib48","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1097\/01.mpg.0000214164.90939.92","article-title":"Diagnostic tests in Hirschsprung disease: A systematic review","volume":"42","author":"de Lorijn","year":"2006","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib49","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1016\/S0031-3955(03)00107-X","article-title":"Motility disorders","volume":"49","author":"Hussain","year":"2002","journal-title":"Pediatr Clin North Am"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib50","doi-asserted-by":"crossref","first-page":"920","DOI":"10.1016\/j.jpedsurg.2004.02.016","article-title":"Posterior myotomy\/myectomy for persistent stooling problems in Hirschsprung's disease","volume":"39","author":"Wildhaber","year":"2004","journal-title":"J Pediatr Surg"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib51","doi-asserted-by":"crossref","first-page":"1733","DOI":"10.1053\/jpsu.2000.19234","article-title":"A prospective study of botulinum toxin for internal anal sphincter hypertonicity in children with Hirschsprung's disease","volume":"35","author":"Minkes","year":"2000","journal-title":"J Pediatr Surg"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib52","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1053\/j.sempedsurg.2009.11.016","article-title":"Transanal endorectal pull-through for Hirschsprung disease: Technique, controversies, pearls, pitfalls, and an organized approach to the management of postoperative obstructive symptoms","volume":"19","author":"De La Torre","year":"2010","journal-title":"Semin Pediatr Surg"},{"key":"10.1053\/j.sempedsurg.2012.07.009_bib53","doi-asserted-by":"crossref","first-page":"954","DOI":"10.1016\/S0022-3476(95)70036-6","article-title":"Fecal incontinence after the surgical treatment of Hirschsprung disease","volume":"127","author":"Catto-Smith","year":"1995","journal-title":"J Pediatr"}],"container-title":["Seminars in Pediatric Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1055858612000637?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1055858612000637?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2022,1,29]],"date-time":"2022-01-29T01:02:45Z","timestamp":1643418165000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1055858612000637"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,11]]},"references-count":53,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2012,11]]}},"alternative-id":["S1055858612000637"],"URL":"https:\/\/doi.org\/10.1053\/j.sempedsurg.2012.07.009","relation":{},"ISSN":["1055-8586"],"issn-type":[{"value":"1055-8586","type":"print"}],"subject":[],"published":{"date-parts":[[2012,11]]}}}