{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T03:29:53Z","timestamp":1774236593068,"version":"3.50.1"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr Surg"],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:p>\n            Introduction\u2003Previous research in children with Hirschsprung's disease (HD) and Down's syndrome (DS) has focused on colorectal outcomes. We set out to review urinary outcomes in this patient group.<\/jats:p><jats:p>\n            Materials and Methods\u2003The medical records of all patients aged five years and older with HD were reviewed, and patients and caregivers filled out the Vancouver Symptom Score at intake, which is designed and validated to diagnose dysfunctional elimination syndrome.<\/jats:p><jats:p>\n            Results\u2003A total of 104 patients with HD were included in this study. Of these, 16 (15%) patients had DS. There were no significant differences in the prevalence of enterocolitis or colorectal symptoms between patients with or without DS. Five of 88 (6%) patients without DS and 7 of 16 (44%) (p\u2009=\u20090.00001) with DS reported having urinary accidents. Patients with HD and DS scored higher on the Vancouver score (9 vs. 17.5; p\u2009=\u20090.007), indicating more severe urinary symptoms. Patients who also reported fecal accidents scored significantly higher on the Vancouver (12 vs. 9; n\u2009=\u200961; p\u2009=\u20090.016), indicating more problems.<\/jats:p><jats:p>\n            Conclusion\u2003Patients with DS appear to be a unique subset of HD patients who have a higher prevalence of urinary symptoms after surgery. In the postoperative care of patients with HD and DS, a strong focus should be placed on postoperative urinary care in addition to their bowel care. This could significantly ease care and contribute to the quality of life of the parents and the patient.<\/jats:p>","DOI":"10.1055\/s-0038-1660509","type":"journal-article","created":{"date-parts":[[2018,6,17]],"date-time":"2018-06-17T22:33:50Z","timestamp":1529274830000},"page":"378-383","source":"Crossref","is-referenced-by-count":5,"title":["Urinary Outcomes in Patients with Down's Syndrome and Hirschsprung's Disease"],"prefix":"10.1055","volume":"29","author":[{"given":"Alexander Johannes Martinus","family":"Dingemans","sequence":"additional","affiliation":[{"name":"Department of Clinical Genetics, Radboudumc, Nijmegen, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos Albert","family":"Reck-Burneo","sequence":"additional","affiliation":[{"name":"Center for Colorectal and Pelvic Reconstruction, Nationwide Children's Hospital, Columbus, Ohio, United States"},{"name":"Department of Pediatric Surgery, Medical University of Vienna, Vienna, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Molly","family":"Fuchs","sequence":"additional","affiliation":[{"name":"Center for Colorectal and Pelvic Reconstruction, Nationwide Children's Hospital, Columbus, Ohio, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alejandra Vilanova","family":"Sanchez","sequence":"additional","affiliation":[{"name":"Center for Colorectal and Pelvic Reconstruction, Nationwide Children's Hospital, Columbus, Ohio, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victoria Alison","family":"Lane","sequence":"additional","affiliation":[{"name":"Center for Colorectal and Pelvic Reconstruction, Nationwide Children's Hospital, Columbus, Ohio, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin","family":"Hoover","sequence":"additional","affiliation":[{"name":"Center for Colorectal and Pelvic Reconstruction, Nationwide Children's Hospital, Columbus, Ohio, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tassiana","family":"Maloof","sequence":"additional","affiliation":[{"name":"Center for Colorectal and Pelvic Reconstruction, Nationwide Children's Hospital, Columbus, Ohio, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Weaver","sequence":"additional","affiliation":[{"name":"Center for Colorectal and Pelvic Reconstruction, Nationwide Children's Hospital, Columbus, Ohio, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc A.","family":"Levitt","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Cincinnati Children's Hospital, Cincinnati, Ohio, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard J.","family":"Wood","sequence":"additional","affiliation":[{"name":"Center for Colorectal and Pelvic Reconstruction, Nationwide Children's Hospital, Columbus, Ohio, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2018,6,17]]},"container-title":["European Journal of Pediatric Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0038-1660509.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,9,18]],"date-time":"2019-09-18T22:35:20Z","timestamp":1568846120000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0038-1660509"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6,17]]},"references-count":0,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2019,9,18]]},"published-print":{"date-parts":[[2019,8]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0038-1660509","relation":{},"ISSN":["0939-7248","1439-359X"],"issn-type":[{"value":"0939-7248","type":"print"},{"value":"1439-359X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,6,17]]}}}