{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T18:17:42Z","timestamp":1764094662179,"version":"3.45.0"},"reference-count":0,"publisher":"Pakistan Medical Association","issue":"12","license":[{"start":{"date-parts":[[2025,11,22]],"date-time":"2025-11-22T00:00:00Z","timestamp":1763769600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Pak Med Assoc"],"abstract":"<jats:p>Objective: To evaluate the outcome of single-stage transanal Swenson pull-through without frozen section in paediatric patients with short-segment Hirschsprung\u2019s disease.\nMethod: The single-group, prospective, cohort study was conducted at the Paediatric Surgical Unit, Nishtar Medical University, Multan, Pakistan, from January 2020 to December 2022 and comprised patients aged 1-12 years who were confirmed to have Hirschsprung\u2019s disease through rectal biopsy and demonstrated short-segment involvement on contrast enema. Single-stage transanal Swenson\u2019s pull-through procedure was performed on all patients without the use of frozen sections. Postoperative follow-up lasted 6 months. Data was analysed using SPSS 25.\nResults: Of the 97 patients, 64(66%) were boys and 33(34%) were girls. The overall mean age was 2.97\u00b11.62 years. Complications were observed in 21(21.65%) patients, with anastomotic stricture being the most common 6(6.19%), followed by increased stool frequency 5(5.15%), enterocolitis 5(5.15%), and anastomotic leakage 3(3.09%). Biopsy of the excised segment revealed that 2(2.06%) pagtients had aganglionic bowel pull-through.\nConclusion: The single-stage transanal pull-through, when performed in the absence of frozen section, was found to be safe in the management of short-segment Hirschsprung\u2019s disease.\nKey Words: Hirschsprung disease, Swenson pull-through, Transanal pull-through, Anastomotic stenosis, Enterocolitis.<\/jats:p>","DOI":"10.47391\/jpma.25-20707","type":"journal-article","created":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T18:13:07Z","timestamp":1764094387000},"page":"1903-1907","source":"Crossref","is-referenced-by-count":0,"title":["Outcome of single-stage transanal Swenson pull-through without frozen section in short-segment Hirschsprung\u2019s disease"],"prefix":"10.47391","volume":"75","author":[{"family":"Khadija-Tul-Kubra","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdul Rehman","family":"Rashid","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Muhammad Amir Hanif","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"26547","published-online":{"date-parts":[[2025,11,22]]},"container-title":["Journal of the Pakistan Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/www.jpma.org.pk\/index.php\/public_html\/article\/download\/20707\/4501","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.jpma.org.pk\/index.php\/public_html\/article\/download\/20707\/4501","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T18:13:08Z","timestamp":1764094388000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.jpma.org.pk\/index.php\/public_html\/article\/view\/20707"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,22]]},"references-count":0,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2025,11,24]]}},"URL":"https:\/\/doi.org\/10.47391\/jpma.25-20707","relation":{},"ISSN":["0030-9982","0030-9982"],"issn-type":[{"value":"0030-9982","type":"electronic"},{"value":"0030-9982","type":"print"}],"subject":[],"published":{"date-parts":[[2025,11,22]]}}}