期刊
SEMINARS IN PEDIATRIC SURGERY
卷 19, 期 2, 页码 146-153出版社
ELSEVIER SCIENCE INC
DOI: 10.1053/j.sempedsurg.2009.11.013
关键词
Hirschsprung disease; Complications; Pull-through; Enterocolitis; Obstruction; Incontinence; Soiling; Bowel management
Ideally, after operative management of Hirschsprung disease, a child should thrive, avoid recurrent episodes of abdominal distention and enterocolitis, and be fecally continent. However, there is a small group of patients that do not do well after their pull-through procedure. The purpose of this article is to describe our algorithm for the work-up and management of the post pull-through patient with Hirschsprung disease who is not doing well. These children can be categorized into 2 distinct groups: (1) those who are soiling, and (2) those who stiffer from distention and enterocolitis. Both of these patient types can be systematically treated with a combination of bowel management, dietary changes, and laxatives, and, potentially, a redo operation, with the goal of having a clean, and happy child. (C) 2010 Elsevier Inc. All rights reserved.
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