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Hirschsprung's disease in children in South Eastern Nigeria
1Department of Surgery, College of Medical Sciences, University of Calabar, Nigeria.
Insights
Hirschsprung
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Public Health
Background:
- Hirschsprung's disease presents significant challenges in pediatric care.
- Late presentation often leads to severe complications like intestinal obstruction.
Purpose of the Study:
- To analyze the clinical presentation and management of Hirschsprung's disease in children.
- To emphasize the need for early medical intervention and public health education.
Main Methods:
- A three-year prospective study (1991-1993) involving 21 children.
- Observation of presenting complaints, diagnostic findings, and treatment outcomes.
Main Results:
- Abdominal distention and constipation were the most frequent complaints.
- A male preponderance (4:1) was noted, with late hospital presentation common.
- Palliative transverse colostomy was found essential for minimizing complications.
Conclusions:
- Early medical assistance is crucial to prevent fatal complications and childhood mortality.
- Public health education is necessary to improve outcomes for Hirschsprung's disease.
Abstract:
In a three year prospective study between January 1991 and December 1993 on 21 children with Hirschsprung's disease in our environment, the main complaint were abdominal distention, constipation, wasting, diarrhoea and retardation in growth in decreasing order of frequency. As in other reports a male preponderance of approximately 4:1 was observed in the study. Patients presented late to hospital and mostly when the complications of complete intestinal obstruction are obvious. This is normally when the habitual enema can no longer afford anymore relieve. A palliative transverse colostomy was considered essential in our environment whereby the complications normally associated with outright resection and anastomosis can be minimised. Public health education as to seeking early medical assistant is necessary. This may prevent fatal complications as some of the childhood mortality in our environment can be attributed to ignorance on the parts of parents.
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