Hirschsprung's disease in children in South Eastern Nigeria

A E Archibong1

  • 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.

Related Concept Videos

Neurulation01:30

Neurulation

Neurulation is the embryological process which forms the precursors of the central nervous system and occurs after gastrulation has established the three primary cell layers of the embryo: ectoderm, mesoderm, and endoderm. In humans, the majority of this system is formed via primary neurulation, in which the central portion of the ectoderm—originally appearing as a flat sheet of cells—folds upwards and inwards, sealing off to form a hollow neural tube. As development proceeds, the anterior...
Giardiasis01:12

Giardiasis

Giardiasis is a globally prevalent intestinal infection caused by the protozoan parasite Giardia duodenalis (also known as G. lamblia or G. intestinalis). This flagellated protozoan is the most frequently identified intestinal parasite in the United States and worldwide. Transmission primarily occurs via the fecal-oral route, with infection arising from ingestion of water or food contaminated with cysts. Individuals in low-resource settings, international travelers, outdoor enthusiasts, daycare...
Amebiasis01:28

Amebiasis

Entamoeba histolytica, a protozoan parasite, is responsible for intestinal and extraintestinal amebiasis. Though a significant proportion of infections remain asymptomatic, approximately 50 million individuals annually are estimated to present with clinical disease, resulting in up to 100,000 deaths globally. The disease burden is disproportionately high in regions with lower socioeconomic status, such as parts of India, Africa, Mexico, and Latin America.Etiology and TransmissionThe infective...