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Updated: Aug 26, 2026
Diagnosis of Hirschsprung's Disease by Immunostaining Rectal Suction Biopsies for Calretinin, S100 Protein and Protein Gene Product 9.5
Published on: April 26, 2019
Primary pull-through for Hirschsprung's disease
Daniel H Teitelbaum1, Arnold G Coran
1Section of Pediatric Surgery, F 3970, C S Mott Children's Hospital, University of Michigan Medical School, P.O. Box 0245, Ann Arbor, MI 48109, USA. dttlbm@umich.edu
Abstract:
The first report of a successful primary pull-through for Hirschsprung's disease using the endorectal pull-through (ERPT) was by So et al. (J. Pediatr. Surg. 15 (1980) 470; J. Pediatr. Surg. 33 (1998) 673). Subsequently, because of the simplified nature of this approach and the potential for cost savings, several groups have reported excellent results with this procedure. In addition to the ERPT, both the Duhamel and Swenson procedures have been performed in a one-stage fashion. More recently, primary laparoscopic approaches for each of these techniques have been utilized. The purpose of this review is to discuss the technique of primary pull-through, the peri-operative management and a summary of clinical results.
