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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Related Experiment Video

Updated: Mar 9, 2026

Diagnosis of Hirschsprung's Disease by Immunostaining Rectal Suction Biopsies for Calretinin, S100 Protein and Protein Gene Product 9.5
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Diagnosis of Hirschsprung's Disease by Immunostaining Rectal Suction Biopsies for Calretinin, S100 Protein and Protein Gene Product 9.5

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Redo pullthrough for Hirschsprung disease.

Matthew W Ralls1, Arnold G Coran2, Daniel H Teitelbaum1

  • 1Department of Surgery, Section of Pediatric Surgery, University of Michigan, 1540 East Hospital Drive, Ann Arbor, Michigan, 48109-4211, USA.

Pediatric Surgery International
|January 2, 2017
PubMed
Summary
This summary is machine-generated.

Reoperative surgery for Hirschsprung disease (HSCR) is complex, addressing long-term complications after initial pullthrough procedures. Experienced teams are crucial for diagnosis, surgical correction, and follow-up in children with HSCR.

Keywords:
HirschsprungRedo PullthroughReoperative

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Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Hirschsprung disease (HSCR) surgery, typically pullthrough procedures, often yields good outcomes.
  • However, long-term complications such as enterocolitis, stool retention, obstruction, and incontinence can occur postoperatively.

Purpose of the Study:

  • To outline the complexities of reoperative surgery for Hirschsprung disease.
  • To emphasize the need for a coordinated, multidisciplinary approach in managing these challenging cases.

Main Methods:

  • Review of diagnostic workup following primary pullthrough for HSCR.
  • Evaluation of surgical options, including redo pullthrough, for residual or recurrent HSCR.
  • Discussion of long-term follow-up strategies for affected children.

Main Results:

  • Reoperative surgery for HSCR is intricate, involving comprehensive workup and tailored surgical interventions.
  • While some patients benefit from less invasive procedures, many require redo pullthrough for persistent issues.
  • Successful management hinges on experienced surgical teams and specialized pediatric centers.

Conclusions:

  • Reoperative Hirschsprung disease surgery demands a structured diagnostic process and individualized treatment plans.
  • The coordination of care by an experienced team at a pediatric referral center is paramount for optimal patient outcomes.