Related Experiment Video

Updated: Mar 7, 2026

Author Spotlight: Cutting-Edge Robotic Heller Myotomy Protocol for Treatment of Achalasia
09:46

Author Spotlight: Cutting-Edge Robotic Heller Myotomy Protocol for Treatment of Achalasia

Published on: February 16, 2024

1.5K

Guidelines for the management of postoperative obstructive symptoms in children with Hirschsprung disease

J C Langer1,2, M D Rollins3, M Levitt4

  • 1Division of General and Thoracic Surgery, Department of Surgery, Hospital for Sick Children, University of Toronto, Toronto, Canada. jacob.langer@sickkids.ca.

Pediatric Surgery International
|February 10, 2017
PubMed

Insights

Postoperative obstructive symptoms are common in children with Hirschsprung disease after pull-through surgery. This guideline offers a structured approach to diagnose and manage these challenging issues.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Hirschsprung disease often requires surgical intervention (pull-through surgery).
  • Postoperative complications, including obstructive symptoms, are frequent challenges in pediatric patients.
  • Existing management strategies for these symptoms lack a standardized approach.

Purpose of the Study:

  • To provide a rational and systematic approach for managing obstructive symptoms in children post-pull-through surgery for Hirschsprung disease.
  • To consolidate current knowledge on the causes, diagnosis, and treatment of these postoperative issues.

Main Methods:

  • Literature review and expert consensus were utilized.
  • A Hirschsprung Disease Interest Group was established by the American Pediatric Surgical Association.
  • An algorithm for diagnosis and management was developed.

Main Results:

  • Identified causes of obstruction: mechanical, aganglionosis/hypoganglionosis, transition zone pull-through, internal sphincter achalasia, proximal intestinal dysmotility, and functional megacolon.
  • Presented a stepwise diagnostic and management algorithm.
  • Highlighted the importance of a logical approach to patient care.

Conclusions:

  • A structured, stepwise approach can effectively facilitate the diagnosis and management of obstructive symptoms following Hirschsprung disease pull-through surgery.
  • Addressing these common postoperative issues is crucial for improving patient outcomes.
  • Further research may refine management strategies.

Keywords:
AganglionosisEnterocolitisFunctional megacolonHirschsprung diseaseHirschsprung-associated enterocolitisHirschsprung’s diseaseHirschsprung’s-associated enterocolitisHypoganglionosisInternal sphincter achalasiaObstructionTransition zone pull-through

More Related Videos

Diagnosis of Hirschsprung's Disease by Immunostaining Rectal Suction Biopsies for Calretinin, S100 Protein and Protein Gene Product 9.505:45

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

14.2K
Subcostal Specimen Removal in Completely Portal Robotic Lobectomy04:38

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy

Published on: April 19, 2024

812

Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
929
Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
405
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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:
789
Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

Peptic Ulcer Disease V: Surgical Management and Nursing Care

Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
1.1K
Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
811
Drugs for Treatment of Constipation-Predominant IBS01:21

Drugs for Treatment of Constipation-Predominant IBS

Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
1.0K