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Updated: Jul 29, 2025

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
Hirschsprung-Associated Enterocolitis at a Referral Institution: A Retrospective Review
Ellen M Encisco1, Irene Isabel P Lim2, Cristine S Velazco3
1Colorectal Center, Division of Pediatric General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Hirschsprung-associated enterocolitis (HAEC) is a serious complication of Hirschsprung disease (HD). This study found a lower incidence of HAEC in patients receiving Botulinum toxin (Botox) injections, suggesting a potential preventative role.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Clinical Research
Background:
- Hirschsprung-associated enterocolitis (HAEC) is a significant cause of morbidity and mortality in patients with Hirschsprung disease (HD).
- Rectal Botulinum toxin (Botox) injections have been proposed as a preventative strategy for HAEC.
- This study evaluates HAEC incidence and the potential effect of Botox in a historical cohort of HD patients.
Conclusions:
- The study suggests a potential preventative effect of Botulinum toxin (Botox) on Hirschsprung-associated enterocolitis (HAEC) in Hirschsprung disease (HD) patients.
- A lower incidence of HAEC was observed in patients who received Botox injections.
- Further prospective research is warranted to confirm the efficacy of Botox in preventing HAEC.
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