Related Experiment Video

Updated: Jun 25, 2025

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

Published on: April 26, 2019

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Bowel Management in Hirschsprung Disease-Pre-, Peri- and Postoperative Care for Primary Pull-Through

Judith Lindert1, Felix Schulze1, Stefanie Märzheuser1

  • 1Department of Paediatric Surgery, Paediatric Colorectal Center Rostock, University Hospital Rostock, Ernst-Heydemann Str. 8, 18057 Rostock, Germany.

Children (Basel, Switzerland)
|May 25, 2024
PubMed

Insights

Effective bowel management is crucial for children with Hirschsprung disease. This study highlights how preoperative, perioperative, and postoperative strategies, including rectal irrigations and transanal irrigation, improve outcomes and support continence.

Area of Science:

  • Pediatric surgery
  • Gastroenterology
  • Child health

Background:

  • Bowel management is integral to the care pathway for pediatric Hirschsprung disease.
  • Preoperative management prepares patients and families for pull-through surgery.
  • Perioperative and follow-up management aim for early recovery and social continence.

Purpose of the Study:

  • To assess an institutional bowel management program for Hirschsprung disease.
  • To illustrate preoperative, perioperative, and postoperative bowel management strategies.

Main Methods:

  • Cross-sectional assessment of a pediatric bowel management program.
  • Evaluation of strategies for children undergoing primary pull-through surgery (with and without stoma).

Main Results:

  • 31 children underwent primary pull-through (23 without stoma, 8 with stoma) at a median age of 9 months.
  • Rectal irrigations were used for preoperative preparation in children without a stoma.
  • Transanal irrigation facilitated early recovery postoperatively.

Conclusions:

  • Bowel management is a cornerstone in treating Hirschsprung disease in children.
  • Integrated bowel management protocols enhance primary pull-through success and recovery.

Keywords:
Hirschsprung diseasebowel managementdistal outlet obstructionfecal incontinencepreparation for surgeryrectal washouttransanal irrigation

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