[Choice of the treatment method in Hirschsprung's disease in adults]

Among 100 patients subjected to a complex examination 44 were found to have Hirschsprung's disease. Operation was fulfilled in 37 patients. Resection of dilated portions of the colon can not be considered to be a radical intervention. With the morphological features of Hirschsprung's disease in adults taken into account, Duhamel's operation is recommended as a readical operation. In patients with a pronounced decompensation of the colon accompanied by ileus the treatment should consist of many steps. In some cases the conservative treatment might be performed under conditions of dispensary observation of the patient.