Use of an enterocolitis triage and treatment protocol in children with Hirschsprung disease reduces hospital admissions

Implementation of a standardized triage and treatment protocol for Hirschsprung-associated enterocolitis (HAEC) reduced hospital admissions by 33% while maintaining patient safety. The protocol emphasized early outpatient intervention with rectal irrigations, successfully managing 100% of phone-triaged cases without hospitalization in the post-protocol period.