In manometry studies of the colon, migrating complexes or high-amplitude contractions stop in the sigmoid colon in most people and do not go to the rectum; after pull-through, these are moved down to the anus.
Some Hirschsprung patients are told by GI doctors they have chronic bacterial overgrowth syndrome and started on antibiotics, when they likely have enterocolitis; antibiotics alone are not the total solution.
Toilet-training Hirschsprung patients do not always get the same warning of impending bowel movement and do not have as much time; must factor this in and use the gastrocolic reflex.
For total colonic Hirschsprung disease, delaying the pull-through and performing ileoanal anastomosis similar to total colectomy patients, with protective ileostomy.
Panel Discussion and Case Presentation Part II: Pediatric Bowel Management 2013
▶Ep 48 · 1:40
clinicalFor total colonic Hirschsprung disease, delaying the pull-through and performing ileoanal anastomosis similar to total colectomy patients, with protective ileostomy.↗
▶Ep 48 · 1:40
clinicalFor total colonic Hirschsprung disease, delaying the pull-through and performing ileoanal anastomosis similar to total colectomy patients, with protective ileostomy.↗
▶Ep 48 · 2:04
clinicalPure transanal approach used for shorter-segment disease and some redo pull-throughs when ganglion cell location is accurately determined.↗
▶Ep 48 · 2:04
clinicalPure transanal approach used for shorter-segment disease and some redo pull-throughs when ganglion cell location is accurately determined.↗
▶Ep 48 · 17:33
clinicalGI doctors recently started doing more anorectal manometry; it is rare for a post-op Hirschsprung patient to have normal anorectal manometry, leading to misinformation.↗
▶Ep 48 · 17:33
clinicalGI doctors recently started doing more anorectal manometry; it is rare for a post-op Hirschsprung patient to have normal anorectal manometry, leading to misinformation.↗
▶Ep 48 · 17:58
clinicalSome Hirschsprung patients are told by GI doctors they have chronic bacterial overgrowth syndrome and started on antibiotics, when they likely have enterocolitis; antibiotics alone are not the total solution.↗
▶Ep 48 · 17:58
clinicalSome Hirschsprung patients are told by GI doctors they have chronic bacterial overgrowth syndrome and started on antibiotics, when they likely have enterocolitis; antibiotics alone are not the total solution.↗
▶Ep 48 · 18:20
clinicalYoung parents often feel irrigations are a chore and tough on their babies; it is crucial to instruct them, stress the importance, and teach excellent technique.↗
▶Ep 48 · 18:20
clinicalYoung parents often feel irrigations are a chore and tough on their babies; it is crucial to instruct them, stress the importance, and teach excellent technique.↗
▶Ep 48 · 24:24
clinicalIn manometry studies of the colon, migrating complexes or high-amplitude contractions stop in the sigmoid colon in most people and do not go to the rectum; after pull-through, these are moved down to the anus.↗
▶Ep 48 · 24:24
clinicalIn manometry studies of the colon, migrating complexes or high-amplitude contractions stop in the sigmoid colon in most people and do not go to the rectum; after pull-through, these are moved down to the anus.↗
▶Ep 48 · 24:47
clinicalToilet-training Hirschsprung patients do not always get the same warning of impending bowel movement and do not have as much time; must factor this in and use the gastrocolic reflex.↗
▶Ep 48 · 24:47
clinicalToilet-training Hirschsprung patients do not always get the same warning of impending bowel movement and do not have as much time; must factor this in and use the gastrocolic reflex.↗
Michael's statements about Hirschsprung disease14 statements
Panel Discussion and Case Presentation Part II: Pediatric Bowel Management 2013
▶Ep 25 · 1:40
clinicalFor total colonic Hirschsprung disease, delaying the pull-through and performing ileoanal anastomosis similar to total colectomy patients, with protective ileostomy.↗
▶Ep 25 · 1:40
clinicalFor total colonic Hirschsprung disease, delaying the pull-through and performing ileoanal anastomosis similar to total colectomy patients, with protective ileostomy.↗
▶Ep 25 · 2:04
clinicalPure transanal approach used for shorter-segment disease and some redo pull-throughs when ganglion cell location is accurately determined.↗
▶Ep 25 · 2:04
clinicalPure transanal approach used for shorter-segment disease and some redo pull-throughs when ganglion cell location is accurately determined.↗
▶Ep 25 · 17:33
clinicalGI doctors recently started doing more anorectal manometry; it is rare for a post-op Hirschsprung patient to have normal anorectal manometry, leading to misinformation.↗
▶Ep 25 · 17:33
clinicalGI doctors recently started doing more anorectal manometry; it is rare for a post-op Hirschsprung patient to have normal anorectal manometry, leading to misinformation.↗
▶Ep 25 · 17:58
clinicalSome Hirschsprung patients are told by GI doctors they have chronic bacterial overgrowth syndrome and started on antibiotics, when they likely have enterocolitis; antibiotics alone are not the total solution.↗
▶Ep 25 · 17:58
clinicalSome Hirschsprung patients are told by GI doctors they have chronic bacterial overgrowth syndrome and started on antibiotics, when they likely have enterocolitis; antibiotics alone are not the total solution.↗
▶Ep 25 · 18:20
clinicalYoung parents often feel irrigations are a chore and tough on their babies; it is crucial to instruct them, stress the importance, and teach excellent technique.↗
▶Ep 25 · 18:20
clinicalYoung parents often feel irrigations are a chore and tough on their babies; it is crucial to instruct them, stress the importance, and teach excellent technique.↗
▶Ep 25 · 24:24
clinicalIn manometry studies of the colon, migrating complexes or high-amplitude contractions stop in the sigmoid colon in most people and do not go to the rectum; after pull-through, these are moved down to the anus.↗
▶Ep 25 · 24:24
clinicalIn manometry studies of the colon, migrating complexes or high-amplitude contractions stop in the sigmoid colon in most people and do not go to the rectum; after pull-through, these are moved down to the anus.↗
▶Ep 25 · 24:47
clinicalToilet-training Hirschsprung patients do not always get the same warning of impending bowel movement and do not have as much time; must factor this in and use the gastrocolic reflex.↗
▶Ep 25 · 24:47
clinicalToilet-training Hirschsprung patients do not always get the same warning of impending bowel movement and do not have as much time; must factor this in and use the gastrocolic reflex.↗
Michael's statements about Total Colonic Aganglionosis7 statements
Panel Discussion and Case Presentation Part II: Pediatric Bowel Management 2013
▶Ep 5 · 1:40
clinicalFor total colonic Hirschsprung disease, delaying the pull-through and performing ileoanal anastomosis similar to total colectomy patients, with protective ileostomy.↗
▶Ep 5 · 2:04
clinicalPure transanal approach used for shorter-segment disease and some redo pull-throughs when ganglion cell location is accurately determined.↗
▶Ep 5 · 17:33
clinicalGI doctors recently started doing more anorectal manometry; it is rare for a post-op Hirschsprung patient to have normal anorectal manometry, leading to misinformation.↗
▶Ep 5 · 17:58
clinicalSome Hirschsprung patients are told by GI doctors they have chronic bacterial overgrowth syndrome and started on antibiotics, when they likely have enterocolitis; antibiotics alone are not the total solution.↗
▶Ep 5 · 18:20
clinicalYoung parents often feel irrigations are a chore and tough on their babies; it is crucial to instruct them, stress the importance, and teach excellent technique.↗
▶Ep 5 · 24:24
clinicalIn manometry studies of the colon, migrating complexes or high-amplitude contractions stop in the sigmoid colon in most people and do not go to the rectum; after pull-through, these are moved down to the anus.↗
▶Ep 5 · 24:47
clinicalToilet-training Hirschsprung patients do not always get the same warning of impending bowel movement and do not have as much time; must factor this in and use the gastrocolic reflex.↗
