Operative Strategies for Hirschsprung Disease Presenting in Adults: A Systematic Review
Topic overview
This systematic review examines surgical approaches for Hirschsprung disease diagnosed or treated in adulthood, a rare presentation of a typically pediatric condition. The analysis identifies key factors guiding operative decision-making in both elective and emergency scenarios for adult patients.
Key takeaways
- Adult Hirschsprung disease requires tailored surgical approaches distinct from pediatric protocols due to anatomical and physiological differences.
- Emergency presentations in adults often necessitate staged procedures with initial diversion followed by definitive pull-through.
- Elective surgical decision-making depends on extent of aganglionosis, bowel dilation severity, and patient comorbidities.
- Systematic review identifies gaps in standardized operative protocols for adult Hirschsprung disease management.
- Preoperative mapping of transition zone length influences choice between transanal, laparoscopic, or open pull-through techniques.
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How to cite: GlobalCastMD. Operative Strategies for Hirschsprung Disease Presenting in Adults: A Systematic Review. GlobalCastMD Medical Library. 2026-05-16. https://library.globalcastmd.com/article/12052
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