Enterocolitis
Everything in the library about enterocolitis — built automatically from the recorded discussions that name it
Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
Content of this collection
Fundamentals
1 item
Hirschsprung Disease â PediaCast 287
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Dr Marc Levitt joins Dr Mike in the PediaCast Studio for a comprehensive look at Hirschsprung Disease. We talk cause, symptoms, diagnosis, treatment, complicati
podcast38:55 · Jul 2026
Diagnosis & Workup
3 items
Evaluation & Management Of Hirschsprung's Disease
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Dr. Steven Kraus discusses the radiology component of Hirschsprung's Disease. His presentation includes the predictors of Hirschsprung's Disease seen in a plain abdominal radiograph of a newborn, distal bowel obstruction identification, dia
video44:35 · Nov 2018
Radiology and Image Diagnosis of Hirschsprung Disease
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Panel discussion on various imaging techniques and radiologic findings for Hirschsprung Disease and the diagnostic pathway to and after surgery.
video44:35 · Nov 2018
Hirschsprung Disease: Radiology Aspect
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Dr. Steven Kraus from Cincinnati Children's Hospital presents on the radiological considerations in the diagnosis of Hirschsprung disease.
video43:27 · Jan 2019
Medical Management
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Hirschsprung Disease Audience Q&A with Dr. Marc Levitt
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Continuation of discussion on Hirschsprung disease with Dr. Marc Levitt with emphasis on the audience's questions .
podcast12:40 · Dec 2020
Complications
6 items
Colorectal - Clinical Practice Updates
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This clip from the 2020 Pediatric Surgery Update Course features, Megan Durham, MD; Eunice Huang, MD; and Beth Rymeski, DO; presenting cases for review and recent studies.
Highlighted Topics Include:
- Post-op Hirschsprung home regimen
video52:31 · Sep 2020
Hirschsprung Disease Part II with Dr. Marc Levitt
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Continuation of discussion on Hirschsprung disease with Dr. Marc Levitt with emphasis on complex situations.
podcast44:38 · Dec 2020
Update Course Rewind: 2020 Colorectal Part 1
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Did you miss our annual Update Course? Don't worry, we are summarizing our favorite sessions from years past. In this episode, Dr. Megan Durham and Dr. Eunice Huang talk you through some perioperative considerations for patients with Hirsch
podcast12:25 · Mar 2021
The Colorectal Quiz Episode 22: Hirschsprung Disease - the Soiling Patient Part 1
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In the last few episodes of the Colorectal Quiz, we discussed obstructions in Hirschsprung disease. Now we're turning to another issue in Hirschsprung disease - the soiling patient. Along with Dr. Levitt and Dr. Frischer, we're joined by Dr
podcast19:45 · Nov 2021
Hirschsprung Disease Part 2
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Continuation of our previous podcast on Hirschsprung disease with Dr Marc Levitt that focuses on the evaluation and management of post-pull-through complication
podcast44:44 · Jul 2026
Hirschsprung Disease Part 2
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Continuation of our previous podcast on Hirschsprung disease with Dr Marc Levitt that focuses on the evaluation and management of post-pull-through complication
podcast44:44 · Jul 2026
Evidence & Research
2 items
The use of postoperative calibrations in Hirschsprung disease
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Federico Beati, Tommaso D'Angelo, Chiara Iacusso, Barbara Daniela Iacobelli, Federico Scorletti, Laura Valfré, Chiara Pellegrino, Pietro Bagolan, Andrea Conforti, Fabio Fusaro.
Purpose: Daily postoperative anal dilations after endorectal
video0:59 · Nov 2024
Update Course Rewind 2025: Botox for Hirschsprung’s: Where, When, and Why
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This video from GlobalCast MD, featuring Cincinnati Children's, recaps key insights from the 13th Annual Pediatric Surgery Update Course on the use of Botox in Hirschsprung's Disease. It discusses current practices, poll results among pedia
video1:55 · May 2026
Case-Based Learning
5 items
Hirschsprung Disease Rapid Fire: Update Course 2015
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Dr. Jason Frischer of Cincinnati Children's Hospital Medical Center, presents on Hirschsprung disease. Dr. Frischer discusses Hirschsprung disease and its complications.
video12:14 · Jan 2019
Hirschsprung Disease: Update Course 2015
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Dr. Jason Frischer, pediatric surgeonat Cincinnati Children hospital, presents a few cases of Hirschsprung disease. Topics of discussion include for trans-anal dissection, laparoscopic biopsy, mobilization of the colon, open biopsy, and lev
video7:42 · Jan 2019
Hirschsprung Disease: Update Course 2013
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Daniel von Allmen discusses various case presentations involving Hirschprung disease patients. Topics of discussion include upper GI imaging, contrast enema, ganglion cell biopsies, Duhamel, isolated cecal perforation, primary trans-anal pu
video38:06 · Jan 2019
Hirschsprung Disease: Update Course 2013
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Dr. Daniel von Allmen discusses the evaluation and management of Hirschsprung disease. Topics include initial imaging options, rectal biopsy options, operative approaches, timing for definitive procedure, types of pull-through, and treatmen
video38:50 · Jan 2019
Colorectal Quiz Episode 3: Hirschsprung Disease
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In the third episode of the Colorectal Quiz series, Dr. Levitt and Dr. Frischer discuss the basics of the initial management and diagnosis of Hirschprung disease.2 view abdominal XRContrast enema
podcast20:10 · Feb 2021
In-Depth Reviews
5 items
Hirschsprung Disease - Imperforate Anus - Rectal Prolapse: Update Course 2015
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Dr. Jason Frischer ofCincinnati Children's Hospital Medical Center,presents on Hirschsprung disease,Imperforate anus, and rectal prolapse. Dr. Frischer discussesHirschsprung disease and it'scomplications- obstructive systems or soiling issu
video25:37 · Nov 2018
Hirschsprung's Disease
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Dr. Rae Hanke, Dr. Alex Casar, Dr. Jason Frischer, and Dr. Aaron Garrison come together to provide you the essentials on diagnosis and management of Hirschprung's Disease. Intro and outro tracks are adapted from "I dunno" by grapes, featuri
podcast20:48 · Dec 2020
DrBeen Medical Lectures: Dr. Marc Levitt, MD Discusses Hirschsprung Disease
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Dr. Marc A. Levitt, MD Discusses Hirschsprung Disease on YouTube Live with Drbeen Medical Lectures.
Link to DrBeen website: https://www.drbeen.com
video53:42 · Dec 2022
Hirschsprung
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Welcome to an ePiPS special with Dr. Marc Levitt! I am here today at the 50th Anniversary of APSA in Boston discussing the diagnosis and management of Hirschspr
podcast22:45 · Jul 2026
Hirschsprung's Disease with Dr. Marc Levitt
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Expert discussion with Dr. Marc Levitt on Hirschsprung disease, covering diagnosis, surgical management, and outcomes in pediatric patients with congenital intestinal aganglionosis. Essential listening for pediatric surgeons managing this c
podcast22:45 · Jul 2026
Patient & Family Education
1 item
Hirschsprung-associated enterocolitis in children: An ERNICA animation for parents and families
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Animation video [in English]. Target audience: Parents and families. The video could also be used as an explanatory tool by healthcare professionals.
For further details about this condition, possible complications and specialised care,
video3:23 · Dec 2023
Summaries and takeaways+ Show
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All expert statements+ Show
Every expert statement below comes from the recorded discussions, with its speaker and moment.
The use of postoperative calibrations in Hirschsprung disease
The study was prospective and took place from 2021 to 2023
clinicalLizzie Lee0:13 ↗
The study included 33 patients under six months old who underwent endorectal pull-through surgeries
clinicalLizzie Lee0:13 ↗
Patients were assigned to either a new non-dilation protocol group or a traditional dilation group
clinicalLizzie Lee0:24 ↗
The primary outcomes measured were anastomotic complications, enterocolitis, and constipation
clinicalLizzie Lee0:30 ↗
There was no significant difference in anastomotic complications between the two groups
clinicalLizzie Lee0:37 ↗
The non-dilation group had less enterocolitis compared to the traditional dilation group
clinicalLizzie Lee0:37 ↗
The non-dilation group had less constipation compared to the traditional dilation group
clinicalLizzie Lee0:37 ↗
Choosing not to do postoperative anal dilations may be a good alternative with benefits like lower constipation and enterocolitis
opinionLizzie Lee0:46 ↗
Evaluation & Management Of Hirschsprung's Disease
Fluoroscopy was done very well in the 1960s and 1970s when it was the primary modality, but with the advent of MRI, CT, and ultrasound, fluoroscopy has become almost a lost art.
opinionSteven Kraus1:02 ↗
Signs of Hirschsprung disease on plain abdominal radiographs of a newborn include transition zone, distal bowel obstruction, dilated colon, and bowel mucosal irregularities.
clinicalSteven Kraus1:41 ↗
In a newborn, you cannot tell the difference between colon and small bowel on plain radiograph; you can only identify multiple dilated loops suggesting distal bowel obstruction.
clinicalSteven Kraus3:23 ↗
The differential diagnosis for neonatal distal bowel obstruction appearance includes Hirschsprung disease, small left colon syndrome (meconium plug syndrome, immature colon), anorectal malformation, meconium ileus, and ileal atresia—these five entities make up about 99% of cases.
clinicalSteven Kraus3:57 ↗
Seeing air in the rectum on plain radiograph does not rule out Hirschsprung disease.
clinicalSteven Kraus5:32 ↗
The radiological diagnosis of enterocolitis is possible with a plain abdominal radiograph.
clinicalSteven Kraus5:43 ↗
Air-fluid levels visible on cross-table or decubitus views in the colon are a sign of inflammatory process or enterocolitis.
clinicalSteven Kraus6:58 ↗
Enterocolitis in a newborn should be considered Hirschsprung disease until proven otherwise.
clinicalSteven Kraus8:14 ↗
The contrast enema in a newborn does not always allow making the diagnosis or ruling out Hirschsprung disease.
clinicalSteven Kraus9:46 ↗
The false negative rate of contrast enema for detecting transition zone is between 20% and 25% according to multiple studies.
epidemiologicalSteven Kraus10:33 ↗
Total colonic Hirschsprung disease and short segment disease are particularly difficult diagnoses to make on enema, contributing to the false negative rate.
clinicalSteven Kraus11:04 ↗
The false positive transition zone rate on enema is up to 43%.
epidemiologicalSteven Kraus11:20 ↗
Radiologist agreement on transition zone location is fairly high at 90%.
epidemiologicalSteven Kraus11:35 ↗
The concordance rate between radiology and pathology for transition zone location is only about 62% overall.
epidemiologicalSteven Kraus11:47 ↗
For short segment disease (rectosigmoid or low transition), the concordance between radiologic and pathologic transition zone is about 75%.
epidemiologicalSteven Kraus13:27 ↗
For long segment disease (descending colon, splenic flexure, or more proximal), the concordance between radiologic and pathologic transition zone is only about 25%.
epidemiologicalSteven Kraus13:54 ↗
If an enema shows a high transition zone, the actual pathologic transition could be anywhere, and repeat enemas will not reliably improve localization.
clinicalSteven Kraus14:05 ↗
In patients with long segment disease, it is better to plan the operation assuming the transition may be high rather than relying on enema localization.
opinionSteven Kraus14:29 ↗
The technique for contrast enema involves inserting only a small part of the rectal tube (2-3 cm) into the rectum.
clinicalRodrigo Ocelami16:34 ↗
Never use a Foley catheter inside the rectum for contrast enema in suspected Hirschsprung disease.
clinicalRodrigo Ocelami16:42 ↗
In the neonatal period, use water-soluble contrast diluted 50% with saline.
clinicalRodrigo Ocelami17:04 ↗
Inject contrast very slowly and gently with a syringe under continuous fluoroscopy to avoid distending the aganglionic segment.
clinicalRodrigo Ocelami17:16 ↗
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