StayCurrentMD · Error Traps and Culture of Safety in Hirschsprung Disease
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Video·Published Oct 2019Older

Error Traps and Culture of Safety in Hirschsprung Disease

With Dr. Luis de la Torre

Chapter 1 of 1 · Complications

Error Traps in Hirschsprung Disease

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What the experts said12 expert statements
Many errors still happen in patients with Hirschsprung, resulting in complications and mortality
ClinicalLuis de la Torre
The most common error in these patients are the false diagnosis of Hirschsprung because of an inadequate biopsy
ClinicalLuis de la Torre
Incorrect performance of rectal irrigations during medical treatment is a common error
ClinicalLuis de la Torre
Failure to demonstrate the transitional zone in the contrast enema is a common error
ClinicalLuis de la Torre
Problematic intraoperative diagnosis of transitional zone is a common error
ClinicalLuis de la Torre
Damage of the anal canal during mapping the colon with multiple biopsies is a common error
ClinicalLuis de la Torre
Missing the rectal biopsy to confirm Hirschsprung disease in patients with low intestinal obstruction is a common error
ClinicalLuis de la Torre
These errors are the source of pull-throughs in patients with idiopathic constipation
ClinicalLuis de la Torre
These errors result in multiple bowel resection with loss of significant amount of colon
ClinicalLuis de la Torre
These errors result in fecal incontinence
ClinicalLuis de la Torre
These errors result in the necessity of colostomy or ileostomies
ClinicalLuis de la Torre
Avoiding these errors can improve the outcome and quality of life of these patients
OpinionLuis de la Torre