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Hirschsprung Post Pull-thru algorithm
Topic overview
Clinical algorithm for evaluating and managing complications in pediatric patients with poor outcomes following Hirschsprung disease pull-through surgery. Guides systematic assessment of postoperative issues including enterocolitis, obstruction, and functional problems.
Key Takeaways
- Systematic evaluation of post-pull-through complications requires assessment of stooling pattern, continence, and enterocolitis signs
- Contrast enema and rectal biopsy help identify mechanical obstruction, stricture, or residual aganglionosis
- Anorectal manometry evaluates sphincter function and recto-anal inhibitory reflex in symptomatic patients
- Treatment options range from conservative management (dilations, bowel regimen) to surgical revision depending on etiology
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How to cite: GlobalCastMD. Hirschsprung Post Pull-thru algorithm . GlobalCastMD Medical Library. https://library.globalcastmd.com/guideline/6312
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