Playing from Playbook #56

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Enfermedad Inflamatoria intestinal asociada a Hirschsprung

Video Published 2023-06-07 Updated 2026-06-02

Timestops (8)

00:00:00
Introduction
Introduction: Patients developing IBD symptoms post-anal descent.
00:00:15
Study overview
Study overview: Retrospective study (2000-2021) in 17 US institutions.
00:00:25
Study Objective
Study Objective: Identifying risk factors for IBD symptoms post-anal descent
00:00:36
Key findings: Introduction to the results.
00:00:38
Finding: 50% had long segment disease.
00:00:46
Finding
Finding: 68% presented enteritis associated with Hirschsprung.
00:00:50
Finding: 10% had Trisomy 21.
00:00:56
Summary of Risk Factors
Summary of Risk Factors: Long segment disease, Trisomy 21, Hirschsprung enteritis

Topic Overview

Retrospective multi-center study (2000-2021) identified risk factors for post-pull-through inflammatory bowel disease symptoms in Hirschsprung patients. Key findings: 50% had long-segment disease, 68% developed Hirschsprung-associated enterocolitis post-operatively, and 10% had trisomy 21—all significant risk factors for IBD-like symptoms after definitive surgery.

Key Takeaways

  • Patients can develop inflammatory bowel disease symptoms after pull-through surgery for Hirschsprung disease
  • 50% of affected patients had long-segment Hirschsprung disease, identifying it as a key risk factor
  • 68% presented with Hirschsprung-associated enterocolitis post-pull-through, strongly correlating with IBD symptoms
  • Trisomy 21 (10% of cohort) is an additional risk factor for post-operative inflammatory bowel disease development
  • Long-segment disease, trisomy 21, and post-pull-through enterocolitis are primary risk factors for IBD-like symptoms

Keywords

Hirschsprung enfermedad inflamatoria intestinal descenso anal enteritis asociada a Hirschsprung trisomía 21 enfermedad de segmento largo pediatría estudio retrospectivo Hirschsprung Disease Inflammatory Bowel Disease Pull-through Complications Hirschsprung-associated Enterocolitis Long-segment Hirschsprung Trisomy 21 Pediatric Colorectal Surgery

Hashtags

#Hirschsprung #enfermedadinflamatoriaintestinal #descensoanal #enteritis #trisomia21 #pediatria #saludinfantil #HirschsprungDisease #PediatricSurgery #IBD #HAEC

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