From
Dr. Nelson G. Rosen
Hirschsprung Dilations, Gastroschisis Management, and CDH Volume Outcomes
With Dr. Alex Halpern · hosted by Dr. Em Gootee & Lizzy Lee, PA-C & Dr. Cecilia Gigena
Chapter 1 of 3
Hirschsprung dilations
Postoperative Dilations in Hirschsprung Disease
Expert statements on this page
No expert statements were drawn from this page.
Host summaries · secondary, not cited in answers
Educational content from recorded physician discussions — not medical advice. Talk to your (or your child's) care team about your situation.
Video
Quick Literature Updates Ep 22
4 min · Published Oct 2025
Video
The use of postoperative calibrations in Hirschsprung disease
59 s · Published Nov 2024
Video
Adult Outcomes: Hirschsprung Disease
20 min · Published Feb 2015
Podcast
Journal of Pediatric Surgery Article Review: January 2022 APSA Issue
13 min · Published Feb 2022
Video
Does Delayed Diagnosis of Hirschsprung Disease Impact Post-operative and Functional Outcomes? A Multi-Center Review From the Pediatric Colorectal and Pelvic Learning Consortium
1 min · Published Oct 2024
Video
How to Administer a Rectal Irrigation at Home
5 min · Published Jun 2023
Podcast
Pediatric Surgery Literature Updates: Lymphatic Malformations, G-Tube Complications, and Cryptorchidism Timing
4 min · Published Nov 2026
Podcast
VTE prophylaxis, fertility preservation, and nephron-sparing surgery in pediatric patients
4 min · Published Nov 2026
Podcast
Appendicitis treatment, VACTERL screening updates, and new pediatric sepsis criteria
4 min · Published Nov 2026
Podcast
Literature review: tracheomalacia diagnosis, NEC strictures, and PDA management
4 min · Published Nov 2026
Podcast
Locum Tenens Guidelines, Clavien-Madadi Validation, and Transitional Care Challenges
4 min · Published Nov 2026
Video
Quick Literature Updates Ep 27
4 min · Published Feb 2026
Podcast
Routine Anal Dilations After PSARP: Questioning a Decades-Old Practice
2 min · Published Nov 2026
Podcast
Botox injection during Hirschsprung pull-through: evidence and technique considerations
1 min · Published Nov 2026
Podcast
Central line troubleshooting and vascular access preservation in pediatric patients
2 min · Published Nov 2026
Podcast
Colorectal Quiz Episode 50: Key Takeaways from the 16th European Pediatric Colorectal Conference
24 min · Published Nov 2026
Podcast
Nerve monitoring and risk stratification in pediatric thyroid surgery
6 min · Published Nov 2026
Podcast
Postnatal Lung Growth and Nutrition in Congenital Diaphragmatic Hernia Outcomes
5 min · Published Nov 2026
What the experts said
The prospective study by Beotti et al. took place 2021 to 2023 and included 33 patients under six months old who underwent endorectal pull-through surgeries.
Patients were assigned to a new non-dilation protocol group or a traditional dilation group.
The primary outcomes examined were anastomotic complications, enterocolitis, and constipation.
There was no significant difference in anastomotic complications between the two groups.
The non-dilation group had less enterocolitis and less constipation compared to the traditional dilation group.
Choosing not to do postoperative anal dilations may be a good alternative with benefits like lower constipation and enterocolitis.
For gastroschisis, delivery after 37 weeks is optimal.
Prophylactic antibiotics covering skin flora are adequate to reduce infection risk until closure in gastroschisis.
Studies support primary fascial repair for gastroschisis as long as hemodynamics and abdominal domain permit.
Sutureless repair for gastroschisis is safe and effective and does not delay feeding or increase length of stay.
There is a need for high quality randomized controlled trials to help provide evidence-based care for gastroschisis infants.
The CDH study by Pier et al. is a retrospective study done in Texas using a state hospital database examining outcomes by center volume.
The CDH study identified 1,314 patients: 728 from high volume centers, 9 from mid-volume centers, and 79 from low volume centers.
High volume centers had significantly lower mortality rates for CDH patients even though they treated significantly sicker patients.
High volume centers had significantly shorter length of stay for CDH patients.
High volume centers had better outcomes for patients with CDH.