An Updated “Historical” Algorithm for Hirschsprung Pa-tients Who Present Late or Severely Ill

Samuel M. Alaish, Eric D. Strauch, Steven Stylianos

Division of Pediatric Surgery, Department of Surgery, Cohen Children’s Medical Center, North Shore-LIJ Health System, New Hyde Park, New York, USA..
Division of Pediatric Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, USA;.

DOI: 10.4236/ijcm.2013.47A2002                

Abstract

Some children with previously undiagnosed Hirschprung’s disease present severely ill at an advanced age with markedly dilated bowel and enterocolitis. In this manuscript, the authors propose the following treatment algorithm: 1) a diverting transverse loop colostomy, 2) a transanal Soave endorectal pull-through, and 3) colostomy closure. The authors report their experience with five patients.

Keywords

Hirschsprung’s Disease; Algorithm; Transanal Soave

Conflicts of Interest

The authors declare no conflicts of interest.

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