An Updated “Historical” Algorithm for Hirschsprung Pa-tients Who Present Late or Severely Ill - International Journal of Clinical Medicine

IJCM > Vol.4 No.7, July 2013

International Journal of Clinical Medicine

Volume 4, Issue 7 (July 2013)

ISSN Print: 2158-284X ISSN Online: 2158-2882

Google-based Impact Factor: 0.51 Citations

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

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DOI: 10.4236/ijcm.2013.47A2002 4,582 Downloads 6,264 Views

Author(s)

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

Affiliation(s)

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;.

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

Share and Cite:

S. Alaish, E. Strauch and S. Stylianos, "An Updated “Historical” Algorithm for Hirschsprung Pa-tients Who Present Late or Severely Ill," International Journal of Clinical Medicine, Vol. 4 No. 7B, 2013, pp. 4-8. doi: 10.4236/ijcm.2013.47A2002.

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