The Hirschsprungs patient who is soiling after what was considered a "successful" pull-through
Seminars in Pediatric Surgery
Bowel management; Complications; Hirschsprung; Incontinence; Pull-through; Reoperation; Soiling
After surgery for Hirschsprungs disease, most children thrive, have few if any episodes of abdominal distention and enterocolitis, and are fecally continent. However, there exists a small group of patients who do not do well. Either they suffer from persistent distension and enterocolitis or they experience soiling after their pull-through procedure. These patients can be systematically evaluated and successfully treated with a combination of bowel management, dietary changes, and laxatives, and, in certain circumstances, a reoperation. © 2012 Elsevier Inc.
Levitt, M., Dickie, B., & Peña, A. (2012). The Hirschsprungs patient who is soiling after what was considered a "successful" pull-through. Seminars in Pediatric Surgery, 21 (4). http://dx.doi.org/10.1053/j.sempedsurg.2012.07.009