Title

The Hirschsprungs patient who is soiling after what was considered a "successful" pull-through

Document Type

Journal Article

Publication Date

11-1-2012

Journal

Seminars in Pediatric Surgery

Volume

21

Issue

4

DOI

10.1053/j.sempedsurg.2012.07.009

Keywords

Bowel management; Complications; Hirschsprung; Incontinence; Pull-through; Reoperation; Soiling

Abstract

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.

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