A 46-year-old member asked:
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i have hirschsprung's disease. what is treatment?

3 doctor answers
Dr. Allen Seely
30 years experience General Practice
Hi fiber, surgery: Hirschsprungs disease is a congenital ('born-with-it') disease that causes severe constipation in early childhood. It is due to the total lack of nerves to part of the colon (lg. Intestine). No contractions of the bowel occur where there is an absence of nerve tissue so stool 'backs up' and is difficult to pass (=constipation). Treatment is surgery for large segment hirschprungs or hi fiber, etc.
Answered on Jul 5, 2012
Dr. Troy Reyna
43 years experience Pediatric Surgery
Surgery: Usually presents in infancy. Biopsy is done to confirm diagnosis. Then a single stage procedure can be done if patient is stable. In some instances a staged procedure is done , where one gets a colostomy followed several months later by a pull through . The pull through excises the defective colon.
Answered on Dec 31, 2014
Dr. Gerald Mandell
51 years experience Nuclear Medicine
Surgery: Children with surgery to remove diseased part of large intestine.Surgery within first days or month of life after dx. Treatment may involve one or two surgeries.Surgical options include leveling colostomy, which is colostomy at the level of normal bowel;staged procedure with placement of leveled colostomy followed by pull-through procedure or a single-stage pull-through procedure without ostomy
Answered on Dec 10, 2014

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A 32-year-old member asked:
Dr. Troy Reyna
43 years experience Pediatric Surgery
Surgery: First hirschsprung's has to be confirmed by full thickness biopsy of the rectum. The pathology should be read by a pediatric pathologist accustomed to ... Read More
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A 3-year-old female asked:
Dr. James Ferguson
45 years experience Pediatrics
Treatment=surgery: The basic treatment of hirschprung disease is surgical.If a high lesion, a the upper bowel is brought to the skin of the abdomen and an opening create ... Read More
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A 37-year-old member asked:
Dr. Troy Reyna
43 years experience Pediatric Surgery
Tests: Xrays and biopsy to confirm hirschsprung's disease, this is the lack of certain nerve cells in the large intestine. A rectal biopsy will be necessary.
A 50-year-old member asked:
Dr. Gerald Mandell
51 years experience Nuclear Medicine
Surgery: Treatment is resection of segment of bowel missing ganglion cells, innervation of bowel. Most of time recognized in infancy. Sometimes have colostomy ... Read More

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